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合作改善新生儿重症监护病房的神经保护和神经促进:团队教育和家庭参与。

Collaboration to Improve Neuroprotection and Neuropromotion in the NICU: Team Education and Family Engagement.

出版信息

Neonatal Netw. 2021 Jul 1;40(4):212-223. doi: 10.1891/11-T-680.

DOI:10.1891/11-T-680
PMID:34330871
Abstract

The number of babies born extremely low birth weight surviving to be discharged home after experiencing the NICU continues to improve. Unfortunately, early sensory development for these babies occurs in an environment vastly different from the intended in-utero environment and places them at high risk of long-term neurodevelopmental and neurocognitive challenges. Our goal in the NICU must transition from simply discharge home to supporting the neurosensory development necessary for a thriving lifetime. To accomplish a goal of thriving families and thriving babies, it is clear the NICU interprofessional team must share an understanding of neurosensory development, the neuroprotective strategies safeguarding development, the neuropromotive strategies supporting intended maturational development, and the essential nature of family integration in these processes. We share the educational endeavors of 11 center collaboratives in establishing the foundational knowledge necessary to support preterm babies and their families.

摘要

极低出生体重儿在经历新生儿重症监护病房(NICU)后能够存活并出院回家的数量持续增加。不幸的是,这些婴儿的早期感官发育发生在与预期宫内环境大不相同的环境中,使他们面临长期神经发育和神经认知挑战的高风险。我们在 NICU 中的目标必须从简单地出院回家转变为支持神经感官发育,以实现健康的一生。为了实现家庭和婴儿的健康目标,很明显,NICU 多专业团队必须共同理解神经感官发育、保护发育的神经保护策略、支持预期成熟发育的神经促进策略,以及家庭在这些过程中的重要性。我们分享了 11 个中心合作的教育努力,以建立支持早产儿及其家庭的必要基础知识。

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