.: DERLEME
İpucu Temelli Beslenme
Cue Based Feeding
Turkiye Klinikleri J Pediatr. 2020;29(1):39-46
doi: 10.5336/pediatr.2019-72119
Makale Dili: TR
Tam Metin
Ücretsiz Erişim
ÖZET
Preterm bebeklerde emme, yutma, nefes alma döngüsünün birbiriyle eş zamanlı çalışamaması ve bu çoklu sistemlerin kontrol edilememesi, yutma ve solunum işlevlerinin ortak alanda bulunması gibi nedenlerle beslenme güçlüğü, yetersiz kalori alımı, gelişim geriliği, taburculuk süresinin uzaması ve bakım yükü ile birlikte maliyetin artması olarak karşımıza çıkmaktadır. Erken doğan bebeklerde yeterli besin ve kalori açığının kapanması, hem büyüme geriliğini ve pretermliğe bağlı ölümleri önemli ölçüde azaltmakta hem de yatış süresini kısaltmaktadır. Geçmişte yenidoğanların beslenmesi, stres kaynakları göz önünde bulundurulmadan sadece alınan besin miktarı ile değerlendirilirken; günümüzde, bebeğin beslenme sırasında verdiği ipuçlarını takip ederek davranışsal tepkilerini yorumlama ve bebeğin beslenme becerilerini geliştirmeye odaklı ipucu temelli beslenme yaklaşımı benimsenmektedir. Bu çalışmada, preterm bebeklerin kanıta dayalı oral beslenme yöntemlerden birisi olan ipucu temelli beslenme modeli sunulmuştur.
Anahtar Kelimeler: Besleme; ipuçları; prematüre; yenidoğan hemşireliği
Preterm bebeklerde emme, yutma, nefes alma döngüsünün birbiriyle eş zamanlı çalışamaması ve bu çoklu sistemlerin kontrol edilememesi, yutma ve solunum işlevlerinin ortak alanda bulunması gibi nedenlerle beslenme güçlüğü, yetersiz kalori alımı, gelişim geriliği, taburculuk süresinin uzaması ve bakım yükü ile birlikte maliyetin artması olarak karşımıza çıkmaktadır. Erken doğan bebeklerde yeterli besin ve kalori açığının kapanması, hem büyüme geriliğini ve pretermliğe bağlı ölümleri önemli ölçüde azaltmakta hem de yatış süresini kısaltmaktadır. Geçmişte yenidoğanların beslenmesi, stres kaynakları göz önünde bulundurulmadan sadece alınan besin miktarı ile değerlendirilirken; günümüzde, bebeğin beslenme sırasında verdiği ipuçlarını takip ederek davranışsal tepkilerini yorumlama ve bebeğin beslenme becerilerini geliştirmeye odaklı ipucu temelli beslenme yaklaşımı benimsenmektedir. Bu çalışmada, preterm bebeklerin kanıta dayalı oral beslenme yöntemlerden birisi olan ipucu temelli beslenme modeli sunulmuştur.
Anahtar Kelimeler: Besleme; ipuçları; prematüre; yenidoğan hemşireliği
ABSTRACT
The problems such as feeding difficulties, insufficient caloric intake, developmental delay, prolonged discharge time, the care burden and increased costs in preterm infants arise because of the non-simultaneous sucking, swallowing and breathing cycle, inability to control these multiple systems and the presence of swallowing and respiratory function in the common area. To ensure adequate nutrient and calorie deficit in premature babies reduce both growth retardation and mortality caused from prematurity and also shorten the time of hospitalization. In the past, the feeding of newborns was evaluated only by the amount of nutrients taken, without considering the sources of stress; today, however, a cue-based feding approach is adopted, focusing on improving the feeding skills of the baby by interpreting the behavioral responses of the baby and following the cues given by the baby during the feeding. In this review article presents a cue-based feeding model, which is one of the evidence- based oral feeding methods in preterm infants.
Keywords: Feeding methods; cues; premature; neonatal nursing
The problems such as feeding difficulties, insufficient caloric intake, developmental delay, prolonged discharge time, the care burden and increased costs in preterm infants arise because of the non-simultaneous sucking, swallowing and breathing cycle, inability to control these multiple systems and the presence of swallowing and respiratory function in the common area. To ensure adequate nutrient and calorie deficit in premature babies reduce both growth retardation and mortality caused from prematurity and also shorten the time of hospitalization. In the past, the feeding of newborns was evaluated only by the amount of nutrients taken, without considering the sources of stress; today, however, a cue-based feding approach is adopted, focusing on improving the feeding skills of the baby by interpreting the behavioral responses of the baby and following the cues given by the baby during the feeding. In this review article presents a cue-based feeding model, which is one of the evidence- based oral feeding methods in preterm infants.
