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支持和增强新生儿重症监护病房(NICU)感觉体验(SENSE):为高危婴儿定义适合发育的感觉暴露。

Supporting and enhancing NICU sensory experiences (SENSE): Defining developmentally-appropriate sensory exposures for high-risk infants.

机构信息

Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, United States of America; Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, United States of America.

St. Louis Children's Hospital, St Louis, MO, United States of America.

出版信息

Early Hum Dev. 2019 Jun;133:29-35. doi: 10.1016/j.earlhumdev.2019.04.012. Epub 2019 May 1.

Abstract

INTRODUCTION

There is evidence to support the use of positive sensory exposures (music, touch, skin-to-skin) with preterm infants in the neonatal intensive care unit (NICU), but strategies to improve their consistent use are lacking. The Supporting and Enhancing NICU Sensory Experiences (SENSE) program was developed to promote consistent, age-appropriate, responsive, and evidence-based positive sensory exposures for the preterm infant every day of NICU hospitalization.

METHODS

A systematic and rigorous process of development of the SENSE program included an integrative review of evidence on sensory exposures in the NICU, stakeholder feedback, expert opinion, and focus groups.

RESULTS

SENSE implementation materials consist of parent education materials, tailored doses of sensory exposures for each postmenstrual age, an infant assessment of tolerance, bedside logs and implementation considerations for integrating the SENSE program into the NICU.

DISCUSSION

Research is needed to evaluate the SENSE program as an implementation strategy and to assess its impact on parent and infant outcomes.

摘要

简介

有证据支持在新生儿重症监护病房(NICU)中使用积极的感官体验(音乐、触摸、皮肤接触)来照顾早产儿,但缺乏改善其持续使用的策略。支持和增强新生儿重症监护病房感官体验(SENSE)计划旨在促进早产儿在 NICU 住院期间每天都能获得一致、适合年龄、有反应和基于证据的积极感官体验。

方法

SENSE 计划的系统和严格的开发过程包括对 NICU 中感官体验的综合证据审查、利益相关者反馈、专家意见和焦点小组。

结果

SENSE 实施材料包括家长教育材料、针对每个胎龄的量身定制的感官体验剂量、婴儿耐受性评估、床边记录和将 SENSE 计划整合到 NICU 中的实施注意事项。

讨论

需要研究 SENSE 计划作为一种实施策略,并评估其对父母和婴儿结局的影响。

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