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Effects of Body Position and Time after Feeding on Gastric Residuals in LBW Infants
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Sun Kyung Hwang, Hyun Ok Ju, Young Soon Kim, Hwa Za Lee, Young Hae Kim
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Journal of Korean Academy of Nursing 2003;33(4):488-494. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.4.488
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Abstract
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Purpose
To examine the effects of body position and time after feeding on gastric residuals in low birth weight infants(LBW).
Methods
A repeated measures design was conducted. Twenty LBW infants being fed via indwelling nasogastric tubes were randomly assigned to one of 5 different position orderings. In each position, gastric residuals were measured at 30, 60, 90, 120, 150, and 180 minutes after feeding.
Results
In comparisons of gastric residuals with position and time, the main effects of position and time were statistically significant (F = 5.038, p = 0.001; F = 429.763, p < 0.001, respectively), but the interaction between position and time was found not to be significant. In pairwise comparisons, the gastric residuals were more reduced in the right anterior oblique and prone positions compared with the left lateral position (P < 0.05) and the differences across time periods were significant (p < 0.001).
Conclusion
The body position after feeding has a significant affect on gastric residuals over time in LBW infants. The right anterior oblique or prone position is recommended rather than left lateral position after feeding. Knowledge of the proper position and the pattern of gastric emptying over time after feeding may lead to the development of evidence-based nursing care.
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Citations
Citations to this article as recorded by 
- The Effects of Different Nursing Positions During Preterm Infants Feeding on Gastric Residual Volume and Emptying Rate: A Systematic Review and Network Meta‐Analysis
Amal Mohamed Elhusein, Hammad Ali Fadlalmola International Journal of Nursing Practice.2024;[Epub] CrossRef - Efficacy of body position on gastric residual in preterm infant: a systematic review and meta-analysis
Kurvatteppa Halemani, Alwin Issac, Sanjay Dhiraaj, Prabhaker Mishra Clinical and Experimental Pediatrics.2023; 66(6): 262. CrossRef - Effect of different positions on gastric residuals in preterm infants initiating full enteral feeding
Duygu Gözen, Zeynep Erkut, Rabia Uslubaş, Leyla Bilgin Nutrition in Clinical Practice.2022; 37(4): 945. CrossRef - The Effect of Body Position on Gavage Residual Volume of Gastric in Intensive Care Units Patients
J Rezae, H Kadivarian, A Abdi, M Rezae, K Karimpour, S Rezae Iran Journal of Nursing.2018; 30(110): 58. CrossRef - Preventing Respiratory Complications of Tube Feedings: Evidence-Based Practice
Norma A. Metheny American Journal of Critical Care.2006; 15(4): 360. CrossRef
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A Study on Health promoting behaviors for children
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Hwa Za Lee, Hyang Mi Jung, Hye Gyung An
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Journal of Nurses Academic Society 1996;26(2):443-466. Published online March 30, 2017
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DOI: https://doi.org/10.4040/jnas.1996.26.2.443
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Abstract
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Young children need continuous care and fostering by their family. They help children organize and develop their potential and grow to be and integrated individuals. Children are influenced by then family at first and continuously when they grow up and develop their capability. Especially, mothers spend a lot of time with time to their children, encourage children's growth, give advice, and do their best to take care of their children. The ethnograpic study is to understand the patterns and rules of human behaviors. This study utilized this method in order to interpret the maternal health promoting behaviors for their children. The data were collected through the participant observation and direct interview for about 18 months in P city. The participants were 7 mothers, from 32 to 37 years old. They have children of ages 3 to 10 and 1 or 2 children in total. The data were analyzed through the Spradley's Ethnograghic method and the results were summarized as follows: The viewpoints which influence maternal health promoting behaviors include "having childlike appearance", "having childlike character", "living without illness", and "eating well". The maternal health promoting behaviors for children are classified as "adapting to nature", "supporting of ability", "sharing with the family", "training", and "praying". The adapting behaviors include "recognizing child's innate character", "controlling maternal desires", "preparing natural food", which includes breast feeding. The supporting behaviors include "recognizing childlikeness", "empowering", and "restricting certain actions to preventing accidents". In order to promote child's health, it is essential to promote mother's health first of all. The sharing with the family includes "promoting family concord or acquaintanceships concord" and "adapting to circumstances beyond family". The training behaviors include "forming good habits" and "having good moral value". It is very important to form good habits in childhood. The praying behavior include "waiting for opportunities" and "endeavoring activity to promote child's health". The above 5 behaviors by mothers appeared to be able to promote children's health. The results of this study can be utilized to provide the basic information necessary to develop the patterns of maternal health promoting behaviors consistent with our culture and can contribute us develop the body of knowledge about the maternal health promotion for children in nursing.
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