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Promoting enteral tube feeding safety and performance in preterm infants: A systematic review

Tian Lin1, Jiale Hu2, Lifeng Zhang3

  • 1School of Nursing, Guangdong Pharmaceutical University, 183 Jianghai Avenue, Guangzhou, China; School of Humanities and Social Sciences, Macao Polytechnic Institute, Macao, China.

International Journal of Nursing Studies
|February 20, 2022
PubMed

Insights

Nurses use various practices to enhance enteral tube feeding safety and performance in preterm infants. Oro-motor stimulation and non-nutritive sucking show effectiveness in promoting feeding performance.

Area of Science:

  • Neonatal care
  • Pediatric nursing
  • Clinical nutrition

Background:

  • Enteral tube feeding is vital for preterm infant nutrition.
  • Nurses are key to ensuring feeding safety and performance.
  • This review focuses on nursing interventions for enteral tube feeding in preterm infants.

Purpose of the Study:

  • To identify nursing practices for feeding safety and performance in preterm infants receiving enteral tube feeding.
  • To summarize the evidence on the effectiveness of these nursing practices.

Main Methods:

  • A systematic review of 61 studies (47 RCTs, 14 quasi-experimental) was conducted.
  • Searches included six major databases.
  • Risk of bias was assessed using established tools (RoB 2, ROBINS-I).
  • Narrative synthesis was used for data analysis.

Main Results:

  • Seven categories of nursing practices were identified.
  • Practices include feeding intervals, position, gastric residual management, temperature, stimulation, and transition methods.
  • Oro-motor stimulation and non-nutritive sucking demonstrated effectiveness in promoting feeding performance.
  • Other practices require further investigation due to limited evidence.

Conclusions:

  • Seven categories of nursing practices for enteral tube feeding in preterm infants were identified.
  • Oro-motor stimulation and non-nutritive sucking are recommended for clinical use.
  • Further research is needed to support other practices, which are currently based on local preference and cost.
Abstract

Keywords:
Enteral nutritionEnteral tube feedingNeonatal carePreterm infantSystematic review

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