College of Nursing, The Ohio State University, Columbus, Ohio.
Birth Defects Res. 2019 Sep 1;111(15):1128-1140. doi: 10.1002/bdr2.1517. Epub 2019 May 17.
Worldwide, more than 400,000 infants are born each year with complex congenital heart disease (CCHD) requiring surgical intervention within the first months of life. Although improvements in perioperative care have resulted in increased rates of survival, more than half of infants with CCHD have neurodevelopmental impairments affecting subsequent educational achievements, job opportunities, and mental health. Brain maturity and impaired outcomes in infants with CCHD are similar to those of prematurely born infants. Developmentally supportive care, including foundational application of kangaroo care (KC), improves neurodevelopment in premature infants. Provision of developmentally supportive care with KC during the early hospitalization of infants with CCHD has the potential to similarly improve neurodevelopment. The purposes of the article are to describe common congenital heart defects, describe developmentally supportive care with an emphasis on KC, and to offer specific recommendations for KC and research in infants with CCHD.
全世界每年有超过 40 万名婴儿出生时患有复杂的先天性心脏病（CCHD），需要在生命的头几个月内进行手术干预。尽管围手术期护理的改进导致生存率有所提高，但仍有一半以上患有 CCHD 的婴儿存在神经发育障碍，影响其后续的教育成就、工作机会和心理健康。患有 CCHD 的婴儿的大脑成熟度和受损结果与早产儿相似。包括袋鼠护理（KC）在内的基础性发展支持护理可改善早产儿的神经发育。在患有 CCHD 的婴儿的早期住院期间提供发展支持护理，包括 KC，有可能同样改善神经发育。本文的目的是描述常见的先天性心脏缺陷，描述以 KC 为重点的发展支持护理，并为患有 CCHD 的婴儿提供 KC 和研究的具体建议。
