Muller-Nix Carole, Forcada-Guex Margarita
Department of Child and Adolescent Psychiatry, University Hospital Lausanne, Hôpital Neslté, av. P. Decker 5, Lausanne 1011, Switzerland.
Child Adolesc Psychiatr Clin N Am. 2009 Jul;18(3):545-57. doi: 10.1016/j.chc.2009.02.008.
This article reviews the stresses for parents, infants, and other caregivers during the period surrounding the birth of the premature infant. Principles of assessment of infant discomfort, parental stress, the parent-infant relationship, and the match of the medical caregiving environment to the individual infant's needs are discussed. Relevant tools to aide in these aspects of assessment are reviewed. The role of early assessment as preventive intervention and the indication for subsequent intervention in complicated cases of premature infants and their parents are further discussed. The article offers detailed clinical examples to illustrate these and other points throughout.
本文回顾了早产儿出生前后这段时间里，父母、婴儿及其他护理人员所面临的压力。文中讨论了评估婴儿不适、父母压力、亲子关系以及医疗护理环境与婴儿个体需求匹配度的原则。还回顾了有助于这些评估方面的相关工具。进一步讨论了早期评估作为预防性干预的作用，以及在早产儿及其父母的复杂病例中后续干预的指征。本文通篇提供了详细的临床实例来说明这些及其他要点。
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