Objective To investigate the efficacy of oral motor intervention combined with music therapy in preterm infants with feeding difficulties, in order to provide evidence for establishing standardized clinical protocols. Methods A prospective study was conducted involving 68 preterm infants with feeding disorders admitted to the Neonatal Intensive Care Unit (NICU) of Qingdao Municipal Hospital between August 2022 and August 2023. Participants were randomly assigned using a random number table to either the control group (n=34) or the intervention group (n=34). The control group received standard touch by the nursing team, while the intervention group received additional oral motor intervention combined with music therapy. Both groups underwent a two-week treatment period. Outcome measures included daily weight gain, duration of gastric tube retention, total hospitalization length, incidence of complications, nutritional indicators, initiation of oral feeding, and Neonatal Oral Motor Assessment Scale (NOMAS) scores before and after intervention. Results Post-intervention, the intervention group exhibited significantly greater daily weight gain (t=3.180), shorter gastric tube retention time (t=3.549), reduced hospitalization duration (t=3.238), and lower incidence of feeding complications (χ2=4.802) compared to the control group (P<0.05). Nutritional markers, including albumin (t=3.388), globulin (t=3.128), and prealbumin (t=3.105) levels, were also significantly higher in the intervention group (P<0.05). NOMAS assessment revealed that the intervention group demonstrated significantly higher scores for normal sucking (t=5.274, 3.338, P<0.05) and lower scores for sucking disorganization and dysfunction (t=5.559, 7.102, 3.462, 3.217, P<0.05) compared to both baseline and the control group. Conclusion The combination of oral motor intervention and music therapy significantly reduces gastric tube dependence and hospitalization duration, decreases feeding-related complications, improves nutritional status, and demonstrates notable clinical efficacy in managing feeding difficulties in preterm infants, suggesting strong potential for widespread clinical application.
Key words
oral exercise intervention /
music therapy /
feeding disorders /
premature infants
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