早产儿的结局：转移焦点，拓展视野。

Outcomes of Preterm Infants: Shifting Focus, Extending the View.

作者信息

Hintz Susan R, deRegnier Raye-Ann, Vohr Betty R

机构信息

Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, 453 Quarry Road, 4th Floor, Palo Alto, CA 94304, USA.

Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 East Chicago Avenue, Box 45, Chicago, IL 60611, USA.

出版信息

Clin Perinatol. 2023 Mar;50(1):1-16. doi: 10.1016/j.clp.2022.10.001.

DOI:10.1016/j.clp.2022.10.001

PMID:36868700

Abstract

Advances in perinatal care have led to remarkable long-term survival for infants who are born preterm. This article reviews the broader context of follow-up care, highlighting the need to reenvision some areas, such as improving parental support by embedding parental involvement in the neonatal intensive care unit, incorporating parental perspectives about outcomes into follow-up care models and research, supporting their mental health, addressing social determinants of health and disparities, and advocating for change. Multicenter quality improvement networks allow identification and implementation of best practices for follow-up care.

摘要

围产期护理的进步使得早产婴儿获得了显著的长期生存机会。本文回顾了后续护理的更广泛背景，强调了重新审视某些领域的必要性，例如通过将父母参与纳入新生儿重症监护病房来改善对父母的支持，将父母对结果的看法纳入后续护理模式和研究中，支持他们的心理健康，解决健康的社会决定因素和差异，以及倡导变革。多中心质量改进网络有助于识别和实施后续护理的最佳实践。