新生儿重症监护病房中婴儿和父母的个体化发育护理：循证最佳实践指南建议。
Individualised developmental care for babies and parents in the NICU: Evidence-based best practice guideline recommendations.
机构信息
Grace Centre for Newborn Intensive Care, The Sydney Children's Hospital Network, Westmead, Australia; The Australasian NIDCAP Training Centre at Grace Centre for Newborn Intensive Care, Westmead, Australia.
Grace Centre for Newborn Intensive Care, The Sydney Children's Hospital Network, Westmead, Australia; The Australasian NIDCAP Training Centre at Grace Centre for Newborn Intensive Care, Westmead, Australia; School of Nursing and Midwifery, Western Sydney University, Parramatta, Australia.
出版信息
Early Hum Dev. 2019 Dec;139:104840. doi: 10.1016/j.earlhumdev.2019.104840. Epub 2019 Aug 21.
Advances in neonatal care have improved survival of premature and critically ill infants; and while rates of some long-term neurodevelopmental problems in survivors have improved, such as cerebral palsy, there are others such as learning and behavioural difficulties that have not. The goal of improving long term neurodevelopmental morbidity has led to an increased focus on improving developmental care not only in neonatal long term follow- up clinics but within the NICU itself to capture the period of earliest brain neuroplasticity. The application of a systematic approach to improve practice is considered the most effective strategy for implementing neuroprotective developmentally supportive care. The content of this paper incorporates evidence-based systematic reviews to guide clinicians in the application of developmentally supportive interventions.
新生儿护理的进步提高了早产儿和重症婴儿的存活率；尽管幸存者中一些长期神经发育问题（如脑瘫）的发生率有所改善，但其他问题（如学习和行为困难）却没有。改善长期神经发育发病率的目标导致人们越来越关注在新生儿重症监护病房内改善发育护理，不仅在新生儿长期随访诊所，而且在新生儿重症监护病房内，以抓住大脑神经可塑性的最早时期。应用系统方法来改进实践被认为是实施神经保护和发育支持护理的最有效策略。本文的内容纳入了基于证据的系统评价，以指导临床医生应用发育支持干预措施。
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