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儿童发育护理和安德烈·布灵格对早产儿的特别关注。

Care with child development and André Bullinger's special look at prematurity.

机构信息

Universidade Paris 7, Paris, França.

Pitié Salpêtrière, Paris, França.

出版信息

Rev Paul Pediatr. 2022 Apr 4;40:e2020416. doi: 10.1590/1984-0462/2022/40/2020416. eCollection 2022.

Abstract

OBJECTIVE

To assess different ways of caring for preterm infants' development and for their families in neonatal units, with emphasis on the studies by André Bullinger.

DATA SOURCE

A review of the literature in the databases PubMed, SciELO, and the Cairn.info portal, which publishes reviews in human sciences in French. Also, the books and articles of André Bullinger, available only in French, were reviewed.

DATA SYNTHESIS

This review includes the Kangaroo Method, which is based on skin to skin contact and the encouragement of breastfeeding; the Newborn Individualized Developmental Care and Assessment Program (NIDCAP), based on the Synaptic Developmental Theory and aiming to positively change the neonatal environment, having the preterm newborn as the actor of their own development and the mother as a regulator; and the Bullinger Approach, which uses a sensory-motor perspective to approach child development, including preterm infants' development.

CONCLUSIONS

The Kangaroo Method has changed child developmental care in countries with limited financial resources. NIDCAP was shown to be efficient, although only a few long-term studies have been conducted on the subject. The Bullinger Approach is well diffused in European neonatal units, with promising results for the prevention of neurodevelopmental disabilities, especially those related to orality.

摘要

目的

评估新生儿病房中早产儿发展和家庭护理的不同方法,重点关注安德烈·布林格的研究。

资料来源

在 PubMed、SciELO 和 Cairn.info 法语人文学科评论数据库中对文献进行了综述,同时还对安德烈·布林格(André Bullinger)的书籍和文章进行了综述,这些书籍和文章仅以法文出版。

综合分析

本综述包括袋鼠式护理法,该方法基于皮肤接触和鼓励母乳喂养;新生儿个体化发育护理和评估方案(NIDCAP),基于突触发育理论,旨在积极改变新生儿环境,让早产儿成为自身发育的参与者,母亲则作为调节者;以及布林格方法(Bullinger Approach),该方法使用感觉运动的视角来研究儿童发育,包括早产儿的发育。

结论

袋鼠式护理法已经改变了资源有限国家的儿童发育护理方式。虽然关于该主题的长期研究较少,但已经证明 NIDCAP 是有效的。布林格方法在欧洲新生儿病房中得到了广泛应用,对于预防神经发育障碍,特别是与口腔相关的障碍,具有良好的效果。

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