J Korean Clin Nurs Res.  2017 Aug;23(2):151-160. 10.22650/JKCNR.2017.23.2.151.

A Systematic Review and Meta-Analysis on the Effects of Oral Stimulation Interventions on the Transition from Tube to Oral Feeding in Premature Infants

• Kim SN
• Kim YA
• Jeon MH
• Kim DS
• Kim HI

• KMID: 2397653
• DOI: http://doi.org/10.22650/JKCNR.2017.23.2.151

Abstract

PURPOSE
The purpose of this study was to evaluate the effects of oral stimulation interventions on the transition from tube to oral feeding in preterm infants through systematic review.
METHODS
The randomized clinical trials published between 1980 and 2015 were searched using domestic and international databases, and five randomized studies were selected for this study. The quality of study was assessed by assessment tool from the SIGN and meta-analysis was performed using the Cochrane Review Manager software Version 5.3 (RevMan).
RESULTS
Oral stimulation intervention in preterm infants decreased the transition time from tube to oral feeding (Post Menstrual Age, Day of life). Especially, a significant medium effect size was found in the number of days needed on the transition (ES=-4.95, p=.02). The oral stimulation intervention also had a significant large effect on the length of stay at hospital (ES=-8.33, p < .001).
CONCLUSION
Based on the findings, oral stimulation interventions could be useful to facilitate the transition from tube to oral feeding in preterm infants in terms of reducing the length of stay at hospital and the number of days needed on transition.

Keyword

Review; Premature; Sucking Behavior; Physical Stimulation

MeSH Terms

Humans
Infant, Newborn
Infant, Premature*
Length of Stay
Physical Stimulation
Sucking Behavior