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促进新生儿重症监护病房早产儿睡眠的护理干预措施:综合评价。

Nursing Interventions That Promote Sleep in Preterm Newborns in the Neonatal Intensive Care Units: An Integrative Review.

机构信息

Escola Superior de Saúde Egas Moniz, Caparica, 2829-511 Almada, Portugal.

Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), 2829-511 Almada, Portugal.

出版信息

Int J Environ Res Public Health. 2022 Sep 2;19(17):10953. doi: 10.3390/ijerph191710953.

Abstract

Sleep is a crucial factor for the psychological and physiological well-being of any human being. In Neonatal Intensive Care Units, preterm newborns' sleep may be at risk due to medical and nursing care, environmental stimuli and manipulation. This review aims to identify the nurses' interventions that promote sleep in preterm newborns in the Neonatal Intensive Care Units. An integrative review was conducted following Whittemore and Knafl's methodology and the 2020 Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. The research was carried out on the electronic databases PubMed, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and ScienceDirect, with a timeframe from 2010 to 2021. A total of 359 articles were initially identified. After selection and analysis, five studies were included in the sample. Interventions by nursing staff that promote sleep in preterm newborns in the Neonatal Intensive Care Units fall within three categories: environmental management, relaxation techniques and therapeutic positioning. Nurses play a vital role in implementing interventions that promote preterm newborns' sleep. They can positively affect preterm newborns' sleep by controlling environmental stimuli and applying relaxation techniques and therapeutic positioning to their care practices.

摘要

睡眠是任何人类身心健康的关键因素。在新生儿重症监护病房中,由于医疗和护理、环境刺激和操作,早产儿的睡眠可能存在风险。本综述旨在确定护士在新生儿重症监护病房中促进早产儿睡眠的干预措施。研究按照 Whittemore 和 Knafl 的方法和 2020 年系统评价和荟萃分析优先报告项目 (PRISMA) 声明进行了综合回顾。研究在电子数据库 PubMed、Cochrane 对照试验中心注册库、Cochrane 系统评价数据库和 ScienceDirect 上进行,时间范围为 2010 年至 2021 年。最初确定了 359 篇文章。经过选择和分析,共有 5 项研究纳入样本。在新生儿重症监护病房中促进早产儿睡眠的护理人员干预措施分为三类:环境管理、放松技术和治疗性体位。护士在实施促进早产儿睡眠的干预措施方面发挥着重要作用。他们可以通过控制环境刺激以及在护理实践中应用放松技术和治疗性体位,对早产儿的睡眠产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b91/9518210/0afae783bdbc/ijerph-19-10953-g001.jpg

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