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为父母准备从新生儿病房出院、过渡到在家照顾早产儿。

Preparing Parents for Discharge from the Neonatal Unit, the Transition, and Care of Their Preterm Children at Home.

机构信息

Nurse, Ph.D. Associate Professor. Facultad de Enfermería, Universidad de Antioquia. Email:

Nurse, Ph.D. Full Professor. Facultad de Enfermería, Universidad de Antioquia and Universidad CES. Email:

出版信息

Invest Educ Enferm. 2023 Feb;41(1). doi: 10.17533/udea.iee.v41n1e04.

DOI:10.17533/udea.iee.v41n1e04
PMID:37129352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10152913/
Abstract

Preparing parents to care for their preterm children is one of the principal challenges faced by nursing professionals within the neonatal care contexts. This process seeks for parents to acquire the skills to safely provide the differential care required by children at home given their prematurity condition. The preparation for discharge is complex and multidimensional, involving aspects that have to do with the knowledge, skills for caring, security, and trust to transit and take care of the children at home. This process is conducted in the neonatal unit gradually, in function of the clinical evolution of the children and the adaptation of the parents to the situation, considering their individual, family, social, and cultural characteristics. This article describes the principal aspects related with the preparation for discharge and the transition to the home, contents of the education that must be provided to the parents or principal caregivers, and the recommendations for the professional practice regarding these types of educational processes, aimed at making visible and facilitating the nursing role and follow up of results in the health and wellbeing of the preterm children, their parents, and families.

摘要

为早产儿父母提供照护是新生儿护理环境中护理专业人员面临的主要挑战之一。这一过程旨在使父母掌握技能,以便在家庭中为早产儿提供差异化护理。出院准备是一个复杂和多方面的过程,涉及到知识、护理技能、安全性和信任等方面,以确保孩子在家中能够安全过渡和得到照顾。这一过程在新生儿病房中逐渐进行,取决于孩子的临床状况和父母对这一状况的适应情况,同时考虑到他们的个体、家庭、社会和文化特征。本文描述了与出院准备和向家庭过渡相关的主要方面、必须向父母或主要照顾者提供的教育内容,以及针对这些类型的教育过程的专业实践建议,旨在突显和促进护理在早产儿及其父母和家庭的健康和幸福方面的作用和结果。

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Examining early intervention referral patterns in neonatal intensive care unit follow up clinics using telemedicine during COVID-19.探讨 COVID-19 期间使用远程医疗的新生儿重症监护病房随访诊所中的早期干预转介模式。
Early Hum Dev. 2022 Sep;172:105631. doi: 10.1016/j.earlhumdev.2022.105631. Epub 2022 Jul 14.
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Discharge planning of the preterm infant.早产儿的出院计划。
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Improving the Timeliness and Efficiency of Discharge From the NICU.提高新生儿重症监护病房(NICU)出院的及时性和效率。
Pediatrics. 2022 May 1;149(5). doi: 10.1542/peds.2021-052759.
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NICU discharge preparation and transition planning: guidelines and recommendations.NICU 出院准备和过渡计划:指南和建议。
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Barriers to Transition to Home From the Neonatal Intensive Care Unit: A Qualitative Perspectives of Parents and Healthcare Providers.从新生儿重症监护病房过渡到家庭的障碍:父母和医疗保健提供者的定性观点。
J Perinat Neonatal Nurs. 2021;35(4):340-349. doi: 10.1097/JPN.0000000000000570.
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Prospective Randomized Observational Pilot Trial Evaluating the Effect of Information of Early Childhood Intervention on Stress Levels of Parents of Extremely Low Gestational Age Infants at the NICU.前瞻性随机观察性试点试验,评估新生儿重症监护病房极低胎龄婴儿父母的早期儿童干预信息对其压力水平的影响。
Front Public Health. 2021 Sep 7;9:684369. doi: 10.3389/fpubh.2021.684369. eCollection 2021.
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