Application of three-in-one nursing in the feed with very low birth weight infant

Abstract

Objective To explore the effect of three-in-one nursing including the music therapy , massage and non-nutritional sucking on the prevention of feeding intolerance in very low birth weight infant . Methods One hundred and twenty very low birth weight infants from January 2010 to January 2013 were chosen and randomly divided into the control group and the intervention group , each with 60 cases.All patients received the homogeneous parenteral nutrition and a little formula through enteral feeding , and at the same time the control group received the massage and non-nutritional sucking , and the intervention group received the three-in-one nursing .The feeding effect was compared between two groups .Results The time of recovery of birth weight , the weight gain every day , and the time of parenteral nutrition and reaching enough enteral feeding, the length of time were respectively （2.9 ±2.1）d, （17.8 ±7.9）g and （7.7 ±3.1） d,（17.4 ±6.3）d, （19.6 ±5.9）d in the intervention group, and were better than those of the control group , and the differences were statistically significant （t=7.685, 9.001, 7.061,11.047,17.438,14.225, respectively;P〈0.05）.The incidence rate of feeding intolerance was 6.67% in the intervention group , and was 20.00% in the control group, and the difference was statistically significant （χ2 =12.005,P〈0.01）.Conclusions Three-in-one nursing can improve the early enteral feeding in very low birth weight infant , and improve the function of the routine massage and non-nutritional sucking , and reduce the incidence rate of feeding intolerance . Key words: Very low birth weight infant; Feeding intolerance; Music therapy; Massage; Non-nutritional sucking