Influencing factors of the time to full enteral feeding in very low birth weight infants
10.3760/cma.j.cn115682-20210828-03867
- VernacularTitle:极低出生体重儿达全胃肠道喂养时间的影响因素分析
- Author:
Zaixia SI
1
;
Minmin LI
;
Yingying WANG
;
Qianqian LI
;
Xia LIU
Author Information
1. 山东第一医科大学附属省立医院东院新生儿重症监护病房，济南 250021
- Keywords:
Infant, very low birth weight;
Time to full enteral feeding;
Feeding intolerance;
Fasting time
- From:
Chinese Journal of Modern Nursing
2021;27(36):4914-4919
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status of the time to full enteral feeding (FEFt) in very low birth weight infants (VLBWI) and its influencing factors, so as to provide a reference for shortening FEFt and improving infants' prognosis.Methods:This study was a prospective cohort study. Through the Sina-northern Neonatal Network (SNN) , convenience sampling was used to select the data of 158 premature infants with birth weight less than 1 500 g in the Neonatal Intensive Care Unit of a Class Ⅲ Grade A hospital in Shandong Province from January 1, 2019 to December 31, 2020. The current status of FEFt in premature infants was analyzed. According to the median time of FEFt, premature infants were divided into two groups (short FEFt group and long FEFt group) . Single factor χ 2 test or Fisher exact probability, rank sum test and multivariate Logistic regression model were used to analyze the influencing factors of FEFt of VLBWI. Results:This study finally included 145 cases of VLBWI. Multivariate Logistic regression analysis showed that long fasting time, feeding intolerance (FI) , and long positive pressure ventilation treatment time were independent factors of the long FEFt of VLBWI ( P<0.05) , while gestational diabetes was its protective factor ( P<0.05) . FI was related to the fasting time and positive pressure ventilation treatment time, and it was the main reason leading to the long FEFt ( P<0.01) . Hypertension during pregnancy was an independent influencing factor of FI ( P<0.05) . Conclusions:FEFt of VLBWI is still long enough, which is related to long fasting time, long positive pressure ventilation time and FI. FI is the main reason, and hypertension during pregnancy is the root cause of FI. Medical and nursing staff should pay attention to and strengthen the management of VLBWI FI, shorten fasting time and accelerate the rate of milk feeding during positive pressure ventilation treatment, and strengthen the management of hypertension during pregnancy, so as to shorten FEFt in VLBWI and improve the prognosis.
