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早产儿使用心肺监测仪的发生率及家长认知情况。

Incidence and Parental Perception of Cardiorespiratory Monitor Use in Preterm Infants.

机构信息

Department of Educational Psychology, University of Kansas, 1120 West Campus Road, Lawrence, KS, 66045, USA.

Children's Mercy Hospital, Kansas City, MO, USA.

出版信息

J Clin Psychol Med Settings. 2023 Sep;30(3):654-659. doi: 10.1007/s10880-022-09910-8. Epub 2022 Sep 6.

DOI:10.1007/s10880-022-09910-8
PMID:36066690
Abstract

The objective of this study is to examine the incidence and clinical indicators for use of cardiorespiratory (CR) monitor use. We also examined parents' perceptions on the usefulness of home CR monitoring when their preterm infants were discharged from the hospital. A retrospective patients record review was conducted to assess CR monitor use at discharge in preterm infants from January 1, 2016, to December 31, 2017. Participants received a telephone survey that examined parents' CR monitor experiences and use. Over the study period, forty-four infants were discharged home on CR monitor with the incidence rate of 8.1%. Of those, 28 parents were surveyed between 1 and 2 years post discharge. Most parents reported feeling secure but anxious using the CR monitor. Parents who reported experiencing false alarms frequently also reported having feelings of anxiety while using the CR monitor. Findings from this preliminary study support the importance of understanding the role of parent perceptions of families with infants on CR monitors.

摘要

本研究旨在探讨使用心肺(CR)监测器的发生率和临床指标。我们还研究了父母对早产儿出院后家庭使用 CR 监测的看法。我们进行了回顾性病历审查,以评估 2016 年 1 月 1 日至 2017 年 12 月 31 日出院的早产儿的 CR 监测器使用情况。参与者接受了一项电话调查,调查了父母的 CR 监测器使用体验。在研究期间,有 44 名婴儿出院时使用了 CR 监测器,发生率为 8.1%。其中,28 名父母在出院后 1 至 2 年内接受了调查。大多数父母表示使用 CR 监测器时感到安心但焦虑。报告经常出现误报的父母在使用 CR 监测器时也报告有焦虑感。这项初步研究的结果支持了解使用 CR 监测器的婴儿家庭中父母看法的重要性。

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本文引用的文献

1
Pre-discharge Cardiorespiratory Monitoring in Preterm Infants. the CORE Study.早产儿出院前心肺监测。CORE研究。
Front Pediatr. 2020 Jun 5;8:234. doi: 10.3389/fped.2020.00234. eCollection 2020.
2
Apnea, bradycardia and desaturation spells in premature infants: impact of a protocol for the duration of 'spell-free' observation on interprovider variability and readmission rates.早产儿的呼吸暂停、心动过缓和血氧饱和度下降发作:“无发作”观察时长方案对不同医疗服务提供者之间的差异及再入院率的影响
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Standardizing documentation and the clinical approach to apnea of prematurity reduces length of stay, improves staff satisfaction, and decreases hospital cost.
规范早产儿呼吸暂停的文档记录及临床处理方法可缩短住院时间、提高医护人员满意度并降低医院成本。
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J Pediatr. 1985 Jan;106(1):91-4. doi: 10.1016/s0022-3476(85)80475-3.
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