Test of a Feeding Protocol for Preterm Infants with Bronchopulmonary Dysplasia

2.50
Hdl Handle:
http://hdl.handle.net/10755/151968
Type:
Presentation
Title:
Test of a Feeding Protocol for Preterm Infants with Bronchopulmonary Dysplasia
Abstract:
Test of a Feeding Protocol for Preterm Infants with Bronchopulmonary Dysplasia
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:McCain, Gail C., PhD, RN, FAAN
P.I. Institution Name:University of Miami
Title:Professor
Co-Authors:Teresa Del Moral MD, PhD, Associate Professor
Jessica Loucas MSN, RN, CPNP, Study Coordinator/Lecturer
Robert Duncan PhD, Professor
[2nd International Nursing Research Conference for the World Academy of Nursing Science - Presentation] Purpose: Preterm infants with bronchopulmonary dysplasia (BPD) have difficulty making the transition from gavage to nipple feeding because of respiratory distress including compensatory tachypnea and dyspnea. Achievement of nipple feeding is usually the last milestone that preterm infants must accomplish before hospital discharge into the full time care of their parents. The hypothesis was that preterm infants with BPD assigned to the experimental feeding protocol (semi-demand) would require fewer days to attain nipple feeding compared to control infants receiving standard care, and that the experimental protocol would be cost effective.
Methods: The setting was a 120 bed neonatal intensive care unit. A randomized, experimental design included 86 preterm infants with BPD who were assigned to the control condition (n = 42) (standard care) or the experimental protocol (n = 44). Nurses assigned to the experimental protocol used infant behavioral and cardio-respiratory responses to regulate frequency, length, and volume of feedings during the transition from gavage to nipple feeding in order to minimize feeding distress, fatigue, and hypoxemia. Mean gestational ages at birth and birth weights were 25 + 1.54 weeks and 784 gm for the control group, and 25 + 1.48 weeks and 787 gm in the experimental group.
Results: Experimental infants reached full, nipple feedings M = 5.93 (0.74) days, while control infants took M = 12.33 (0.82) days (F[1, 85] = 40.21, p < .0001). The nursing costs for time associated with provision of feedings for infants in the control group were on average $1,123 and $722 for experimental infants (F[1, 85] = 7.84, p < .01).
Conclusion: The use of the experimental feeding method holds promise for helping preterm infants with BPD transition from gavage to nipple feeding in a manner that uniquely considers the infant?s signs of chronic respiratory distress and is cost effective.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTest of a Feeding Protocol for Preterm Infants with Bronchopulmonary Dysplasiaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151968-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Test of a Feeding Protocol for Preterm Infants with Bronchopulmonary Dysplasia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McCain, Gail C., PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Miami</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">gmccain@miami.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Teresa Del Moral MD, PhD, Associate Professor<br/>Jessica Loucas MSN, RN, CPNP, Study Coordinator/Lecturer<br/>Robert Duncan PhD, Professor</td></tr><tr><td colspan="2" class="item-abstract">[2nd International Nursing Research Conference for the World Academy of Nursing Science - Presentation] Purpose: Preterm infants with bronchopulmonary dysplasia (BPD) have difficulty making the transition from gavage to nipple feeding because of respiratory distress including compensatory tachypnea and dyspnea. Achievement of nipple feeding is usually the last milestone that preterm infants must accomplish before hospital discharge into the full time care of their parents. The hypothesis was that preterm infants with BPD assigned to the experimental feeding protocol (semi-demand) would require fewer days to attain nipple feeding compared to control infants receiving standard care, and that the experimental protocol would be cost effective. <br/>Methods: The setting was a 120 bed neonatal intensive care unit. A randomized, experimental design included 86 preterm infants with BPD who were assigned to the control condition (n = 42) (standard care) or the experimental protocol (n = 44). Nurses assigned to the experimental protocol used infant behavioral and cardio-respiratory responses to regulate frequency, length, and volume of feedings during the transition from gavage to nipple feeding in order to minimize feeding distress, fatigue, and hypoxemia. Mean gestational ages at birth and birth weights were 25 + 1.54 weeks and 784 gm for the control group, and 25 + 1.48 weeks and 787 gm in the experimental group. <br/>Results: Experimental infants reached full, nipple feedings M = 5.93 (0.74) days, while control infants took M = 12.33 (0.82) days (F[1, 85] = 40.21, p &lt; .0001). The nursing costs for time associated with provision of feedings for infants in the control group were on average $1,123 and $722 for experimental infants (F[1, 85] = 7.84, p &lt; .01). <br/>Conclusion: The use of the experimental feeding method holds promise for helping preterm infants with BPD transition from gavage to nipple feeding in a manner that uniquely considers the infant?s signs of chronic respiratory distress and is cost effective.</td></tr></table>en_GB
dc.date.available2011-10-26T11:19:41Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:19:41Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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