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减轻新生儿重症监护病房中的婴儿医疗创伤:肌肤接触作为一种创伤知情、适合年龄的最佳实践。

Mitigating Infant Medical Trauma in the NICU: Skin-to-Skin Contact as a Trauma-Informed, Age-Appropriate Best Practice.

作者信息

Eliades Carly

出版信息

Neonatal Netw. 2018 Nov;37(6):343-350. doi: 10.1891/0730-0832.37.6.343.

DOI:10.1891/0730-0832.37.6.343
PMID:30567883
Abstract

Infant medical trauma in the NICU is associated with serious and lasting consequences. Skin-to-skin contact (SSC) of infants with their parents is a nursing intervention that provides significant benefits and can mitigate the negative consequences of the infant's traumatic experiences in the NICU. The purpose of this article is to explain how SSC aligns with the concept of trauma-informed age-appropriate care (TIAAC) in the NICU. The evidence supporting SSC will be reviewed and discussed using TIAAC as a framework. SSC is an effective and evidence-based care strategy that reduces the infant's traumatic NICU experiences by improving parental proximity, attachment, and lactation; decreasing stress and pain; improving physiologic stability; supporting sleep; and enhancing neurologic outcomes.

摘要

新生儿重症监护病房(NICU)中的婴儿医疗创伤会带来严重且持久的后果。婴儿与父母的皮肤接触(SSC)是一种护理干预措施,具有显著益处,可减轻婴儿在NICU经历创伤的负面影响。本文旨在解释SSC如何与NICU中创伤知情的适龄护理(TIAAC)概念相契合。将以TIAAC为框架,对支持SSC的证据进行回顾和讨论。SSC是一种有效且基于证据的护理策略,可通过改善亲子亲近度、依恋关系和哺乳情况;减轻压力和疼痛;提高生理稳定性;支持睡眠;以及改善神经学结果,来减少婴儿在NICU的创伤经历。

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