Missouri State University, 901 S. National Avenue, OCHS 203H, Springfield, MO 65897, USA.
Crit Care Nurs Clin North Am. 2024 Jun;36(2):235-249. doi: 10.1016/j.cnc.2023.11.010. Epub 2024 Feb 14.
The number of infants diagnosed with neonatal abstinence syndrome (NAS) or neonatal opioid withdrawal syndrome (NOWS) has increased. The expression of NAS/NOWS symptoms differs and typically begins within the first few days of life, considered a critical period for feeding skill establishment, nourishment, and attachment. Non-pharmacologic interventions may be deployed to reduce or eliminate the need for replacement opioids while targeting outcomes like feeding dysfunction. Critical care providers can benefit from a structured examination of disordered feeding experiences to inform their selection of non-pharmacologic interventions. This structure can be provided using the Ecology of Human Performance model.
被诊断患有新生儿戒断综合征(NAS)或新生儿阿片类戒断综合征(NOWS)的婴儿数量有所增加。NAS/NOWS 症状的表现不同,通常在生命的头几天开始,被认为是喂养技能建立、营养和依恋的关键时期。非药物干预措施可以被用来减少或消除对替代阿片类药物的需求,同时针对喂养功能障碍等结果。重症监护提供者可以从对紊乱喂养经历的结构化检查中受益,以便为他们选择非药物干预措施提供信息。这种结构可以使用人类绩效生态学模型来提供。