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新生儿家庭中心护理:证据与实践模式

Neonatal family-centered care: evidence and practice models.

作者信息

Lee Juyoung

机构信息

Department of Pediatrics, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.

出版信息

Clin Exp Pediatr. 2024 Apr;67(4):171-177. doi: 10.3345/cep.2023.00367. Epub 2023 Jun 14.

Abstract

Although advances in neonatology have reduced the mortality rate of high-risk infants, sick newborns or pre-mature infants undergo more intensive monitoring, pain-ful procedures, and lengthy hospitalization, leading to pro-longed separation from their parents. In recent decades, the importance of parent-infant closeness early in life has become more apparent, especially in preterm infants who are prone to neurodevelopmental deficits. There is an increasing body of evidence regarding the benefits of family-centered care (FCC) in neonatal intensive care units. Key aspects related to neonatal FCC include the parents' presence in the ward and their participation in infants' daily care and decision-making processes. In addition, an environment that supports a private and comfortable space for each family member and infant, such as a single-family room, should be provided. To successfully implement FCC in neonatal intensive care units, the culture of care and hospital policies should be changed to successfully implement FCC in neonatal intensive care units, and appropriate training for medical staff is also required.

摘要

尽管新生儿学的进步降低了高危婴儿的死亡率,但患病新生儿或早产儿需要接受更密集的监测、痛苦的操作以及长时间的住院治疗,这导致他们与父母长期分离。近几十年来,生命早期母婴亲密关系的重要性日益凸显,尤其是在容易出现神经发育缺陷的早产儿中。关于以家庭为中心的护理(FCC)在新生儿重症监护病房中的益处,有越来越多的证据。与新生儿FCC相关的关键方面包括父母在病房的陪伴以及他们参与婴儿的日常护理和决策过程。此外,应该提供一个为每个家庭成员和婴儿支持私密舒适空间的环境,比如单人家庭病房。为了在新生儿重症监护病房成功实施FCC,护理文化和医院政策应该改变,以便在新生儿重症监护病房成功实施FCC,同时还需要对医护人员进行适当培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ceb/10990654/0fca83ab4ab7/cep-2023-00367f1.jpg

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