Keywords: Feeding methods; cues; premature; neonatal nursing
REFERANSLAR:
- Bülbül A, Nuhoğlu A. Prematüre beslenmesinde enteral beslenmenin önemi. Bülbül A, Uslu HS, Nuhoğlu A, eds. Prematüre Bebeğin Enteral Beslenmesi. 1. Baskı. İstanbul Tıp Kitabevi; 2013. p.1-3. [Crossref]
- Dodrill P. Feeding Difficulties in Preterm Infants. ICAN: Infant, Child, & Adolescent Nutrition. 2011;324-32. [Crossref]
- Kumar RK, Singhal A, Vaidya U, Banerjee S, Anwar F, Rao S. Optimizing nutrition in preterm low birth weight iıfants-consensus summary. Front Nutr. 2017;4:20. [Crossref] [PubMed] [PMC]
- Groh-Wargo S, Sapsford A. Enteral nutrition support of the preterm infant in the neonatal intensive care unit. Nutr Clin Pract. 2009;24(3):363-76. [Crossref] [PubMed]
- Lubbe W. Clinicians guide for cue-based transition to oral feeding in preterm infants: an easy-to-use clinical guide. J Eval Clin Pract. 2018;24(1):80-8. [Crossref] [PubMed] [PMC]
- Gözen D, Girgin BA. Evidence-based interventions supporting oral feeding in preterm infants. Clin Exp Health Sci. 2017;7:171-4. [Crossref]
- Kültürsay N, Bilgen H, Türkyılmaz C. Turkish Neonatal Society guideline on enteral feeding of the preterm infant. Turk Pediatri Ars. 2018;53(Suppl 1):S109-18. [Crossref] [PubMed] [PMC]
- Dutta S, Singh B, Chessell L, Wilson J, Janes M, McDonald K, et al. Guidelines for feeding very low birth weight infants. Nutrients. 2015;7(1):423-42. [Crossref] [PubMed] [PMC]
- Tenhaaf JJ. Critical review: the effects of oral stimulation on feeding behaviours in preterm infants; 2008. https://www.uwo.ca/fhs/csd/ebp/reviews/2007-08/Tenhaaf,JJ.pdf.
- Miller M, Vaidya R, Rastogi D, Bhutada A, Rastogi S. From parenteral to enteral nutrition: a nutrition-based approach for evaluating postnatal growth failure in preterm infants. JPEN J Parenter Enteral Nutr. 2014;38(4):489-97. [Crossref] [PubMed]
- Osborn D. Total Parenteral Nutrition; 2011. /Volumes/neonatal/live/Newprot/tpn.html. https://www.slhd.nsw.gov.au/rpa/neonatal/content/pdf/guidelines/tpn.pdf.
- Cormier DM. A review of the principles and benefits of cue-based feeding. DNP. 2015;1(1):5.
