Effect of multi-dimensional sensory touch and family-accompanied whole-process nursing on feeding intervention for preterm infants

Ye, Ting; Gao, Lijuan

doi:10.1590/1980-220X-REEUSP-2025-0128en

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 59 • 2025 • https://doi.org/10.1590/1980-220X-REEUSP-2025-0128en linkcopy

Effect of multi-dimensional sensory touch and family-accompanied whole-process nursing on feeding intervention for preterm infants

Efeito do toque sensorial multidimensional e da enfermagem como processo integral acompanhada pela família na intervenção alimentar de bebês prematuros

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective: To assess the effect of multi-dimensional sensory touch and family-accompanied whole-process nursing on feeding intervention for preterm infants.

Methods: A retrospective experimental study was designed to recruit 100 preterm infants admitted and treated between January 2022 and January 2024 as the subjects, with an intervention group (n = 50, undergoing multi-dimensional sensory touch plus family-accompanied whole-process nursing treatment) and a control group (n = 50, receiving conventional nursing treatment) established according to different nursing protocols.

Results: The intervention group had significantly shorter transition time to oral feeding, extubation time of gastric tube, and length of hospital stay than the control group (P < 0.05). The Neonatal Behavioral Neurological Assessment Scale (NBNA) score significantly increased in the intervention group compared with that in the control group (P < 0.05). At 1 d before discharge, a significant increase in the Apgar score was detected from the intervention group compared to that from the control group (P < 0.05).

Conclusion: Multi-dimensional sensory touch and family-accompanied whole-process nursing can significantly improve the overall physical signs of preterm infants and gradually facilitate their development.

DESCRIPTORS
Family; Diet; Nursing; Infant, Premature; Touch

Group	Transition time to oral feeding	Extubation time of gastric tube	Length of hospital stay
Observation (n = 50)	4.93 ± 0.45	7.85 ± 0.77	22.44 ± 1.75
Control (n = 50)	5.27 ± 0.50	8.21 ± 0.95	23.44 ± 2.83
t	3.574	2.082	2.125
P	0.001	0.040	0.036

Group	Passive muscular tension		Primitive reflex		General evaluation
Group	On the day of admission	1 d before discharge	On the day of admission	1 d before discharge	On the day of admission	1 d before discharge
Observation (n = 50)	6.55 ± 0.38	9.12 ± 0.66*	4.45 ± 0.22	6.80 ± 0.31*	4.73 ± 0.26	6.58 ± 0.32*
Control (n = 50)	6.51 ± 0.40	8.73 ± 0.51*	4.51 ± 0.21	6.59 ± 0.29*	4.81 ± 0.24	6.39 ± 0.29*
t	0.513	3.306	1.395	3.498	1.599	3.111
P	0.609	0.001	0.166	0.001	0.113	0.002
Group	Active muscular tension		Behavioral ability		Total score
Group	On the day of admission	1 d before discharge	On the day of admission	1 d before discharge	On the day of admission	1 d before discharge
Observation (n = 50)	6.39 ± 0.41	8.99 ± 0.45*	10.74 ± 0.66	14.63 ± 1.02*	35.11 ± 1.32	43.52 ± 1.60*
Control (n = 50)	6.41 ± 0.40	8.71 ± 0.39*	10.81 ± 0.61	13.96 ± 0.98*	35.42 ± 1.30	42.51 ± 1.54*
t	0.224	8.572	0.499	6.036	1.183	3.216
P	0.824	< 0.01	0.619	< 0.01	0.240	0.002

Group	Pulse		Frowning action		Stimulus response
Group	On the day of admission	1 d before discharge	On the day of admission	1 d before discharge	On the day of admission	1 d before discharge
Observation (n = 50)	3.24 ± 0.43	3.87 ± 0.68*	3.64 ± 0.41	4.27 ± 0.69*	4.11 ± 0.63	4.99 ± 0.82*
Control (n = 50)	3.26 ± 0.41	3.57 ± 0.55*	3.59 ± 0.41	3.88 ± 0.57*	4.13 ± 0.60	4.44 ± 0.78*
t	0.238	2.426	0.610	3.081	0.163	3.436
P	0.812	0.017	0.543	0.003	0.871	0.001
Group	Skin color		Respiration		Total score
Group	On the day of admission	1 d before discharge	On the day of admission	1 d before discharge	On the day of admission	1 d before discharge
Observation (n = 50)	3.17 ± 0.38	3.79 ± 0.64*	3.17 ± 0.38	3.79 ± 0.64*	15.32 ± 1.21	17.57 ± 1.55*
Control (n = 50)	3.15 ± 0.35	3.44 ± 0.52*	3.15 ± 0.35	3.44 ± 0.52*	15.41 ± 1.19	16.59 ± 1.49*
t	0.274	3.001	0.274	3.001	0.375	3.223
P	0.785	0.003	0.785	0.003	0.708	0.002

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Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
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[T1FN1] NBNA scores.