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医护人员对新生儿重症监护病房中基于感觉的干预措施的看法。

Health Care Professionals' Perceptions about Sensory-Based Interventions in the NICU.

机构信息

Program in Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri.

Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.

出版信息

Am J Perinatol. 2019 Oct;36(12):1229-1236. doi: 10.1055/s-0038-1676536. Epub 2018 Dec 21.

Abstract

OBJECTIVE

The main objective of this article is to define perceptions of health care professionals regarding current use of sensory-based interventions in the neonatal intensive care unit (NICU).

STUDY DESIGN

A multidisciplinary group of NICU health care professionals ( = 108) defined the types of sensory-based interventions used in their NICU, the postmenstrual age (PMA) sensory-based interventions are administered, conditions under which sensory-based interventions are used, and personnel who administer sensory-based interventions.

RESULTS

The most commonly reported tactile intervention was infant holding (88% of respondents), the most common auditory intervention was recorded music/singing (69% of respondents), the most common kinesthetic intervention was occupational and physical therapy (85% of respondents), and the most common vestibular intervention was infant swings (86% of respondents). Tactile interventions were initiated most often at 24 to 26 weeks PMA (74% of respondents), auditory interventions at 30 to 32 weeks (60% of respondents), kinesthetic interventions at 30 to 32 weeks (76% of respondents), vestibular interventions at 33 to 34 weeks (86% of respondents), and visual interventions at 32 to 36 weeks (72% of respondents). Conditions under which sensory-based interventions were administered, and personnel who provided them, varied across settings.

CONCLUSION

Varied use of sensory-based interventions in the NICU were reported. While this study was limited by biased sampling and the identification of health care professionals' perceptions but not real-world practice, this information can be used to build a comprehensive approach to positive sensory exposures in the NICU.

摘要

目的

本文的主要目的是定义医疗保健专业人员对新生儿重症监护病房(NICU)中当前使用感觉干预措施的看法。

研究设计

一组多学科的 NICU 医疗保健专业人员( = 108)定义了他们的 NICU 中使用的感觉干预措施的类型、进行的胎龄后(PMA)感觉干预措施、使用感觉干预措施的条件以及进行感觉干预措施的人员。

结果

报告的最常见触觉干预措施是婴儿抱持(88%的受访者),最常见的听觉干预措施是录制音乐/唱歌(69%的受访者),最常见的动觉干预措施是职业和物理治疗(85%的受访者),最常见的前庭干预措施是婴儿秋千(86%的受访者)。触觉干预措施最常在 24 至 26 周 PMA 时开始(74%的受访者),听觉干预措施在 30 至 32 周(60%的受访者),动觉干预措施在 30 至 32 周(76%的受访者),前庭干预措施在 33 至 34 周(86%的受访者),视觉干预措施在 32 至 36 周(72%的受访者)。进行感觉干预措施的条件和提供感觉干预措施的人员因环境而异。

结论

报告了 NICU 中感觉干预措施的使用存在差异。虽然这项研究受到有偏见的抽样和确定医疗保健专业人员的看法而不是实际实践的限制,但这些信息可用于建立 NICU 中积极感觉暴露的综合方法。

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