미숙아의 수유 프로토콜 개발 및 적용
Development and Effect of the Feeding Protocol for Preterm Infants
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초록
목적 본 연구는 미숙아를 위한 수유 프로토콜을 개발하고 적용하여 그효과를 검증하기 위하여 시행되었다. 방법 미숙아 수유 프로토콜의 개발을 위해 전문가 집단을 구성하고, 문헌고찰과 협의를 통해 작성된 프로토콜에 대해 내용타당도 검증과 예비조사를 실시하여 확정하였다. 개발된 프로토콜은 비동등성대조군전후시차설계로 B시의 P대학교병원에서 태어난 37주 미만의 미숙아85명에게 적용되었다. 대조군(n=38)에게 2013년 1월부터 4월까지 일반적인 미숙아 수유관리가 시행되었고, 실험군(n=35)에게는 2013년 6월부터 9월까지 본 연구를 통해 개발된 미숙아 수유 프로토콜이 적용되었다. 수집된 자료는 SPSS 18.0 WIN program을 통하여 t-test와 χ2-test로 분석하였다. 결과 실험군은 대조군보다 첫 수유시간(t=2.22, p =.029)과 완전장관영양에 이르는 기간(t=2.28, p =.026)이 통계적으로 유의하게 감소하였다. 그러나 실험군과 대조군의 생후 7일째 체중 감소율(t=-1.23, p =.222)과합병증 발생률(p >.05)은 통계적으로 유의한 차이가 없었다. 결론 미숙아 수유 프로토콜 적용을 통하여 미숙아들의 첫 수유시간과완전장관영양에 이르는 기간이 단축되었다.
Abstract
Purpose: The purpose of this study was to develop a feeding protocol for premature infants and to evaluate the effects of protocol. Methods: Thefeeding protocol was developed through a literature review and discussions of an expert group. The developed feeding protocol was tested with85 preterm infants in one neonatal intensive care unit in B city. A non-equivalent control group non-synchronized design was used. Data werecollected from January 1 to April 30, 2013 for the control group and from June 1 to September 30, 2013 for the experimental group. The experimentalgroup (n=38) received the feeding protocol, whereas the control group (n=47) had routine feeding care. Collected data were analyzed byt-test and -test using SPSS/WIN version 18.0. Results: First feeding time (t=2.22, p=.029) and full enteral feeding time (t=2.28, p=.026) weresignificantly decreased in the experimental group compared to the control group. There was no difference in incidence of complications (p>.05). Also no significant differences in weight reduction rate between the two groups were observed at the 7th postnatal day (t=-1.23, p=.222). Conclusion:The results indicate that the feeding protocol for preterm infants is effective in decreasing first feeding time and full enteral feeding time.
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