Pineda Roberta, Misikoff Maya, Ghahramani Sahar, Smith Joan, Mathur Amit
Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California, USA.
Department of Pediatrics, Keck School of Medicine, Los Angeles, California, USA.
Acta Paediatr. 2025 Apr;114(4):731-742. doi: 10.1111/apa.17293. Epub 2024 May 29.
To describe the supporting and enhancing neonatal intensive care unit (NICU) sensory experiences (SENSE) program, associated research and opportunities for further study.
A review of current materials on SENSE program implementation, publications related to SENSE development, and research on program implementation and patient outcomes was conducted to describe the SENSE program and its associated research.
The SENSE program combines structured, evidence-based, multisensory interventions with parent engagement in order to optimise outcomes in the complex NICU environment. Through a stepwise and scientific process, the SENSE program was developed to include specific doses and targeted timing (based on the infant's postmenstrual age, PMA) of evidence-based interventions such as massage, auditory exposure, rocking, holding and skin-to-skin care for parents to provide their infants each day of NICU hospitalisation. It is adapted in context of concurrent medical interventions, infant behavioural responses, as well as NICU culture. The program is feasible to implement, acceptable to staff, and related to infants receiving more developmentally appropriate sensory exposures. Adaptations related to NICU culture and parent involvement have been reported. Research has identified relationships of the SENSE program to improved parent confidence, neurobehaviour and feeding at term age as well as improved communication 1 year of age.
The literature related to the SENSE program is promising, but more research on efficacy and implementation is needed.
描述支持和强化新生儿重症监护病房（NICU）感官体验（SENSE）项目、相关研究及进一步研究的机会。
对当前关于SENSE项目实施的资料、与SENSE项目发展相关的出版物以及项目实施和患者结局的研究进行综述，以描述SENSE项目及其相关研究。
SENSE项目将结构化、循证多感官干预与家长参与相结合，以优化复杂NICU环境中的结局。通过逐步且科学的过程，SENSE项目得以发展，纳入了特定剂量和靶向时机（基于婴儿的孕龄，PMA）的循证干预措施，如按摩、听觉刺激、摇晃、抱持以及家长的皮肤接触护理，以便在婴儿入住NICU期间的每一天为其提供这些干预。该项目会根据同时进行的医疗干预、婴儿的行为反应以及NICU文化进行调整。该项目实施可行，工作人员认可，且与婴儿获得更适合其发育阶段的感官刺激相关。已报告了与NICU文化和家长参与相关的调整情况。研究已确定SENSE项目与提高家长信心、足月时的神经行为和喂养能力以及1岁时改善沟通之间的关系。
与SENSE项目相关的文献很有前景，但仍需要更多关于疗效和实施的研究。
