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新生儿及家庭人性化护理的护理视角:一项系统综述

Nursing Perspective of the Humanized Care of the Neonate and Family: A Systematic Review.

作者信息

Gómez-Cantarino Sagrario, García-Valdivieso Inmaculada, Dios-Aguado Mercedes, Yáñez-Araque Benito, Gallego Brigida Molina, Moncunill-Martínez Eva

机构信息

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

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

出版信息

Children (Basel). 2021 Jan 9;8(1):35. doi: 10.3390/children8010035.

Abstract

This systematic review aims to determine the extent to which published research articles show the perspective of health professionals in neonatal intensive care units (NICU), as facilitators of family empowerment. Studies conducted between 2013 and 2020 were retrieved from five databases (PubMed, Cochrane, CINHAL, Scopus, and Google Scholar). The search was carried out from January to October 2020. A total of 40 articles were used, of which 13 studies (quantitative and qualitative) were included in this systematic review. Its methodological quality was assessed using the mixed methods assessment tool (MMAT). In these, the opinions and perspectives of professionals on the permanence and participation of parents were valued. In addition, the training, experiences, and educational needs of nursing within the NICU were determined. The crucial role of health professionals in the humanization of care and its effect on the neonate-family binomial was estimated. However, conceptual changes are needed within the neonatal intensive care units. To implement humanization in daily care, family participation should be encouraged in them. For this, it is necessary to modify hospital health policies to allow changes in the infrastructure that facilitate open doors 24 h a day in special services.

摘要

本系统评价旨在确定已发表的研究文章在多大程度上展现了新生儿重症监护病房(NICU)医护人员作为家庭赋权促进者的视角。从五个数据库(PubMed、Cochrane、CINHAL、Scopus和谷歌学术)检索了2013年至2020年间开展的研究。检索于2020年1月至10月进行。共使用了40篇文章,其中13项研究(定量和定性)纳入了本系统评价。使用混合方法评估工具(MMAT)评估其方法学质量。在这些研究中,重视了专业人员对父母陪伴和参与的意见及观点。此外,还确定了NICU内护理人员的培训、经验和教育需求。评估了医护人员在护理人性化方面的关键作用及其对新生儿-家庭二元关系的影响。然而,新生儿重症监护病房内需要观念上的转变。为了在日常护理中实现人性化,应鼓励家庭参与。为此,有必要修改医院卫生政策,以便改变基础设施,使特殊服务能够一天24小时开放。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffda/7827204/6671b6976f6e/children-08-00035-g001.jpg

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