Thiele Doria K, Anderson Cindy M
Oregon Health and Science University, Portland, OR.
The Ohio State University College of Nursing, Columbus, OH.
J Pediatr Nurs. 2016 Jan-Feb;31(1):42-6. doi: 10.1016/j.pedn.2015.10.020. Epub 2015 Dec 2.
Prevention of disease is a cornerstone of nursing care. Through our endeavors in research, teaching, and clinical care, nurses consistently seek to change the trajectory of disease development. The theoretical framework known as the Developmental Origins of Health and Disease (DOHaD) offers a new lens that shifts the current disease prevention paradigm upstream, encouraging intensified care of pregnant girls/women, neonates, and infants. This new focus parallels other emerging ecobiodevelopmental, life-course theories, which identify the long-term impact of early environments and stressors on the later risk of chronic adult diseases. Nurses have the potential to influence the health of multiple generations by incorporating DOHaD perspectives and interventions into their research and patient care.
疾病预防是护理工作的基石。通过我们在研究、教学和临床护理方面的努力,护士们始终致力于改变疾病发展的轨迹。名为“健康与疾病的发育起源”(DOHaD)的理论框架提供了一个新视角,将当前的疾病预防范式向上游转移,鼓励加强对怀孕少女/妇女、新生儿和婴儿的护理。这一新关注点与其他新兴的生态生物发育、生命历程理论相呼应,这些理论确定了早期环境和应激源对成年后慢性疾病风险的长期影响。护士们有潜力通过将DOHaD观点和干预措施纳入其研究和患者护理中,来影响多代人的健康。