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新生儿重症监护病房中早产儿的睡眠促进

Sleep Promotion for Preterm Infants in the NICU.

作者信息

Park Jinhee

出版信息

Nurs Womens Health. 2020 Feb;24(1):24-35. doi: 10.1016/j.nwh.2019.11.004. Epub 2020 Feb 19.

Abstract

Sleep is a crucial human physiologic need. Preterm infants in the NICU are exposed to noxious stimuli that often disrupt and shorten their sleep periods. Sleep disruption may have a negative effect on clinical outcomes, growth, and development and may also delay hospital discharge. Increasing evidence suggests that sleep quality is critical for brain development and synaptic plasticity and is associated with long-term neurodevelopmental outcomes. The purpose of this article is to discuss the importance of sleep in preterm infants, describe tools commonly used to assess infant sleep and identify different sleep-wake states, and identify interventions that promote sleep in preterm infants in the NICU. Nurses play a vital role in implementing appropriate interventions that promote preterm infants' sleep.

摘要

睡眠是人类至关重要的生理需求。新生儿重症监护病房(NICU)中的早产儿会受到有害刺激,这些刺激常常会扰乱并缩短他们的睡眠时间。睡眠中断可能会对临床结局、生长和发育产生负面影响,还可能延迟出院。越来越多的证据表明,睡眠质量对大脑发育和突触可塑性至关重要,并与长期神经发育结局相关。本文旨在讨论睡眠对早产儿的重要性,描述评估婴儿睡眠和识别不同睡眠 - 觉醒状态常用的工具,并确定促进 NICU 中早产儿睡眠的干预措施。护士在实施促进早产儿睡眠的适当干预措施方面发挥着至关重要的作用。

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