- Shaker CS. Cue-based feeding in the NICU: using the infant's communication as a guide. Neonatal Netw. 2013;32(6):404-8. [Crossref] [PubMed]
- White A, Parnell K. The transition from tube to full oral feeding (breast of bottle)-a cue based developmental approach. J Neonatal Nurs. 2013;19(4):189-97. [Crossref]
- Ludwig SM, Waitzman K. Changing feeding documentation to reflect infant-driven feeding practice. Newborn Infant Nurs Rev. 2007;17(3):155-60. [Crossref]
- Nyqvist KH. Lack of knowledge persists about early breastfeeding competence in preterm infants. J Hum Lact. 2013;29(3):296-9. [Crossref] [PubMed]
- Park J, Thoyre S, Knafl GJ, Hodges EA, Nix WB. Efficacy of semielevated side-lying positioning during bottle-feeding of very preterm ınfants a pilot study. J Perinat Neonatal Nurs. 2014;28(1):69-79. [Crossref] [PubMed]
- Kirk AT, Alder SC, King JD. Cue-based oral feeding clinical pathway results in earlier attainment of full oral feeding in premature infants. J Perinatol. 2007;27(9):572-8. [Crossref] [PubMed]
- Pickler RH, Wetzel PA, Meinzen-Derr J, Tubbs-Cooley HL, Moore M. Patterned feeding experience for preterm infants: study protocol for a randomized controlled trial. Trials. 2015;16(1):255. [Crossref] [PubMed] [PMC]
- McCormick FM, Tosh K, McGuire W. Ad libitum or demand/semi-demand feeding versus scheduled interval feeding for preterm infants. Cochrane Database Syst Rev. 2010;(2):CD005255. [Crossref]
- Puckett B, Grover VK, Holt T, Sankaran K. Cue-based feeding for preterm infants: a prospective trial. Am J Perinatol. 2008;25(10):623-8. [Crossref] [PubMed]
- Thoyre SM, Hubbard C, Park J, Pridham K, McKechnie A. Implementing co-regulated feeding with mothers of preterm infants. MCN Am J Matern Child Nurs. 2016;41(4):204-11. [Crossref] [PubMed] [PMC]
- McCain GC. An evidence-based guideline for introducing oral feeding to healthy preterm infants. Neonatal Netw. 2003;22(5):45-50. [Crossref] [PubMed]
- Feştılă D, Ghergie M, Muntean A, Matiz D, Şerb Nescu A. Suckling and non-nutritive sucking habit: what should we know? Clujul Med. 2014;87(1):11-4. [Crossref] [PubMed] [PMC]
- Macías MER, Meneses GJS. Physiology of nutritive sucking in newborns and infants. Bol Med Hosp Infant Mex. 2011;68(4):296-303.
- Riordan J, Gill-Hopple K, Angeron J. Indicators of effective breastfeeding and estimates of breast milk intake. J Hum Lact. 2005;21(4):406-12. [Crossref] [PubMed]
- Roscoe MG, da Silva Bonifácio SV, da Silva TB, Pingueiro JM, Lemos MM, Feres MF. Association of breastfeeding duration, nonnutritive sucking habits, and malocclusion. Int J Clin Pediatr Dent. 2018;11(1):18-22. [Crossref] [PubMed] [PMC]
- Thibeau S, Boudreaux C. Exploring the use of mothers' own milk as oral care for mechanically ventilated very low-birth-weight preterm infants. Adv Neonatal Care. 2013;13(3):190-7. [Crossref] [PubMed]
- Foster JP, Psaila K, Patterson T. Non-nutritive sucking for increasing physiologic stability and nutrition in preterm infants. Cochrane Database Syst Rev. 2016;10:CD001071. [Crossref] [PMC]
- Campbell-Yeo ML, Disher TC, Benoit BL, Johnston CC. Understanding kangaroo care and its benefits to preterm infants. Pediatric Health Med Ther. 2015;(6):15-32. [Crossref] [PubMed] [PMC]
- Chan GJ, Labar AS, Wallb S, Atun R. Kangaroo mother care: a systematic review of barriers and enablers. Bull World Health Organ. 2016;94(2):130-41J. [Crossref] [PubMed] [PMC]
- Hood JLC. Implementıng a cue based feeding protocol and staff education program in the neonatal intensive care unit. University of Delaware. 2019;13426629.
- Price M. Cue-Based Feeding to Support Oral Feeding Success for Preterm Infants in a Neonatal Intensive Care Unit. Southern Illinois University Carbondale. Master of Science in the field of Communication Disorders and Sciences; 2014. p.29.
- Thoyre S, Park J, Pados B, Hubbard C. Developing a co-regulated, cue-based feeding practice: the critical role of assessment and reflection. J Neonatal Nurs. 2013;19(4):139-48. [Crossref] [PubMed] [PMC]
- Delaney AL, Arvedson JC. Development of swallowing and feeding prenatal through first year of life. Dev Disabil Res Rev. 2008;14(2):105-17. [Crossref] [PubMed]
- Crosson DD, Pickler RH. An integrated review of the literature on demand feedings for preterm infants. Adv Neonatal Care. 2004;4(4):216-25. [Crossref] [PubMed] [PMC]
- Shaker CS. Cue-based co-regulated feeding in the neonatal intensive care unit: Supporting parents in learning to feed their preterm infant. Newborn & Infant Nursing Reviews. 2013;13:51-5. [Crossref]
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