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Background: Enteral feeding is a safe mean of providing the nutritional requirements of premature infants. Aim of study: was to assess the effect of continuous versus intermittent bolus feeding on physical, physiological parameters and gastrointestinal tolerance in premature infants. Design: A quasi -experimental design was used. Setting: the study was conducted in neonatal intensive care unit at Benha University Hospital, Benha Teaching Hospital and Benha Specialized Pediatric Hospital. Sample: A convenient sample of 100 premature infants was divided into two equal groups; 50 infants who received continuous gastric feeding as group A and 50 infants who received intermittent bolus feeding as group B. Tools of data collection: the first tool is a structured interviewing questionnaire sheet to assess personal characteristics of nurses and assess nurses' knowledge regarding enteral feeding. The second tool is nurses' observational checklist regarding enteral feeding. The third tool is neonatal feeding intolerance assessment sheet to assess personal characteristics of premature infants, feeding pattern of premature infants and feeding intolerance criteria. The fourth tool is Neonatal physical and physiological parameters assessment sheet to assess physical and physiological parameters. Results: show that there was a statistically significant differences between the studied groups of premature infants in abdominal distention, vomiting, length, pulse and o2 saturation and a highly statistically significant differences in weight and respiratory rate. Conclusion: the study concluded that continuous feeding was more effective than intermittent bolus feeding for feeding premature infant. Infants who received continuous gastric feeding had more stability in physical parameters, more increase in weight and length, more stability in physiological parameters and more gastrointestinal tolerance than those who receive intermittent bolus gavage feeding. Recommendation: the study recommended the importance of educational programs about enteral feeding and its technique to improve their knowledge and practice.

journal of nursing science benha university/journal of nursing science benha university 

Effect of Continuous Versus Intermittent Bolus Gavage Feeding on Gastrointestinal Tolerance, Physical and Physiological Parameters in Premature Infants