Effects of gravity feeding combined with comfort care on feeding status, gastrointestinal development and physical status in preterm low birth weight infants
重力喂养联合舒适护理对早产低出生体重儿喂养状况、胃肠道发育及体格状况的影响

摘要

目的 给予早产低出生体重儿重力喂养联合舒适护理，并对护理效果评估。方法 纳入本院2023年10月到2024年10月期间收治的早产低出生体重儿共计60例，使用抛硬币法分组，30例为对照组（应用常规护理干预）、30例为观察组（重力喂养联合舒适护理），对两组喂养状况、胃肠道发育及体格状况进行评估。结果观察组呕吐次数、首次经口喂养天数显著低于对照组，且每日进食奶量高于对照组（P<0.05）；干预后感染、高胆红素血症、呼吸暂停等并发症总发生率对比（3.33%vs20%），有显著差异（P<0.05）；较对照组，观察组喂养期间腹胀、呕吐和胃潴留发生率更低，且（P<0.05）；干预后，观察组早产儿体重和身长均高于对照组（P<0.05）。结论 在早产低出生体重儿的护理工作中，重力喂养联合舒适护理所展现出的护理效果更显著。

Abstract

Objective To evaluate the nursing effects of gravity feeding combined with comfort care in preterm low birth weight infants.
Methods A total of 60 preterm low birth weight infants admitted to our hospital from October 2023 to October 2024 were enrolled and divided into groups using a coin-tossing method: 30 cases in the control group (receiving routine nursing intervention) and 30 cases in the observation group (receiving gravity feeding combined with comfort care). The feeding status, gastrointestinal development, and physical status were assessed between the two groups.
Results The observation group showed significantly lower frequency of vomiting and fewer days to first oral feeding compared with the control group, and the daily milk intake was higher than that of the control group (P<0.05). After intervention, there was a significant difference in the total incidence of complications such as infection, hyperbilirubinemia, and apnea between the two groups (3.33% vs. 20%, P<0.05). The observation group also had lower incidences of abdominal distension, vomiting, and gastric retention during feeding compared with the control group (P<0.05). After intervention, the body weight and length of preterm infants in the observation group were higher than those in the control group (P<0.05).
Conclusion   In the nursing care of preterm low birth weight infants, gravity feeding combined with comfort care demonstrates more significant nursing effects.