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conferenceseries
.com
Volume 6, Issue 4 (Suppl)
J Nurs Care, an open access journal
ISSN: 2167-1168
Euro Nursing 2017
October 26-28, 2017
32
nd
EURO
NURSING AND MEDICARE SUMMIT
October 26-28, 2017 | Paris, France
Comparisonof the influence of oral andphysical simulationon the coordinationof sucking, swallowing,
and respiration in Premature Infants, A randomized controlled trial
Mitra Edraki
1
*, Arezoo Chaeichi
2
, Nooshin Beheshtipour
3
, Reza Bahrami
4
, Saeedeh pourahmad
5
and
Sima Farpour
6
Shiraz University of Medical Sciences, Iran
Introduction:
Survival of preterm infants, who require specialized critical care and support, has beenmade possible by advances
in technology. Safe and effective nutrition not only requires the ability to suck, but also coordination among respiration,
sucking, and swallowing. Therefore, this study aimed to evaluate the influence of oral and physical stimulation on coordination
of sucking, swallowing, and respiration in premature infants.
Methods:
In this clinical trial, 60 premature infants (26-34 weeks) hospitalized in neonatal intensive care unit were divided
into oral, oral-physical, and control groups using permuted block randomization. The oral group received oral stimulation for
10 days. The oral-physical group received physical stimulation in addition to oral stimulation for 10 days. Finally, the control
group received non-nutritive sucking stimulation using a pacifier. The data were collected using demographic form and early
feeding skills assessment checklist and were analyzed by ANOVA, chi-square, and Mann-Whitney U tests.
Results:
The results showed no significant difference between oral and oral-physical groups as well as between oral and
control groups regarding the coordination among sucking, swallowing, and breathing on the seventh day (P>0.001). However,
a significant difference was found between oral-physical and control groups in this respect on the seventh day (P<0.001).
Besides, a significant difference was observed among the three groups on the fourteenth day (P<0.001).
Conclusion:
The intervention was effective in coordination among sucking, swallowing, and respiration in the intervention
groups compared to the control group, leading to safe swallowing and independent feeding. Moreover, physical and oral
stimulations had synergic effects.
Keywords: Premature infants, Coordination among sucking, swallowing, and respiration, Oral and physical stimulation
mitraedraki@yahoo.comMitra Edraki et al., J Nurs Care 2017, 6:4(Suppl)
DOI: 10.4172/2167-1168-C1-061