Comparação entre instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo para a introdução da alimentação por via oral
Ano de defesa: | 2017 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Santa Maria
Centro de Ciências da Saúde |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Distúrbios da Comunicação Humana
|
Departamento: |
Fonoaudiologia
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.ufsm.br/handle/1/20455 |
Resumo: | This research aimed to compare instruments for the evaluation of oral motor skills in preterm newborns in order to verify the readiness to start oral feeding and the oral feeding transition through the following protocols: Preterm Oral Feeding Readiness Scale - POFRAS; Non-Nutritive Suction Evaluation Protocol and Neonatal Oral-Motor Assessment Scale - NOMAS. To correlate with oral feeding skill, by proficiency, rate of milk transfer, overall transfer (OT), during the introduction of the first oral feeding, and time of transition required for the complete transition from start to independent oral feeding. To check which of these best instruments identifies oral feeding skill in addition to observing the signs of stress. Seventy-one PTNB with a gestational age of less than 34 weeks, clinically stable, who were receiving 70 ml/kg/day at the time of the evaluation and who met the study criteria were enrolled. The PTNB were evaluated at the first oral feeding by a single evaluator with certificate for application of the NOMAS protocol, and after evaluation, each newborn received a classification with or without readiness to start oral feeding, according to each protocol. PTNB with readiness by NOMAS had higher values of proficiency and rate of milk transfer and attained independent oral earlier. Signs of stress were lower in premature infants with readiness. NOMAS showed higher positive and negative predictive value in relation to the other two instruments and it was more efficacious to identify low oral feeding skills. The POFRAS and SNN Evaluation Protocol failed to discriminate readiness to start oral feeding. |
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spelling |
2021-03-25T13:37:02Z2021-03-25T13:37:02Z2017-07-10http://repositorio.ufsm.br/handle/1/20455This research aimed to compare instruments for the evaluation of oral motor skills in preterm newborns in order to verify the readiness to start oral feeding and the oral feeding transition through the following protocols: Preterm Oral Feeding Readiness Scale - POFRAS; Non-Nutritive Suction Evaluation Protocol and Neonatal Oral-Motor Assessment Scale - NOMAS. To correlate with oral feeding skill, by proficiency, rate of milk transfer, overall transfer (OT), during the introduction of the first oral feeding, and time of transition required for the complete transition from start to independent oral feeding. To check which of these best instruments identifies oral feeding skill in addition to observing the signs of stress. Seventy-one PTNB with a gestational age of less than 34 weeks, clinically stable, who were receiving 70 ml/kg/day at the time of the evaluation and who met the study criteria were enrolled. The PTNB were evaluated at the first oral feeding by a single evaluator with certificate for application of the NOMAS protocol, and after evaluation, each newborn received a classification with or without readiness to start oral feeding, according to each protocol. PTNB with readiness by NOMAS had higher values of proficiency and rate of milk transfer and attained independent oral earlier. Signs of stress were lower in premature infants with readiness. NOMAS showed higher positive and negative predictive value in relation to the other two instruments and it was more efficacious to identify low oral feeding skills. The POFRAS and SNN Evaluation Protocol failed to discriminate readiness to start oral feeding.Esta pesquisa teve por objetivo comparar instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo a fim de verificar a prontidão para início da alimentação oral e o tempo de transição alimentar, por meio dos seguintes instrumentos: Preterm Oral Feeding Readiness Scale – POFRAS; Protocolo de Avaliação da Sucção Não Nutritiva e Neonatal Oral-Motor Assessment Scale - NOMAS; e correlacionar com a performance alimentar oral, através da proficiência, taxa de transferência, desempenho oral total, durante a introdução da primeira alimentação oral e tempo de transição necessários para a transição completa da sonda para a alimentação oral. Verificar qual destes instrumentos melhor identifica a prontidão de alimentação oral, além de observar os sinais de estresse. Para tanto, participaram 71 recém-nascidos prematuros, com idade gestacional menor de 34 semanas, clinicamente estáveis, que estivessem recebendo 70 ml/kg/dia, no momento da primeira alimentação por via oral avaliação e que se adequaram os critérios do estudo. Os recém-nascidos prematuros foram avaliados, na primeira alimentação por via oral, por uma única avaliadora com certificado para aplicação do protocolo NOMAS, sendo que após a avaliação, cada recém-nascido recebeu uma classificação com ou sem prontidão para iniciar a alimentação por via oral, conforme cada um dos instrumentos. RNPT com prontidão pelo NOMAS tiveram valores maiores de proficiência e taxa de transferência e transicionaram mais rápido. A presença de sinais de estresse em prematuros com prontidão foi baixa. NOMAS mostrou valor preditivo positivo e negativo maior em relação aos outros dois protocolos, o que demonstrou ser mais eficaz para identificar baixa habilidade para alimentação oral. O POFRAS e Protocolo de Avaliação da SNN não conseguiram discriminar adequadamente prontidão para iniciar a alimentação por via oral.porUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em Distúrbios da Comunicação HumanaUFSMBrasilFonoaudiologiaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessRecém-nascidoPrematuroComportamento alimentarSucçãoAvaliaçãoNewbornPrematureFeeding behaviorSuctionEvaluationCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAComparação entre instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo para a introdução da alimentação por via oralComparison of instruments for the evaluation of oral motor skills of preterm newborn in the first oral feeding skillsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisWeinmann, Angela