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Impact of Evidence-Based Bundled Nutritional Care on Growth, Development and Nutritional Status in Low Birth Weight
Yu'e Shen1, Hongyan Dai1, Dandan Zhao1
1Neonatal Intensive Care Unit (NICU), Nanjing Tongren Hospital Affiliated to Medical College of Southeast University, Nanjing, Jiangsu Province, China.
Insights
Bundled nutritional care significantly improved growth, nutritional status, and immunity in low birth weight preterm infants. This evidence-based approach also reduced complications and increased parental satisfaction.
Area of Science:
- Neonatal Nutrition
- Evidence-Based Practice
- Infant Health
Background:
- Low birth weight (LBW) preterm infants face significant challenges in growth and development.
- Optimizing nutritional care is crucial for improving outcomes in this vulnerable population.
Purpose of the Study:
- To evaluate the effectiveness of evidence-based bundled nutritional care interventions for low birth weight preterm infants.
Main Methods:
- A control group received routine nursing care.
- The observation group received bundled nutritional interventions including breast milk management, feeding support, nutritional monitoring, and sensory stimulation.
- Infants were followed up for 6 months, with comparisons of growth, nutritional and immune parameters, complications, and parental satisfaction.
Main Results:
- The bundled care group showed significantly greater gains in weight, length, and head circumference at 6 months.
- Improved levels of hemoglobin, albumin, and total protein were observed in the intervention group.
- The incidence of complications was lower, and parental satisfaction was higher in the bundled care group.
Conclusions:
- Evidence-based bundled nutritional care is effective in promoting physical growth in LBW preterm infants.
- This approach enhances nutritional status, boosts immune function, and reduces adverse outcomes.
- Bundled nutritional care improves overall family satisfaction and well-being.
Objective:
This study aimed to evaluate the effectiveness of evidence-based bundled nutritional care in low birth weight (LBW) preterm infants.
Methods:
The LBW preterm infants in the control group received routine nursing, while those in the observation group received evidence-based bundled nutritional interventions, including breast milk management, feeding management, nutritional monitoring, sucking function stimulation, nest-like intervention, touch intervention and discharge instructions based on routine nursing. All preterm infants were followed up for 6 months. Growth and development indices, nutritional and immune parameters, complication rates and parental satisfaction were compared between groups.
Results:
A total of 140 preterm infants were enrolled in the study, with 70 assigned to the observation group and 70 to the control group. At 6 months, the observation group showed greater gains in weight (0.62 ± 0.17 vs. 0.45 ± 0.13 g/kg d), length (9.28 ± 1.44 vs. 8.31 ± 1.17 cm/week), and head circumference (7.46 ± 0.97 vs. 6.19 ± 0.70 cm/week) compared with the control group (p < 0.05). After the intervention, levels of haemoglobin, prealbumin, albumin and total protein were significantly higher in the observation group compared with the control group (p < 0.05). Immunoglobulin A, M and G concentrations also increased more markedly in this group (p < 0.05). The incidence of complications was lower in the observation group (7.14% vs. 18.57%, p < 0.05), while parental satisfaction was higher (95.71% vs. 84.29%, p < 0.05) compared with the control group.
Conclusion:
Evidence-based bundled nutritional care yields favourable outcomes in LBW preterm infants by promoting physical growth, enhancing nutritional and immune status, reducing complications and improving family satisfaction.
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