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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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