Regina Macielhttp://lattes.cnpq.br/9151119377173425Keske-Soares, Marciahttp://lattes.cnpq.br/2993790524055307Henn, Roselihttp://lattes.cnpq.br/9216370645875137Levy, Deborah Sallehttp://lattes.cnpq.br/0452780908837821Bolzan, Geovana de Paulahttp://lattes.cnpq.br/6911505466941984Haeffner, Leris Salete Bonfantihttp://lattes.cnpq.br/4056008693346464http://lattes.cnpq.br/4036333034185638Prade, Leila Sauer4007000000036001c5aefd6-6508-4d33-80c5-ebfe9227f0ff92865b62-30a3-44f5-be5e-698771044cc2287a918e-cf3d-4363-a9f5-a3b598aee863524f19c5-7573-4a48-855c-2e54d4a48725ce8dd29a-fcbd-426e-82c1-754d2ee385a83cc91ce0-8b10-47b8-89f4-af4e5b053ce1fa0f84e0-e7b8-40a1-bdf0-14e996239a14reponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALTES_PPGDCH_2017_PRADE_LEILA.pdfTES_PPGDCH_2017_PRADE_LEILA.pdfTese de Doutoradoapplication/pdf3099201http://repositorio.ufsm.br/bitstream/1/20455/1/TES_PPGDCH_2017_PRADE_LEILA.pdf94b0dca3c832afc6e3dd0241cd6502cbMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Comparação entre instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo para a introdução da alimentação por via oral |
dc.title.alternative.eng.fl_str_mv |
Comparison of instruments for the evaluation of oral motor skills of preterm newborn in the first oral feeding skills |
title |
Comparação entre instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo para a introdução da alimentação por via oral |
spellingShingle |
Comparação entre instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo para a introdução da alimentação por via oral Prade, Leila Sauer Recém-nascido Prematuro Comportamento alimentar Sucção Avaliação Newborn Premature Feeding behavior Suction Evaluation CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Comparação entre instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo para a introdução da alimentação por via oral |
title_full |
Comparação entre instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo para a introdução da alimentação por via oral |
title_fullStr |
Comparação entre instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo para a introdução da alimentação por via oral |
title_full_unstemmed |
Comparação entre instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo para a introdução da alimentação por via oral |
title_sort |
Comparação entre instrumentos de avaliação da habilidade motora oral de recém-nascidos pré-termo para a introdução da alimentação por via oral |
author |
Prade, Leila Sauer |
author_facet |
Prade, Leila Sauer |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Weinmann, Angela Regina Maciel |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9151119377173425 |
dc.contributor.advisor-co1.fl_str_mv |
Keske-Soares, Marcia |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/2993790524055307 |
dc.contributor.referee1.fl_str_mv |
Henn, Roseli |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/9216370645875137 |
dc.contributor.referee2.fl_str_mv |
Levy, Deborah Salle |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/0452780908837821 |
dc.contributor.referee3.fl_str_mv |
Bolzan, Geovana de Paula |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/6911505466941984 |
dc.contributor.referee4.fl_str_mv |
Haeffner, Leris Salete Bonfanti |
dc.contributor.referee4Lattes.fl_str_mv |
http://lattes.cnpq.br/4056008693346464 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4036333034185638 |
dc.contributor.author.fl_str_mv |
Prade, Leila Sauer |
contributor_str_mv |
Weinmann, Angela Regina Maciel Keske-Soares, Marcia Henn, Roseli Levy, Deborah Salle Bolzan, Geovana de Paula Haeffner, Leris Salete Bonfanti |
dc.subject.por.fl_str_mv |
Recém-nascido Prematuro Comportamento alimentar Sucção Avaliação |
topic |
Recém-nascido Prematuro Comportamento alimentar Sucção Avaliação Newborn Premature Feeding behavior Suction Evaluation CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Newborn Premature Feeding behavior Suction Evaluation |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
description |
This research aimed to compare instruments for the evaluation of oral motor skills in preterm newborns in order to verify the readiness to start oral feeding and the oral feeding transition through the following protocols: Preterm Oral Feeding Readiness Scale - POFRAS; Non-Nutritive Suction Evaluation Protocol and Neonatal Oral-Motor Assessment Scale - NOMAS. To correlate with oral feeding skill, by proficiency, rate of milk transfer, overall transfer (OT), during the introduction of the first oral feeding, and time of transition required for the complete transition from start to independent oral feeding. To check which of these best instruments identifies oral feeding skill in addition to observing the signs of stress. Seventy-one PTNB with a gestational age of less than 34 weeks, clinically stable, who were receiving 70 ml/kg/day at the time of the evaluation and who met the study criteria were enrolled. The PTNB were evaluated at the first oral feeding by a single evaluator with certificate for application of the NOMAS protocol, and after evaluation, each newborn received a classification with or without readiness to start oral feeding, according to each protocol. PTNB with readiness by NOMAS had higher values of proficiency and rate of milk transfer and attained independent oral earlier. Signs of stress were lower in premature infants with readiness. NOMAS showed higher positive and negative predictive value in relation to the other two instruments and it was more efficacious to identify low oral feeding skills. The POFRAS and SNN Evaluation Protocol failed to discriminate readiness to start oral feeding. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-07-10 |
dc.date.accessioned.fl_str_mv |
2021-03-25T13:37:02Z |
dc.date.available.fl_str_mv |
2021-03-25T13:37:02Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/20455 |
url |
http://repositorio.ufsm.br/handle/1/20455 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.cnpq.fl_str_mv |
400700000003 |
dc.relation.confidence.fl_str_mv |
600 |
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dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Distúrbios da Comunicação Humana |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Fonoaudiologia |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
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