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最佳陪伴:加强父母融入以最大化早产儿神经发育结局

Optimal presence: enhancing parent integration to maximize neurodevelopmental outcomes in preterm infants.

作者信息

Mann Paul C, Stansfield Brian K

机构信息

Department of Pediatrics, Augusta University, Augusta, GA, USA.

出版信息

Pediatr Res. 2024 Nov;96(6):1445-1453. doi: 10.1038/s41390-024-03491-y. Epub 2024 Aug 15.

DOI:10.1038/s41390-024-03491-y
PMID:39147904
Abstract

Preterm birth disrupts the natural progression of events in the parent-infant relationship and bestows many of the typical parent responsibilities to the clinical care team. In turn, the neonatal intensive care environment (NICU) introduces obstacles to parents that would not otherwise be encountered and forces parents to adapt to this artificial environment as they seek to bond with and care for their newborn. Facilitating parent presence at the bedside and incorporating them into the care of their preterm infant is critical for lessening the immediate burden to both the parent and offspring while also ensuring the best possible outcome for preterm infants. In this review, we explore the impact that parents exert on the neurodevelopmental outcome of preterm infants and identify several barriers and facilitators to parent presence.

摘要

早产打乱了亲子关系中自然的事件发展进程,并将许多典型的父母职责赋予了临床护理团队。反过来,新生儿重症监护环境(NICU)给父母带来了原本不会遇到的障碍,并迫使父母在试图与新生儿建立联系并照顾他们时适应这种人为环境。促进父母床边陪伴并让他们参与到对早产婴儿的护理中,对于减轻父母和婴儿的直接负担、确保早产婴儿获得尽可能好的结果至关重要。在这篇综述中,我们探讨了父母对早产婴儿神经发育结局的影响,并确定了父母陪伴的几个障碍和促进因素。

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本文引用的文献

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Impact of sex, race, and social determinants of health on neonatal outcomes.性别、种族及健康的社会决定因素对新生儿结局的影响。
Front Pediatr. 2024 Apr 9;12:1377195. doi: 10.3389/fped.2024.1377195. eCollection 2024.
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Optimistic vs Pessimistic Message Framing in Communicating Prognosis to Parents of Very Preterm Infants: The COPE Randomized Clinical Trial.向极早产儿父母传递预后时的乐观与悲观信息框架:COPE 随机临床试验。
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家长作业参与度与学生数学成绩:一项元分析
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Dev Neurosci. 2023;45(5):255-267. doi: 10.1159/000530745. Epub 2023 Apr 20.
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Maternal perinatal depression and child neurocognitive development: A relationship still to be clarified.孕产妇围产期抑郁与儿童神经认知发育:一种仍有待阐明的关系。
Front Psychiatry. 2023 Mar 20;14:1151897. doi: 10.3389/fpsyt.2023.1151897. eCollection 2023.
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Arch Dis Child Fetal Neonatal Ed. 2023 Nov;108(6):575-580. doi: 10.1136/archdischild-2022-325011. Epub 2023 Mar 30.
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Prenatal and perinatal factors associated with neonatal neurobehavioral profiles in the ECHO Program.与 ECHO 计划中新生儿神经行为特征相关的产前和围产期因素。
Pediatr Res. 2023 Aug;94(2):762-770. doi: 10.1038/s41390-023-02540-2. Epub 2023 Feb 25.
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Postnatal maternal depressive symptoms and behavioural outcomes in term-born and preterm-born toddlers: a longitudinal UK community cohort study.足月产和早产婴儿的产后母亲抑郁症状和行为结果:一项英国社区队列纵向研究。
BMJ Open. 2022 Sep 1;12(9):e058540. doi: 10.1136/bmjopen-2021-058540.
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Parent-infant closeness after preterm birth and depressive symptoms: A longitudinal study.早产与抑郁症状后的亲子亲密关系:一项纵向研究。
Front Psychol. 2022 Jul 22;13:906531. doi: 10.3389/fpsyg.2022.906531. eCollection 2022.
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Staff perceptions and challenges of the single-family room design-Experience of a greenfield level4 neonatal intensive care unit in the Middle East.员工对单人间设计的看法与挑战——中东地区一家新建的四级新生儿重症监护病房的经验
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