Beta
227154

Effect of Olfactory and Gustatory Stimulations on Preterm Neonates’ Feeding Progression and Sniffing Away Feeding Tube

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Prematurity is associated with feeding difficulties which remain a challenge for the neonatal nurses. Reaching full enteral feeding and increased weight are eligible criteria for sniffing away feeding tube and discharging from the Neonatal Intensive Care Unit (NICU). So, incorporating innovative olfactory and gustatory stimulations would enhance the preterm neonates' oral feeding abilities. Consequently, it leads to sniffing away the feeding tube, improve full enteral feeding and weight. Aim: The aim of the present study was to determine the effect of olfactory and gustatory stimulations on preterm neonates' feeding progression and sniffing away feeding tube. Research design: A quasi-experimental design was used. Setting:  The  study  was  conducted  at  the  NICU  of  Damanhour  National  Medical  Institute, Damanhour  City,  Al-Behira  governorate,  Egypt.  Subjects: A convenience sampling of 60 preterm neonates who had hemodynamic and physiological stability and started tube feeding on the first day comprised the study subjects. Those neonates were equally divided into a study group (received olfactory and gustatory stimulations in addition to routine NICU care) and a control group (received NICU routine care without stimulations). Tools: Two tools were used to collect the necessary data namely; characteristics and medical history of the preterm neonates assessment tool and preterm neonates' feeding progression and sniffing away feeding tube assessment tool. Results: After the application of intervention, the mean time to reach full enteral feeding for the neonates in the study group was 18.77±3.43 in comparison with 25.02±3.95 for those in the control group and the difference was statistically significance (P=0.000 for each). The actual consumed milk relative to the total prescribed milk volume increased to be from 75% to less than 95% per feed for 40% of the neonates in the study group compared to only 16.7% for those in the control group with significant statistical difference (P<0.037). Moreover, the mean neonates' body weight was 1.926± 0.10 for the neonates in the study group compared to 1.864± 0.10 for the neonates in the control group and the difference was statistically significant (P=0.045). Furthermore, the mean time to sniffing away feeding tube (reach full sucking) was 11.13±2.83 for preterm neonates in the study group compared to 15.49±4.68 for those in the control group with significant statistical difference, where P= 0.000. Conclusion: Preterm neonates who received olfactory and gustatory stimulations exhibited better abilities to organize oral –motor functions and shorter time to reach full enteral feeding. Olfactory and gustatory stimulations were effective in enhancement the volume of consumed milk, feeding tolerance and body weight with decreasing the occurrence of adverse effects during feeding. In addition, those preterm neonates exhibited shorter time to sniffing away feeding tube (reach full sucking). Recommendations: The olfactory and gustatory stimulations should be incorporated in the NICU policies and the written guidelines for caring of the preterm neonates. 

DOI

10.21608/ejhc.2021.227154

Keywords

olfactory and gustatory stimulations, preterm neonates' feeding progression, sniffing away feeding tube

Authors

First Name

Noha

Last Name

Mohamed Arafa

MiddleName

-

Affiliation

Lecturer, Pediatric Nursing, Faculty of Nursing, Alexandria University

Email

-

City

-

Orcid

-

First Name

Rehab

Last Name

Ibrahim Mostafa Radwan

MiddleName

-

Affiliation

Assistant professor, Pediatric Nursing, Faculty of Nursing, Damanhour University

Email

-

City

-

Orcid

-

First Name

Abeer

Last Name

Abd El-Razik Ahmed Mohammed

MiddleName

-

Affiliation

Assistant professor, Pediatric Nursing, Faculty of Nursing, Alexandria University

Email

-

City

-

Orcid

-

Volume

12

Article Issue

4

Related Issue

27604

Issue Date

2021-12-01

Receive Date

2022-03-26

Publish Date

2021-12-01

Page Start

1,681

Page End

1,699

Print ISSN

1687-9546

Online ISSN

3009-6766

Link

https://ejhc.journals.ekb.eg/article_227154.html

Detail API

https://ejhc.journals.ekb.eg/service?article_code=227154

Order

110

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Effect of Olfactory and Gustatory Stimulations on Preterm Neonates’ Feeding Progression and Sniffing Away Feeding Tube

Details

Type

Article

Created At

22 Jan 2023