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[助产士作为特应性疾病高危新生儿皮肤护理的影响因素:助产士当前建议的调查]

[Midwives as influencers in skin care for newborns at risk of atopic diseases : Survey of midwives' current recommendations].

作者信息

Staubach-Renz Petra, Schulz Sara, Weyer-Elberich Veronika, Peveling-Oberhag Adriane, Zimmer Sebastian, Wegner Joanna, Sohn Anna, Mann Caroline, Lang Berenice M

机构信息

Hautklinik Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland.

Institut für Biostatistik und klinische Forschung, Universität Münster, Münster, Deutschland.

出版信息

Dermatologie (Heidelb). 2024 Jul;75(7):548-553. doi: 10.1007/s00105-024-05334-7. Epub 2024 Apr 19.

DOI:10.1007/s00105-024-05334-7
PMID:38639765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11224080/
Abstract

INTRODUCTION

The prevalence of atopic diseases remains high. Initial studies suggest that primary prevention with regular basic care may influence the incidence of atopic dermatitis in infants; however, data are unclear. Midwives play an important role in the care of women in the peripartum period and therefore also in providing advice on topics such as skin care, breastfeeding and nutrition of the newborn and young infant. The aim of this study was to determine the care recommendations for newborns by midwives.

METHODS

We conducted a cross-sectional survey among German midwives using questionnaires on the topic of newborn skin care.

RESULTS

A total of 128 questionnaires were analyzed. The most common recommendations were oil-based herbal topicals (34.9%) and plain water (34.0%). Approximately 70% of midwives reported recommending various options when there was a known family history of atopic diathesis. It was remarkable that most of the midwives' recommendations were identical regardless of the presence of an atopic diathesis. Essential care products are only used "when necessary".

CONCLUSION

Training programs for midwives on the topic of "care and strengthening of the skin barrier", taking into account the current guidelines for allergy prevention, should be implemented.

摘要

引言

特应性疾病的患病率仍然很高。初步研究表明,通过定期基础护理进行一级预防可能会影响婴儿特应性皮炎的发病率;然而,数据并不明确。助产士在围产期妇女护理中发挥着重要作用,因此在提供有关新生儿和幼儿皮肤护理、母乳喂养及营养等主题的建议方面也很重要。本研究的目的是确定助产士对新生儿的护理建议。

方法

我们通过问卷调查就新生儿皮肤护理主题对德国助产士进行了横断面调查。

结果

共分析了128份问卷。最常见的建议是使用油基草本外用制剂(34.9%)和清水(34.0%)。约70%的助产士报告称,当有特应性素质家族史时会推荐多种选择。值得注意的是,无论是否存在特应性素质,大多数助产士的建议都是相同的。基本护理产品仅在“必要时”使用。

结论

应实施针对助产士的“护理与强化皮肤屏障”主题培训项目,同时考虑当前的过敏预防指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f13a/11224080/3fce77aa2c1e/105_2024_5334_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f13a/11224080/3fce77aa2c1e/105_2024_5334_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f13a/11224080/3fce77aa2c1e/105_2024_5334_Fig1_HTML.jpg

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本文引用的文献

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Topical emollient application in term healthy newborns: A systematic review.健康新生儿局部保湿剂应用:系统评价。
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S3 guideline Allergy Prevention.S3 预防过敏指南。
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Skin care interventions in infants for preventing eczema and food allergy.婴幼儿皮肤护理干预措施预防特应性皮炎和食物过敏。
Cochrane Database Syst Rev. 2021 Feb 5;2(2):CD013534. doi: 10.1002/14651858.CD013534.pub2.
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Consensus-based European guidelines for treatment of atopic eczema (atopic dermatitis) in adults and children: part I.基于共识的欧洲成人和儿童特应性皮炎(特应性湿疹)治疗指南:第一部分。
J Eur Acad Dermatol Venereol. 2018 May;32(5):657-682. doi: 10.1111/jdv.14891.
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[Microbiome, atopic eczema and blockade of type 2 immunity].[微生物组、特应性皮炎与2型免疫阻断]
Hautarzt. 2018 Mar;69(3):197-203. doi: 10.1007/s00105-018-4129-2.
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