Anchu, S S (2017) A Pre-experimental study to assess the effectiveness of oral stimulation on feeding performance among preterm babies in Moses Mathias Hospital, Nagercoil. Masters thesis, Annammal College of Nursing, Kuzhithurai.
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Abstract
INTRODUCTION: Preterm birth also known as premature birth is the birth of a baby at less than 37 weeks of gestation. Preterm babies are not fully prepared to live in the world outside their mother’s womb. Premature babies especially those born earliest often have complicated medical problems. When babies are born prematurely, their digestive systems may not be fully developed. As a result, many of these small infants experience feeding difficulties such as problems establishing nipple feedings at breast or with the bottle. This may occur because the infants can’t suck and swallow properly. Gastric residuals occurs when babies cannot completely empty their stomach from a previous feeding. India is the biggest contributor to the world’s prematurity burden, with almost 3.6 million premature births accounting for 23.6% of the around 15 million global pre-term births reported each year. Of these, 13% are live pre-term births. In India, 3,341,000 babies are born each year and 361,600 children under five die due to direct preterm complications. The India Newborn Action Plan (INAP) was launched in September 2014 with the aim of ending preventable newborn deaths and stillbirths by 2030. The plan aims to attain single digit neonatal mortality and stillbirth rate by 2030. Simpson, (2002) conducted an experimental study to determine the transition from tube feeding to oral feeding accelerated by oral stimulation in preterm infants. Twenty nine infants (<30 weeks gestation) were randomized to an experimental group and control group. The result showed infants in the experimental group, when compared with their control group were introduced to oral feeding significantly earlier and attained all oral feeding significantly earlier as well. Preterm infants frequently experience oral feeding difficulties due to under developed oral motor skills and the lack of co-ordination of sucking, swallowing, and respiration. The infants ability to consume all feedings orally while maintaining physiologic stability and weight gain necessary for their discharge. Therefore, difficulty with oral feeding leads to longer hospital stay and higher cost. There is a need for evidenced-based interventions that facilitate development of oral-motor skills, leading to improved oral feeding, thus shortening hospital stay and lowering cost. STATEMENT OF THE PROBLEM: A pre-experimental study to assess the effectiveness of oral stimulation on feeding performance among preterm babies in Moses Mathias Hospital, Nagercoil. OBJECTIVES OF THE STUDY: The objectives of the study are 1. To assess the level of feeding performance among preterm babies. 2. To assess the effectiveness of oral stimulation on the level of feeding performance among preterm babies. 3. To associate the posttest level of feeding performance of preterm babies with selected mother and child related variables. HYPOTHESES: H1: There will be a significant difference in the level of feeding performance before and after giving oral stimulation among preterm babies. H2: There will be a significant association between the post test level of the feeding performance with selected mother and child related variables. RESEARCH METHODOLOGY: A pre- experimental study was conducted to assess the effectiveness of oral stimulation on feeding performance among preterm babies in Moses Mathias Hospital, Nagercoil. The level of feeding performance was assessed with the help of modified early feeding skill assessment scale for preterm babies. In pretest, 50 preterm babies were selected. Among that 20 babies had normal feeding performance and 30 babies had poor and average feeding performance. The samples were collected by using the non-probability convenient sampling technique. The intervention of oral stimulation was given to pre-experimental group. On 5th day after giving oral stimulation posttest was conducted by using the modified early feeding skill assessment scale for preterm babies. DATA ANALYSIS: Paired ‘t’ test was used to evaluate and compare pretest and posttest level of oral stimulation. Chi square test was used to find out the association between the posttest oral stimulation on feeding performance with their selected mother and child related variables. RESULT AND SUMMARY: The finding of study shows that there was significant difference between the post-test levels of feeding performance among preterm babies. By comparing the mean pretest score was 15.5 and the mean post test score was 19.6. The mean difference was 4.1 and the standard deviation is 2.76. The obtained ‘t’ test value was 7.68, and the P value was 0.0001 which was highly significant at the level of P<0.001. The result shows that the feeding performance was improved after oral stimulation. CONCLUSION: The study concluded that, oral stimulation was effective in improving the feeding performance among preterm babies because the oral stimulation was easy to give and shows a better improvement. The nurses can include the oral stimulation in their NICU protocol to improve the feeding performance.
| Item Type: | Thesis (Masters) |
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| Additional Information: | (Reg.No.301517151) |
| Uncontrolled Keywords: | Pre-experimental study ; effectiveness ; oral stimulation ; feeding performance ; preterm babies ; Moses Mathias Hospital ; Nagercoil. |
| Subjects: | NURSING > Paediatric Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 05 Nov 2018 17:40 |
| Last Modified: | 05 Nov 2018 17:40 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/10058 |
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