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新生儿重症监护病房治疗师在治疗性低体温后对缺氧缺血性脑病婴儿作用的研究综述

A Survey on NICU Therapists' Role for Infants with Hypoxic Ischemic Encephalopathy Following Therapeutic Hypothermia.

机构信息

Texas Woman's University, T. Boone Pickens Institute of Health Sciences, School of Occupational Therapy, IHSD 8500, 5500 Southwestern Medical Ave., Dallas, TX 75235, USA. Tel 714-501-2558, fax 214-689-7753.

出版信息

J Allied Health. 2022 Spring;51(1):15-20.

Abstract

PURPOSE

This descriptive study aimed to survey therapists working in neonatal intensive care units (NICUs) and identify the neonatal therapists' role for infants status post therapeutic hypothermia.

METHODS

The researchers developed an online survey for distribution to neonatal occupational therapists, physical therapists, and speech language pathologists. The online survey contained 22 multiple choice and open-ended questions.

RESULTS

A total of 58 neonatal therapists participated in the survey. Only 13.8% of the participants reported involvement during the actual cooling process. From the sample, 51.8% of neonatal therapists reported providing services 24 hours or earlier status post cooling. The interventions provided included caregiver education, positioning, and environmental modifications. A majority of participants utilized formal assessments and reported having no protocol in place regarding neonatal therapy intervention for infants with hypoxic ischemic encephalopathy.

CONCLUSIONS

Based on the sample, the results suggest that current neonatal therapy practice with infants status post therapeutic hypothermia varies between institutions, but also provides evidence of some commonalities in intervention strategies.

摘要

目的

本描述性研究旨在调查在新生儿重症监护病房(NICU)工作的治疗师,并确定新生儿治疗师在治疗性低温治疗后婴儿的角色。

方法

研究人员为新生儿职业治疗师、物理治疗师和言语语言病理学家开发了一个在线调查。在线调查包含 22 个多项选择和开放式问题。

结果

共有 58 名新生儿治疗师参与了调查。只有 13.8%的参与者报告在实际冷却过程中参与。从样本中,51.8%的新生儿治疗师报告在冷却后 24 小时或更早提供服务。提供的干预措施包括对照顾者进行教育、定位和环境调整。大多数参与者使用了正式评估,并报告说在缺氧缺血性脑病婴儿的新生儿治疗干预方面没有制定任何方案。

结论

根据样本,结果表明,治疗性低温治疗后婴儿的当前新生儿治疗实践在机构之间存在差异,但也提供了干预策略存在一些共同性的证据。

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