The Effect of Abdominal Massage and Non - Nutritive Sucking on Clinical Outcomes Preterm Infants: A Randomized Single-Blind Clinical Trial

Abstract

Abstract: Introduction: Feeding intolerance is a common phenomenon in the neonatal intensive care. With regard to the mortality rate of necrotizing enterocolitis and communication between them there with feeding intolerance and the importance of nutrition in premature infants. This study aimed to compare the effect of abdominal massage and non - nutritive sucking on clinical outcomes preterm infants in the NICU of Imam Reza (AS) Kermanshah. Methods: This study was a single-blind randomized clinical trial. 42 preterm infants, between 28 to 32 weeks pregnant Inclusion criteria were selected and randomly assigned to three groups were given abdominal massage and non - nutritive sucking and control. Intervention in the abdominal massage method ( I LOVE YOU) and sucking a pacifier non - nutritive sucking through twice a day was performed for 15 minutes. And the control group received routine care, data analysis, SPSS software version/ 20, with analytical and descriptive statistical methods. Results: The results showed Comparison between the groups, that among within 5 days per hour 9, gastric residual volume changes (P = 0.002), breathing (P = 0.02), oxygen saturation (P <0.001), changes in bowel movements (P = 0.00) were significant. Breathing changes in 21 hours (P = 0.001), oxygen saturation ((P = 0.02), heart rate (P <0.001) were significant. Comparison the two groups, abdominal massage changes at 9, residual volume, respiratory rate, oxygen saturation, bowel movements with the other groups were significantly different p <0.05)). Hours 21 changes in respiratory rate, heart rate and oxygen saturation, were significant (P <0.05). Conclusion: effectiveness of abdominal massage during the majority of physiological parameters (respiration, heart rate and saturation), gastric residual volume and defecation was higher than the other two groups.