Teškoće hranjenja i gutanja u prijevremeno rođene djece tijekom dojenačke dobi i povezanost teškoća hranjenja s kvalitetom života obitelji

master's thesis

• Title (english): Feeding and swallowing difficulties in preterms during infancy and how these relate to the family quality of life
• Author: Nikolina Devčić
• Mentor: Blaženka Brozović (mentor)
• Committee member: Blaženka Brozović (predsjednik povjerenstva)
• Committee member: Jasmina Ivšac Pavliša (član povjerenstva)
• Committee member: Emica Farago (član povjerenstva)
• Granter: University of Zagreb; Faculty of Education and Rehabilitation Sciences; Zagreb
• Defense date and country: 2021-09-29, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Speech Therapy

Abstract

Svjetska zdravstvena organizacija određuje prijevremeno rođenje kao rođenje prije navršenog
37. tjedna gestacije (WHO, 2018). WHO procjenjuje da se svake godine u svijetu rodi 15
milijuna prijevremeno rođene djece te taj broj pokazuje trend rasta. Napredak medicine i
tehnologije omogućio je preživljavanje sve nezrelijoj prijevremeno rođenoj djeci, no to za
posljedicu nerijetko ima mnoge teškoće u funkcioniranju koje predstavljaju izazov za cijelu
obitelj. Procjenjuje se da oko 40% prijevremeno rođene djece ima određene teškoće hranjenja
i gutanja (Arvedson i sur., 2020). Cilj je rada utvrditi razlikuje li se prijevremeno rođena
dojenčad od dojenčadi rođene na termin u prisustvu vidljivih znakova teškoća hranjenja i
gutanja te razlikuje li se prijevremeno rođena dojenčad različite gestacijske dobi u prisustvu
spomenutih znakova. Također, utvrdit će se postoji li povezanost između prisustva znakova
teškoća hranjenja i gutanja te kvalitete života obitelji i roditelja kako bi se napravio prvi korak
prema razvijanju sustava savjetovanja i pružanja potpore cijeloj obitelji, kao i stavio naglasak
na nužnost provođenja logopedske djelatnosti u neonatološkim jedinicama intenzivnog
liječenja. Sudionici istraživanja su roditelji prijevremeno rođene dojenčadi korigirane dobi do
7 mjeseci i roditelji dojenčadi rođene na termin kronološke dobi do 7 mjeseci, a mjerni
instrumenti upotrebljeni pri provođenju ovog istraživanja su: Neonatal Eating Assessment
Tools: NeoEAT – Breastfeeding (Pados i sur. 2017; Pados i sur. 2018a; Pados i sur, 2019a),
NeoEAT – Bottle-feeding (Pados i sur. 2017; Pados i sur. 2018b; Pados i sur, 2019b) i NeoEAT
– Mixed Feeding (Pados i sur. 2017; Pados i sur. 2019c; Pados i sur, 2020) te Impact of Feeding
on the Parent and Family Scales (Feeding Impact Scales) (Estrem i sur., 2020). Statističkom
analizom se utvrdilo kako postoje značajne razlike između prijevremeno rođene dojenčadi i
dojenčadi rođene na termin u prisustvu vidljivih znakova teškoća hranjenja i gutanja. Ipak,
značajne razlike u prisustvu vidljivih znakova teškoća hranjenja i gutanja između prijevremeno
rođene dojenčadi različite gestacijske dob nisu opažene. Utvrđena je značajna pozitivna
povezanost između prisustva vidljivih znakova teškoća hranjenja i gutanja i utjecaja koji
hranjenje ima na kvalitetu života, kako roditelja, tako i cijele obitelji, što ukazuje na nužnost
provođenja obiteljski orijentirane terapije teškoća hranjenja i gutanja od najranije dobi.

Abstract (english)

The World Health Organization defines preterm birth as any birth that takes place before the
37. week of gestation (WHO, 2018). WHO estimates that there are 15 million prematurely born
babies across the world, and the number is growing. Medical and technical advancements
enable the survival of increasingly immature preterm babies, but their survival often has
consequences in the form of many difficulties that present a challenge for the whole family. It
is estimated that around 40% of prematurely born children have certain feeding and swallowing
difficulties (Arvedson i sur., 2020). The aim of this paper is to determine if prematurely born
infants are different than infants who are born on their due date regarding the presence of visible
signs of feeding and swallowing issues and to determine whether the prematurely born infants
of different gestational age differ in this signs. Also, the existence of a connection between the
presence of signs of feeding and swallowing problems and the quality of life of the family will
be determined in order to take the first step toward developing a system that offers support and
counseling to the entire family while emphasizing the necessity of implementing speech-language therapy activities in NICU. Research participants are parents of prematurely born
infants whose corrected age is under 7 months and parents of full-term infants whose age is
under 7 months while the measuring instruments used to conduct this research are: NeoEAT –
Breastfeeding (Pados i sur. 2017; Pados i sur. 2018a; Pados i sur, 2019a), Bottle-feeding (Pados
i sur. 2017; Pados i sur. 2018b; Pados i sur, 2019b), Mixed Feeding (Pados i sur. 2017; Pados i
sur. 2019c; Pados i sur, 2020) and Feeding Impact Scales (Estrem i sur., 2020). A significant
difference was determined between preterm infants and full-term infants regarding the presence
of visible signs of feeding and swallowing difficulties using. However, significant differences
were not found when observing the presence of visible signs of feeding and swallowing
difficulties in preterm babies that were compared considering their gestational age. A
significant positive correlation was found between the presence of visible signs of feeding and
swallowing difficulties and the influence of feeding on the quality of life of the parent and the
entire family which shows the necessity of implementing family oriented therapy for feeding
and swallowing difficulties beginning at the earliest possible age.

• Keywords: prijevremeno rođenje; teškoće hranjenja i gutanja; kvaliteta života obitelji
• Keywords (english): preterm birth; feeding and swallowing difficulties; family quality of life
• Language: croatian
• URN:NBN: urn:nbn:hr:158:514239
• Study programme: Title: Graduate study of Speech and Language Pathology; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra logopedije (magistar/magistra logopedije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access; Embargo expiration date: 2023-09-29
• Created on: 2021-12-31 11:35:08