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Assessment of a perioperative feeding behavioral intervention protocol for neonates undergoing arterial switch procedure

LUO Wen-yi, GUAN Yong-mei, YAO Yi-wei, WANG Yun, FANG Wen-wen   

  1. Cardiothoracic Intensive Care Unit, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
  • Online:2016-12-28 Published:2016-12-29
  • Supported by:

    Youth Research Project of Shanghai Municipal Health Bureau, 20124y050

Abstract:

Objective · To formulate and assess a perioperative feeding behavioral intervention protocol for neonates undergoing arterial switch procedure. Methods · Congenital heart disease neonates (n=140) undergoing arterial switch procedure and their mothers (n=140) were enrolled and assigned to the intervention group (the experimental group) and the conventional method group (the control group) according to perioperative feeding behaviors. The outcome of feeding behaviors and mothers’ satisfaction, self-efficacy, and depression were compared and analyzed. Results · Analysis of the outcome of feeding behaviors showed that the experimental group had shorter gastric usage time and greater oral motor ability than the control group (P<0.05). Mothers’ satisfaction, self-efficacy, and depression in the experimental group were significantly improved compared with the control group (P<0.01). Conclusion · A reasonable and scientific nursing intervention protocol can significantly improve the outcome of feeding behaviors and the quality of life for neonates undergoing arterial switch procedure in perioperative period and facilitate improving maternal feeding skills and maintaining emotional stability.

Key words: arterial switch procedure, congenital heart disease, pediatrics, feeding