Preterm Bebeklerde İpucu Temelli Beslenme Kriterleri Doğrultusunda Uygulanan Girişimlerin Oral Beslenmeye Geçiş Sürecine Etkisi: Sistematik Bir İnceleme

Year 2024, Volume: 6 Issue: 2, 396 - 408

Semra Küçük , Duygu Gözen , Burcu Aykanat Girgin

https://doi.org/10.46413/boneyusbad.1465700

Abstract

Amaç: Bu çalışma preterm bebeklerde ipucu temelli beslenme kriterleri doğrultusunda uygulanan girişimlerin oral beslenmeye geçiş süresi üzerindeki etkisini inceleyen çalışmalardan elde edilen kanıtların incelenmesi amacıyla gerçekleştirildi.
Gereç ve Yöntem: Preterm, prematüre, beslenme (feeding), cue based (ipucu), oral beslenmeye geçiş (transition to oral feeding), gibi anahtar kelimelerle ingilizce çeşitli eşleştirmeler yapılarak, herhangi bir tarih aralığı seçilmeden PubMed, Cochrane, Web of Science, Scopus, EBSCOhost veri tabanları tarandı. Sistematik incelemenin hazırlanmasında ve raporlanmasında PICOS stratejisi ve PRISMA kontrol listesi kullanıldı. Toplam 493 makale listelendi ve dahil edilme kriterlerine uyan 6 makale çalışma kapsamına alınarak sonuçları değerlendirildi.
Bulgular: Preterm bebeklerde ipucu temelli beslenme yaklaşımı doğrultusunda uygulanan oral motor stimülasyon ve besleyici olmayan emme girişimlerinin tek başına veya kombine uygulanmasının oral beslenmeye geçiş ve hastanede kalış süresini kısalttığı belirlendi.Bu girişimlerin uygulanma sürecinde bebeklerin davranış ve fizyolojik yanıtlarının daha çok gözlem yoluyla izlendiği ve ölçek kullanımının sınırlı sayıda olduğu görüldü.
Sonuç: Oral beslenmeye geçiş girişimlerinin daha sistematik ve kanıta dayalı olarak incelenmesini sağlamada önem arz eden geçerliliği ve güvenirliliği yapılmış ölçeklerin kullanılması önerilmektedir.

Keywords

: İpucu temelli, Beslenme, Oral beslenmeye geçiş, Preterm

Ethical Statement

Bu makale etik kurul onayı gerektirmeyen sistematik review makalesidir.

The Effect of Interventions Applied in Accordance With Cue-Based Feeding Criteria on the Transition to Oral Feeding in Preterm Infants: A Systematic Review

Abstract

Aim: The aim of this study was assessing evidence from studies examining the effect of interventions implemented in line with cue-based feeding criteria on the duration of transition to oral feeding in preterm infants.
Material and Method: PubMed, Cochrane, Web of Science, Scopus, EBSCOhost databases were searched without selecting any date range by making various matches in English with keywords such as preterm, prematurity, feeding, cue based, transition to oral feeding. The systematic review was prepared and reported using the PICOS strategy and PRISMA checklist. A total of 493 articles were identified, and 6 articles meeting the inclusion criteria were incorporated into the study scope and subsequently evaluated.
Results: The application of oral motor stimulation and non-nutritive sucking interventions, aligned with the cue-based feeding approach, either independently or in combination, was frequently associated with a shortened transition to oral feeding and reduced hospital stay duration in preterm infants. During the implementation of these interventions, it was noted that observations played a more prominent role in monitoring infants' behaviors and physiological responses, with a limited use of scales.
Conclusion: The use of scales with proven validity and reliability is recommended for a more systematic and evidence-based investigation of attempts to transition to oral feeding.

Keywords

Cue-based, feeding, Transition to oral feeding, Preterm

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