الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The aim of the study was to assess the effect of training program for nurses about developmental supportive care of preterm infants and evaluating preterm infants’ responses to non-nutritive sucking during gavage feeding. The study was carried out at the Neonatal Intensive Care Unit in Mansoura University Children’s Hospital. A quasi experimental design was used in this study to evaluate the nurse’s knowledge and performance of developmental care and experimental design was used to evaluate the preterm infants responses to non-nutritive sucking. For data collection three tools were used: A questionnaire (pre/post) sheet which includes: Nurses’ characteristics and nurses’ knowledge regarding to nursing care for preterm infants with developmental care. Observation checklist to assess nurses’ performance of developmental supportive care during gavage feeding, blood sampling, bathing and suctioning. Observation tool too assess preterm infants’ responses to non-nutritive sucking during nasogastric feeding. Followed by designing, implementing and evaluating a teaching program for nurses to promote nursing care of preterm infants using developmental supportive care. The results revealed that half (35.2%) have one to five years of experience and 72.2% of nurses had bachelor degree. The mean age of preterm infants was 30.4±1.69 weeks 58.33% and 52.17% of infants were males in study and control groups respectively. Nurses’ total score level for knowledge were improved with high statistical significant differences (p<0.001) pre and post program implementation as well as nurse’s level of performance. For preterm infants who received non-nutritive sucking there was statistically significant difference for weight gain at discharge (p<0.001). Preterm infants in the experimental showed more alertness, drowsiness and sleep wake transition (p< 0.000, p<0.001, and p<0.05) respectively, but less active and quiet sleep than the control group infants. Regarding to oxygen saturation, from day 2 to day 10 of the study during and after nasogastric feeding, the experimental group showed a high statistically significant differences (p<0.000) compared to control group. There were no significant differences between the two groups regarding heart rate. This study concluded that this training program about developmental supportive care had positive effect on nurses. In addition, the preterm infants who exposed to non-nutritive sucking had improved behavioral and physiological responses. The study recommends the application of the training program and non-nutritive sucking for all Neonatal Intensive Care Units and further researches study should be conducted in the same field.