新生儿重症监护病房的单人间设计并未改善生长情况。
Single-family room design in the neonatal intensive care unit did not improve growth.
机构信息
Department of Pediatric and Adolescent Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Department of Clinical Science, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
出版信息
Acta Paediatr. 2019 Jun;108(6):1028-1035. doi: 10.1111/apa.14746. Epub 2019 Mar 13.
AIM
The aim was to compare growth in very premature infants cared for in a single-family room (SFR) and an open-bay (OB) unit. We recorded duration of parental presence and skin-to-skin contact as proxies for parental involvement in care of their infants.
METHODS
We consecutively included infants with gestational ages 28 + 0 through 32 + 0 weeks at two hospitals in Norway, one SFR unit (n = 35) and one OB unit (n = 42). Weight, length, and head circumference were followed from birth to four months after term date. Both units adhered to the same nutritional protocol and methods of recording events.
RESULTS
The SFR mothers spent a mean (standard deviation) of 111 (38) hours and the OB mothers 33 (13) hours with their infants during the first week and 21 (5) versus 7 (3) hours per day later. The respective duration of skin-to-skin care was 21 (10) versus 12 (8) hours during the first week and 4.2 (2) versus 3.0 (2) hours per day later. The differences were similar, but less pronounced for the fathers. The growth trajectories did not differ between the groups.
CONCLUSION
SFR care was associated with more parental involvement, but not with better growth.
目的
本研究旨在比较单家庭病房（SFR）和开放式婴儿床（OB）单元中早产儿的生长情况。我们记录了父母在场时间和皮肤接触时间，作为父母参与婴儿护理的替代指标。
方法
我们连续纳入了挪威两家医院的 28+0 至 32+0 周胎龄的婴儿，其中一个 SFR 病房（n=35）和一个 OB 病房（n=42）。从出生到足月后四个月，我们监测了体重、身长和头围的变化。两个病房都遵循相同的营养方案和记录事件的方法。
结果
SFR 病房的母亲在第一周内平均（标准差）与婴儿在一起 111（38）小时，OB 病房的母亲为 33（13）小时。之后，SFR 病房的母亲每天与婴儿在一起的时间为 21（5）小时，而 OB 病房的母亲为 7（3）小时。皮肤接触的时间分别为 21（10）小时和 12（8）小时，之后每天为 4.2（2）小时和 3.0（2）小时。父亲的差异虽小，但趋势相似。两组的生长轨迹没有差异。
结论
SFR 护理与更多的父母参与有关，但与更好的生长无关。
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