Effect Of The Integrated Oral Motor Interventions Applied In Growth And Development Of Preterm Infants Within 6 Months

Objective Apply the Integrated Oral Motor Interventions Applied including “3 min oral stimulate + 2 min non-nutritive sucking + 2 min oral support” that the research group has established to the development supportive care of preterm infants.To evaluate and discussion the effects of developmental supportive care with integrated oral motor interventions on feeding ability of preterm infants and the physical and neuropsychological development during hospitalization,at 42 nd day of birth,the corrected age of 3 months and 6 months.In order to providing some evidence for promoting early catch-up growth,standardizing early feeding,development promotion guidance and follow-up monitoring after discharge.Methods From June 2017 to February 2018,a total of 96 premature infants born and admitted to the neonatal intensive care unit of Yinchuan Maternal and Child Health Hospital were selected as participants,they were randomly divided into intervention group and control group according to the hospitalization order,each group had 48 cases participants.Preterm infants in the control group received the developmental supportive care,and the intervention group received the developmental supportive care with integrated oral motor interventions including “3min oral stimulate + 2min non-nutritive sucking + 2min oral support”.During the hospitalization,used the Preterm Infant Oral Feeding Readiness Assessment Scale to evaluate the oral feeding ability of preterm infants in two groups every day until the complete oral feeding,measured body weight once a day,measured body length and head circumference every 7 days,used Neonatal Medical Idex to evaluate the disease status of preterm infants during hospitalization;Before discharge,evaluate nutritional risk degree of preterm infants base on the classification of nutritional risk levels,formulated the individualized feeding plan in the short term after discharge;After discharge,performed a 6-month feeding,development promotion guidance and follow-up monitoring on all preterm infants,on 42 nd day of birth,the corrected age of 3 months and 6months of preterm infants,measured body weight,body length,head circumference,used Denver Development Screening Test to screen neuropsychological development,development,and investigate feeding methods;Calculated the time reached to birth weight and the weight gain rate at different time periods.By comparing the above indicators,analyzed the effect of integrated oral motor interventions on the feeding ability and physical and neuropsychological development of preterm infants within 6 months.Results1 Results of baseline dataA total of 96 cases of preterm infants were included in the study,and 88 cases completed this study at last,the effective rate was 91.67%,of which 43 cases in the control group and 45 cases in the intervention group.The average gestational age of preterm infants was(31.99 ± 1.45)weeks,the average birth weight was(1.93±0.29)kg,and the average age of all preterm infants mothers was(31.52±4.68)years.2 Results of intervention(1)Before intervention,there was no significant difference in general data of preterm infants and their mothers(P>0.05).There were no significant differences in the oral feeding ability scores,body weight,body length,head circumference between the two groups(P>0.05).(2)The comparison of feeding ability: On the 7th and the 10 th day after admission,the scores of the oral feeding ability,oral mouth shape and oral reflexes of the preterm infants in the intervention group were higher than those in the control group(P<0.05).(3)The comparison of disease severity: There was no significant difference in the severity ofdisease between the two groups of preterm infants during hospitalization(P>0.05).(4)The comparison of nutritional risk classification: The incidence of high-risk and medium-risk in the classification of nutritional risk before discharge in preterm infants in the intervention group was significantly lower than that in the control group,the incidence of lowrisk is higher than that of the control group(P<0.05).(5)The comparison of growth and development indicators: There were no significant difference in body weight,body length and head circumference between the two groups on the7 th day of birth(P>0.05).The body weight,body length,head circumference and body weight growth rate of the preterm infants in the intervention group were higher than those in the control group at the 14 th day of birth,42 nd day of birth,the corrected age of 3 months and 6 months(P<0.05).The time reached to birth weight in the intervention group was shorter than that in the control group(P<0.05).There were no significant differences in the number of normal,suspicious and abnormal neuropsychiatric development between the two groups of preterm infants at the42 nd day of birth,the corrected age of 3 months and 6 months(P>0.05).(6)The comparison of feeding methods outside the hospital: The rate of exclusive breastfeeding of preterm infants in the intervention group was higher than that in the control group on the 42 nd day of birth,the corrected age of 3 months and 6 months,but there was no significant difference between the two groups(P>0.05).Conclusion1.The developmental supportive care with integrated oral motor intervention could improve the feeding ability of preterm infants,increase the rate of weight gain,and shorten the time reached to birth weight.2.The developmental supportive care with integrated oral motor intervention did not increase the severity of disease.3.On the basis of the developmental supportive care with integrated oral motor intervention,performed feeding,development promotion guidance and follow-up monitoring could better promote the growth and development of preterm infants within 6 months.