Naugler Mary Rose, DiCarlo Kristine
Nurs Womens Health. 2018 Feb;22(1):24-39. doi: 10.1016/j.nwh.2017.12.009.
The purpose of this integrative review was to identify interventions that increase compliance of nurses and of parents with safe sleep recommendations for premature infants. Ten studies were included in the final sample, including three studies with a prospective descriptive design, five quality improvement initiatives with an interventional research design, one secondary analysis, and one retrospective medical chart review. Study samples included neonatal nurses and parents of premature infants in NICUs and transitional care nurseries in Massachusetts, Missouri, New York, North Carolina, Ohio, Pennsylvania, and Texas. Sample sizes ranged from 5 to 259 NICU parents and 86 to 658 neonatal nurses. The categories of interventions we identified include identifying barriers to compliance, changing hospital policy, and providing safe sleep education for nurses and parents. We conclude that hospitals should have current, evidence-based safe sleep policies with clear transition guidelines for premature infants and that consistent and comprehensive nursing and parental education related to safe sleep should include current American Academy of Pediatrics recommendations and should address potential barriers to compliance.
本系统综述的目的是确定能提高护士和家长对早产儿安全睡眠建议依从性的干预措施。最终样本纳入了10项研究，包括3项前瞻性描述性设计研究、5项采用干预性研究设计的质量改进举措、1项二次分析以及1项回顾性病历审查。研究样本包括马萨诸塞州、密苏里州、纽约州、北卡罗来纳州、俄亥俄州、宾夕法尼亚州和得克萨斯州新生儿重症监护病房（NICU）和过渡性护理病房中早产儿的护士和家长。样本量从5至259名NICU家长以及86至658名新生儿护士不等。我们确定的干预类别包括识别依从性障碍、改变医院政策以及为护士和家长提供安全睡眠教育。我们得出结论，医院应制定基于当前证据的安全睡眠政策，并为早产儿制定明确的过渡指南，与安全睡眠相关的持续且全面的护理和家长教育应包括美国儿科学会的当前建议，并应解决依从性的潜在障碍。
