The Effects of Nonnutritive Sucking on Behavioral State and Feeding in Premature Infants before Feeding

主要是探討早產兒餵食前吸吮安撫奶嘴對行為狀態及餵食的影響。本研究的措施是在 餵食前予以吸吮安撫奶嘴三分鍾或五分鍾。研究方法是採自我交叉研究設計；每個個 案都隨機接受二個措施（三分鍾、五分鍾），并在措施前收集基准資料。研究的測量 是在措施前後三十秒予以測試行爲狀態，並觀察餵食表現（前五分鍾吸奶量、 一餐吸奶量、一餐吸奶時間及一餐吸奶速率）。本研究共收集了11位合乎研究徐件的 早產完。本研究結果頹示：(1)餵食前吸吮安撫奶嘴確實會改燮行爲狀態增加 安靜警覺狀態，減少淺睡狀態、昏昏欲睡狀態、活動警覺狀態以及哭等狀態。(2)餵 食前吸吮安撫奶嘴的行狀態，處於安靜警覺狀態的平均餵奶速率，明顯地 快於其他狀態的平均餵奶速率。(3)早產兒在餵食前吸吮安撫奶嘴其後的餵食表現明 顯優於吸吮安撫奶嘴之後的餵食。(4)吸吮三分鍾及五分鍾安撫奶嘴，對調整行狀態及促進餵食表現的效果是相同的。餵食前吸吮安撫奶嘴是簡單、便宜、容 易可以執行的措施，可以達到調整行爲狀態、促進餵食的效果。 The purpose of this research was to examine the effect of nonnutritive sucking ( NNS) on behavioral state and feeding in premature infants before feeding. The premature infants were provided NNS for 3 minutes or 5 minutes before bottle feeding. The premature infant was studied under crossover and the self-comparison design. Eleven premature infants were randomly administered 3 minutes NNS and 5 minutes NNS, and the control condition. Behavioral state was measured for 30 seconds before and after NNS. The rate of feeding which was the quiet awake state was fastest than the other state before feeding with NNS. Premature infants provided NNS before feeding have been shown to spend more time in quiet awake state and less time in active sleep, drowsiness, active awake and crying states . NNS also has been shown to promote feeding performance. Three minutes NNS and five minutes NNS showed the same effect on behavioral states and feeding.