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在新生儿重症监护病房(NICU)中开发以家庭为中心的护理模式:管理医疗保健的新理念。

Developing a Family-Centered Care Model in the Neonatal Intensive Care Unit (NICU): A New Vision to Manage Healthcare.

机构信息

Department of Nursing, Physical and Occupational Therapy University of Castilla-La Mancha, 45071 Campus Toledo, Spain.

Mostoles University Hospital (HMOS), Madrid Health Service (SERMAS), Mostoles, 28935, Spain.

出版信息

Int J Environ Res Public Health. 2020 Oct 1;17(19):7197. doi: 10.3390/ijerph17197197.

Abstract

Family-centered care (FCC) currently takes a greater role in health care, due to the increasing empowerment parents experience. Within neonatal intensive care units (NICUs), family participation has an impact on the humanized care of the preterm newborn (PN). This integrative review conducted according to Whittemore and Knafl investigated current knowledge of the FCC model and its application in PN care in specific units. The data were collected from PubMed, Cochrane, CINHAL, Scopus, and Google Scholar. A total of 46 articles were used, of which 13 were selected which met inclusion criteria. Their methodological quality was evaluated using the mixed method appraisal tool (MMAT), and after they were analyzed and grouped into four thematic blocks: (1) parental participation; (2) health parental training; (3) benefits of family empowerment; and (4) humanized care. The results revealed that FCCs promote the integration of health equipment and family. In addition, parents become the primary caregivers. The benefits of the family-PN binomial enable an earlier hospital discharge. Humanized care involves an ethical approach, improving health care. Changes are still needed by health managers to adapt health services to the needs of the family and PNs.

摘要

家庭为中心的护理(FCC)目前在医疗保健中扮演着更重要的角色,这是由于父母的权力不断增强。在新生儿重症监护病房(NICU)中,家庭参与对早产儿的人性化护理有影响。本综述根据 Whittemore 和 Knafl 的方法,调查了 FCC 模型在特定单位的早产儿护理中的现有知识及其应用。数据来自 PubMed、Cochrane、CINHAL、Scopus 和 Google Scholar。共使用了 46 篇文章,其中有 13 篇符合纳入标准。使用混合方法评估工具(MMAT)评估了其方法学质量,然后对其进行分析并分为四个主题模块:(1)父母参与;(2)父母健康培训;(3)家庭赋权的好处;和(4)人性化护理。结果表明,FCC 促进了卫生设备和家庭的融合。此外,父母成为主要照顾者。家庭-PN 二项式的好处使患儿更早出院。人性化护理涉及伦理方法,改善了医疗保健。卫生管理人员仍需要做出改变,使卫生服务适应家庭和 PNs 的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d812/7579288/f3bd290fa89c/ijerph-17-07197-g001.jpg

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