- 期刊
提升病嬰室由口餵食困難早產兒之全口餵食率
Increasing the Full Oral Feeding Rate of Premature Infants With Oral Feeding Difficulty
摘要
在病嬰室的早產兒「由口餵食困難」問題若獲得改善，可以盡早脫離胃管及出院返家，符合家屬期待，又能減少醫療支出。本專案旨在提升病嬰室由口餵食困難早產兒之全口餵食率，滿足口慾及營養需求。經分析原因有：護理師對早產兒由口餵食困難認知不足、早產兒進食吸吮吞嚥不協調、餵食工具材質及孔洞大小不合適，及口腔胃管影響餵食等因素。經由舉辦在職教育、實施早產兒口腔餵食介入措施、應用定步餵食技巧、提供早產兒餵食工具多樣選擇性，和調整胃管放置位置的策略。由口餵食困難早產兒之全口餵食率由20.9%提升至68.7%，強化護理師餵食早產兒的信心、建立團隊合作模式，促進親子互動，持續朝高品質的早產兒照護目標邁進。
並列摘要
Addressing oral feeding difficulty in premature infants would reduce the time in which infants require a nasal gastric tube and the length of stay. This is not only satisfactory to parents but also reduces medical expenditures. The purpose of this project was to increase the full oral feeding rate of premature infants with oral feeding difficulty. The results indicated that the causes of the problem include insufficient knowledge and skill among caregivers, lack of coordination in suck- swallow pattern among premature infants when feeding, inappropriate pacifier texture and hole sizes, and interference with oral-gastric tube placement when feeding. Through caregiver education, premature oral training, the application of paced rhythm feeding technique, increasing selection of feeding tools, and establishment of the convention of placing the gastric tube through the nose, the full oral feeding rate increased from 20.9% to 68.7%. The results indicated that the project not only strengthened nurses' self-confidence but also promoted communication and harmony between teams. It further achieved the goal of high-quality care for preterm infants.