Westrup Björn
Neonatal Programme, Karolinska University Hospital, Stockholm, Sweden.
Early Hum Dev. 2007 Jul;83(7):443-9. doi: 10.1016/j.earlhumdev.2007.03.006. Epub 2007 Apr 25.
The theoretical framework behind family-centered, developmentally supportive care (NIDCAP) is endorsed by research from several scientific fields, including neuroscience, developmental and family psychology, medicine and nursing. However, the introduction of NIDCAP involves a considerable investment at all levels of the organization. NIDCAP requires some physical changes in the NICU as well as substantial educational efforts and changes in the practice of care. The findings of the presented NIDCAP studies have been encouraging, and NIDCAP has been very well received by nursing staff, neonatologists and parents. It also is attractive from an ethical point of view. It appears reasonable to recommend that nurseries implement NIDCAP and investigate developmentally supportive care in different cultural contexts and with diversified, randomized multicenter trials.
以家庭为中心的发展性支持护理(NIDCAP)背后的理论框架得到了包括神经科学、发展与家庭心理学、医学和护理学在内的多个科学领域研究的认可。然而,引入NIDCAP在组织的各个层面都需要大量投入。NIDCAP要求新生儿重症监护病房进行一些物理改造,以及大量的教育工作和护理实践的改变。所呈现的NIDCAP研究结果令人鼓舞,NIDCAP也受到了护理人员、新生儿科医生和家长的高度欢迎。从伦理角度来看,它也颇具吸引力。建议托儿所实施NIDCAP,并在不同文化背景下通过多样化、随机化的多中心试验来研究发展性支持护理,这似乎是合理的。