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从新生儿重症监护病房过渡到家庭期间的新生儿治疗原则:一项改良的德尔菲研究。

Neonatal therapy principles during transition from neonatal intensive care unit to home: A modified Delphi study.

作者信息

Miller Kerry, Willett Sandra, Mccarty Dana, Dusing Stacey C

机构信息

University of Nebraska Medical Center, Omaha, NE, USA.

Colorado Mesa University, Grand Junction, CO, USA.

出版信息

Dev Med Child Neurol. 2025 Mar;67(3):357-364. doi: 10.1111/dmcn.16075. Epub 2024 Aug 26.

Abstract

AIM

To establish expert consensus on key principles for therapist-supported interventions supporting infants born preterm and their families during the transition from neonatal intensive care unit (NICU) to home in the USA.

METHOD

A diverse, interdisciplinary panel of experts evaluated the use of key intervention principles. A modified Delphi technique was used to seek opinions from independent and relevant interdisciplinary experts on the clarity of terminology, efficacy, and feasibility of implementing these intervention principles during the NICU-to-home transition.

RESULTS

After our team consensus, one round of surveys was required to reach expert consensus. Twenty-four experts, representing a variety of disciplines, responded to the survey. Results showed strong consensus on four key therapist-supported interventions: building caregiver-child relationships; optimizing infant development; education and knowledge sharing; and enriched environments.

INTERPRETATION

This research provides valuable insights into key therapist-supported interventions that may be used during the NICU-to-home transition to address the needs of high-risk infants and the well-being of their families. Findings will inform the development of streamlined and effective interventions, improving child and family outcomes during this critical transition period.

摘要

目的

就美国早产儿及其家庭从新生儿重症监护病房(NICU)过渡到家庭期间治疗师支持干预的关键原则达成专家共识。

方法

一个多元化的跨学科专家小组评估了关键干预原则的使用情况。采用改良的德尔菲技术,征求独立且相关的跨学科专家对这些干预原则在NICU到家庭过渡期间术语的清晰度、有效性和可行性的意见。

结果

经过我们团队的共识,一轮调查就达成了专家共识。24名代表不同学科的专家回复了调查。结果显示,在四项关键的治疗师支持干预措施上达成了强烈共识:建立照顾者与儿童的关系;优化婴儿发育;教育与知识共享;以及丰富环境。

解读

本研究为NICU到家庭过渡期间可能使用的关键治疗师支持干预措施提供了有价值的见解,以满足高危婴儿的需求及其家庭的福祉。研究结果将为简化和有效的干预措施的制定提供参考,改善这一关键过渡时期儿童和家庭的结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1624/11794667/fa634f721567/DMCN-67-357-g001.jpg

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