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开展新生儿重症监护病房中“伸出援手并阅读”计划的试点项目:一项质量改进计划。

Implementation of a pilot program of Reach Out and Read® in the neonatal intensive care unit: a quality improvement initiative.

机构信息

Boston Medical Center, Division of Neonatology, Boston, MA, USA.

Boston University School of Medicine, Boston, MA, USA.

出版信息

J Perinatol. 2018 Jun;38(6):759-766. doi: 10.1038/s41372-018-0060-8. Epub 2018 Feb 12.

Abstract

OBJECTIVE

Language exposure is important for neurodevelopment, but is sparse in the neonatal intensive care unit (NICU).

STUDY DESIGN

We introduced Reach Out and Read (ROR) in the NICU as a quality improvement initiative to increase language exposure. Measures included availability of books, accessibility of parents, and enrollment of infants, percent infants read to by their parents, and data from parental surveys.

RESULT

98 infants were included (40 before, 58 after). We obtained books in the mother's language for 95% of infants, 82% eligible infants were enrolled, and 70% read to their infants (mean of 0.45 ± 0.35 times/day). Surveyed parents enjoyed reading, noted positive effect(s), and intended to read post-discharge.

CONCLUSION

We launched a well-received pilot ROR program in the NICU and reached our goal of ≥50% infants being read to by their parents. Further study is needed to assess the impact of reading in the NICU on parents and infants.

摘要

目的

语言接触对神经发育很重要,但在新生儿重症监护病房(NICU)中却很少见。

研究设计

我们在 NICU 中引入了“伸出与阅读”(ROR)作为一项质量改进举措,以增加语言接触。措施包括书籍的可用性、父母的可及性以及婴儿的入组率、父母为婴儿读书的比例,以及来自父母调查的数据。

结果

共有 98 名婴儿入组(40 名在前,58 名在后)。我们为 95%的婴儿提供了母亲语言的书籍,82%符合条件的婴儿入组,70%的婴儿被父母读书(平均每天 0.45±0.35 次)。接受调查的父母喜欢阅读,注意到积极的影响,并打算在出院后阅读。

结论

我们在 NICU 中推出了一项广受欢迎的 ROR 试点计划,并达到了让≥50%的婴儿被父母读书的目标。需要进一步研究来评估 NICU 阅读对父母和婴儿的影响。

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