Effect of Abdominal Massage Therapy on Feeding Tolerance of Premature Neonates
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 5
Abstract
Background: Gastrointestinal tract of premature neonates is developmentally immature placing them at high risk for developing feeding intolerance and/or necrotizing enterocolitis. It is important to consider the immaturity of the premature neonate intestinal tract which can cause decreased gastric emptying, slower intestinal motility, decreased gastrointestinal hormones, enzymes and juices, which all affect overall digestion and feeding tolerance. Aim: was to determine the effect of abdominal massage therapy on feeding tolerance of premature neonates. Settings: The study was conducted at the Neonatal Intensive Care Unit at Tanta University Hospital. Subjects: convenience sampling of 60 premature Neonates’ .Tools: Two tools were used for data collection. The first tool was Bio-socio-demographic Data. The second tool was nutritional assessment of premature neonate. Results: Findings of the present study revealed that all of premature neonates in both massage groups had less gastric residual, abdominal distention, vomiting and abnormal characteristics and consistency of stool in the last day of abdominal massage therapy compared to premature neonates in control group .The finding also revealed that, the premature neonates in both massage groups reached to full feeding faster than premature neonates in control group. Conclusion: Premature neonates who received abdominal massage therapy took less time to reach full feeding than premature neonates in control group and exhibited less feeding intolerance criteria as less gastric residual, less abdominal distention, less vomiting and less abnormal defecation compared to premature neonates in control group. Recommendations: Neonatal intensive care unit nurses' should attend training courses regarding massage therapy to gain knowledge about importance of massage and how to practice it effectively and Combination between medical and routine nursing care of premature neonates and abdominal massage technique should be considered in the policy of the Neonatal Intensive Care Units.
Authors and Affiliations
Maha Ebrahim Fouda, Rahma Soliman Bahgat, Abd Elrahman Mohammed Elmashad, Hanan Mohammed Elsaadany
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