Krehbiel R, Munsick-Bruno G, Lowe J R
University of New Mexico Medical Center, Albuquerque 87131.
Child Health Care. 1991 Winter;20(1):26-33. doi: 10.1207/s15326888chc2001_5.
In summary, newborn intensive care is a rapidly changing field serving a heterogeneous population of infants and families. A family-centered/developmental perspective needs to be incorporated as a part of basic nursery care. Some infants and families have developmental needs beyond this baseline. The ability to respond to these needs is supported by PL 99-457. A way to sort out which infants and families might benefit from entering the IFSP process has been described. The IFSP process and plan have been presented and a framework for integrating this continuum of care into the NICU has been proposed. Implementing the IFSP process in the hospital setting needs to be approached gradually and with caution, recognizing the lack of correspondence between early risk factors and ultimate outcome.
总之，新生儿重症监护是一个快速发展的领域，服务于情况各异的婴儿及其家庭。以家庭为中心的发展视角应纳入基本的新生儿护理中。一些婴儿及其家庭有超出这一基线的发展需求。第99 - 457号公法支持满足这些需求的能力。文中描述了一种方法，用于筛选哪些婴儿及其家庭可能从进入个别化家庭服务计划流程中受益。介绍了个别化家庭服务计划流程和计划，并提出了将这一连续护理体系整合到新生儿重症监护病房的框架。在医院环境中实施个别化家庭服务计划流程需要逐步谨慎推进，因为要认识到早期风险因素与最终结果之间缺乏对应关系。
