The Effects of Using the Practice Guideline of Oral Massage and Kangaroo Care by Mothers on Preterm Infants’ breastfeeding Behavior at Lampang Hospital
Keywords:
Preterm infants, Stimulation massage for sucking and swallowing, Kangaroo Mother CareAbstract
This research is a quasi-experimental study with two groups. The study aimed to examine the effect of using the practice guideline of oral massage and kangaroo care by mothers on preterm infants’ breastfeeding behaviors between an experimental and a control group. The participants were 70 preterm infants receiving care in the neonatal intensive care unit at Lampang Hospital, divided into an experimental and a control group. The participant was selected through a purposive sampling method. The control group received standard nursing care, while the experimental group received the practice guideline of oral massage and kangaroo care by mothers. Data were collected using a specifically designed assessment form for breastfeeding behavior in preterm infants, with a Cronbach's alpha reliability coefficient of 0.87. Data were analyzed using descriptive statistics, chi-square statistics, and t-test.
The research findings indicate that: 1)The average score of maternal breastfeeding behavior of preterm infants in the experimental group (Mean=1.74, S.D.=0.51) was higher than that of the control group (Mean=1.48, S.D.=0.56), and this difference was statistically significant at the 0.05. 2) The experimental group had a statistically significantly lower average number of days with a feeding tube compared to the control group (Mean=5.3, S.D.=1.83 and Mean=8.6, S.D.=3.81, respectively), with a p-value less than 0.05. Therefore, nurses should adopt the practice of oral massage combined with Kangaroo Mother Care to improve the efficiency of sucking and swallowing in infants, reduce the number of days with a feeding tube, and promote a good relationship between mother and infant.
References
Ann L Jefferies. (2012). Kangaroo care for the preterm infant and family. Paediatr Child Health, 17(3), 141-143.
Auaareekul, K., Sangperm, P., & Payakkaraung, S. (2018). The Effects of a Breast Milk Establishing Program on Milk Volume and Time of Sufficient Milk Supply among Cesarean Section Mothers of Premature Infants . Nursing Science Journal of Thailand, 36(3), 71-82. (in Thai).
Chailangka, W., Daramas, T. & Kongsaktrakul, C. (2018). Effects of using breast milk together with oral massage. Stimulation of sucking and sucking efficiency in premature infants. Ramathibodi Nursing News, 24(1), 25-36. (in Thai).
Danna, C., Zhen, Y., Chujie, C., & Pu, W. (2021). Effect of Oral Motor Intervention on Oral Feeding in Preterm Infants: A Systemic Review and Meta-Analysis. American Journal of Speech- Language Pathology, 30(5), 2318-2328. http://doi.org/10.1044/2021_AJSLP-20-00322.
Fucile, S., Gisel, E. G., & Lau, C. (2002). Oral stimulation accelerates the transition from tube to oral feeding in preterm infants. Journal of Pediatrics, 141(2), 230-236
Lampang Hospital Medical records of the intensive care unit for sick newborns. (2022). Annual newborn patient statistics. (in Thai).
Leticia, M. N., Ludmylla, O. B., & Aline, M. I. (2022). The effectiveness of Kangaroo Mother Care in hospitalization period of preterm and low birth weight infants: systematic review and meta-analysis. Jornal de Pediatria. 98(2), 117-125. http://doi.org/10.1016/j.jped.2021.06.004.
Li, L., Li, Li., Fang, C., & Li, H. (2022). Clinical effects of oral motor intervention combined with non-nutritive sucking on oral feeding in preterm infants with dysphagia. Jornalde Pediatria. 98(6), 635-640. http://doi.org/10.1016/j.jped.2022.02.005.
Mahboubeh, J., Roghaiyehh, N., Aboulhassan, D., Mohammad, b. H., Leila, V., & Sevil, H. (2022). Preterm Infant Breastfeeding Behavior Scale: A study for Assessing the Validity and Feasibility. Iranian Journal of Neonatology. 13(3), 51-55. http://doi.org/10.22038/IJN.2022.61540.2174.
Mahdi, J., Fatemeh, F., Zoleikha, A., Naser, D., & Yousof, P. A. (2019). Effect of Kangaroo Mother Care on hospital management indicators: A systematic review and meta-analysis of randomized controlled trials. Journal of Education and Health Promotion.8, 1-8. http://ncbi.nlm.nih.gov/pmc/articles/PMC6532364/pdf/JEHP-8-96.pdf.
Muliani & Lisnawati. (2018). The Effect of Kangaroo Mother Care Method toward Weight Gain and Length of Stay among Low-Birth-Weight Baby. International Journal of Public Health Science. 7(2), 91-96. http://.doi.org/10.11591/ijphs.v7i2.12632.
Narciso, L. M., Beleza, L. O., & Imoto, A. M. (2022). The effectiveness of Kangaroo Mother Care in hospitalization period of preterm and low birth weight infants: systematic review and meta-analysis. Jornal de Pediatria. 98(2), 117-125. http://doi.org/10.22038/IJN.2022.61540.2174.
Nyqvist, K. H., Sjoden P., & Ewald, U. (1999). The development of preterm infants’ breastfeeding behavior. Early Human Development, 55(3), 247-264.
Osborn, E. K., & Jadcherla, S. R. (2022). Developing a quality improvement feeding program for NICU patients. NeoReviews 23(1), e23-e35. https://doi.org/10.1542/neo.23-1-e23.
Papana, N., & Tawitha L. (2016). Outcomes of a clinical guideline for implementation of Kangaroo Care with premature Infants in Neonatal Intensive Care Unit. Chiang Mai Medical Journal of Medicine, Chiang Mai University. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec).
Polit & Beck. (2021). Nursing Research: Generating and Assessing Evidence for Nursing Practice. 11 th edition. Library of Congress Cataloging-in-Publication Data.Phongsarananthakul, Y. (2016). Nursing care of premature infants. In Thampanitchawat W., Rungamornrat S. and Phayakruang S. (Editors), Nursing care of high-risk newborns. (p. 35-50). (in Thai).
Queen Sirikit National Institute of Child Health, Department of Medical Services. (2022). Summary of the results of the inspection of the Department of Medical Services. (in Thai).
Titler,& et al.(2001). The lowa model of evidence-based practice to promote quality care. Critical care Nursing Clinics of North America, 13(4), 497-509.
Xu, T., Li-Juan, Y., Lei, Z., Jian-Guo, Z., Li, M., Yang-Xiang, O., Ting, S., Zi, Z., & Guo-Min, S. (2015). Oral Motor Intervention Improved the Oral Feeding in Preterm Infants. Medicine, 94(31), 1- 10. http://ncbi.nlm.nih.gov/pmc/articles/PMC4616521/.
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