Poster Presentation
Friday, July 13, 2007
9:30 AM - 10:15 AM
Friday, July 13, 2007
3:15 PM - 4:00 PM
The effectiveness of non-nutritve sucking on physiological parameters for preterm infants after suctioning in Taiwan
Hou Hui-Ming, RN, Chen Yong-Chuan, RN, and Chang Ho-Mei, RN. Nursing department, Taichung Veteran's General Hospital, Taichung, Taiwan
| Learning Objective #1: realized the effects of non-nutritive sucking on physiological parameters. |
| Learning Objective #2: practice non-nutritive sucking for preterm infants after sictioning. |
Background: Nonnutritive sucking is one of the strategies of developmental supportive care for preterm infants to relieve the distress of stimulus in the NICU.
Objective: To examine the effects of nonnutritive sucking on the physiological response of the preterm infants after oropharyngeal suctioning. Method: This was a experimental, cross over and repeated measurement design. Twenty two preterm infants whose gestational age were 27 to 33 weeks, without congenital abnormalities or sedation from a NICU of a medical center in Taiwan were recruited. They were randomly assigned to time sequence. All subjects were as their own control groups. In the intervention group, water-moistened pacifiers were placed into preterm infants’ mouths immediately after suctioning. Physiological parameters ( heart rate, respiratory rate, and oxygen saturation ) were recorded every 1 minute by Dragerfer EKG monitor 10 minutes before suctioning, during suctioning, and 10 minutes after suctioning. These data were analyzed by SPSS 12.0 for windows and SAS 10.0 The major statistical procedures applied were: Mean, SD, Maximum, Minimal, and GEE (Generalized estimation equation). Results: The results indicated that the preterm infants who received nonnutritive sucking after suctioning 1 minutes compared with control group had significant differences on heart rate (β=13.381, P <0.01), and after suctioning 10 minutes still remain significant differences, and on oxygen saturation(β=-6.381, P <0.01), but not on respiratory rate. Conclusion: Nonnutritive sucking has a significant effect on physiological parameters. We expect to provide the evidence for nurses to practice nonnutritive sucking after oropharyngeal suctioning for preterm infants to stabilized the vital signs.