Velasco Arias Jina M, Peres Aida M, Escandell Rico Francisco M, Solano-Ruiz M Carmen, Gil-Guillen Vicente F, Noreña-Peña Ana
Postgraduate Program in Nursing, Health Sciences Sector, Federal University of Paraná, Curitiba 80060, PR, Brazil.
Department of Nursing, Faculty of Health Sciences, University of Alicante, 03080 Alicante, Spain.
Children (Basel). 2025 Jun 16;12(6):783. doi: 10.3390/children12060783.
Preterm newborns often require specialized care and management. However, exposure to multiple stimuli during hospitalization can adversely affect their neurological development. Developmental-centered care integrates evidence-based practices and neuroprotective strategies to create an optimal care environment that minimizes harmful stimuli in the neonatal intensive care unit (NICU) and supports the neurological development of preterm infants. To identify interventions related to developmental-centered care that support preterm newborns in the NICU. A scoping review was conducted following the guidelines of the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. A comprehensive search was performed in MEDLINE, CINAHL, and Web of Science databases. The results were categorized based on the general characteristics of the studies and the main interventions related to developmental-centered care. Out of 163 potentially relevant sources identified, 19 studies met the inclusion criteria. A total of 52 interventions were identified and classified into three thematic categories related to the benefits of the kangaroo care method, the family-centered care model, and the neonatal individualized developmental care and assessment program. The findings underscore the importance of integrating developmental-centered care practices, such as skin-to-skin contact, specialized feeding, and active parental involvement, into clinical practice to support neurodevelopment and improve health outcomes in preterm infants.
早产儿通常需要特殊的护理和管理。然而，住院期间接触多种刺激会对其神经发育产生不利影响。以发育为中心的护理整合了循证实践和神经保护策略，以创造一个最佳的护理环境，最大限度地减少新生儿重症监护病房（NICU）中的有害刺激，并支持早产儿的神经发育。为了确定与以发育为中心的护理相关的、支持NICU中早产儿的干预措施。按照乔安娜·布里格斯研究所的指南以及系统评价和元分析扩展版的首选报告项目进行了一项范围综述。在MEDLINE、CINAHL和科学网数据库中进行了全面检索。结果根据研究的一般特征和与以发育为中心的护理相关的主要干预措施进行了分类。在确定的163个潜在相关来源中，19项研究符合纳入标准。共确定了52项干预措施，并将其分为与袋鼠护理法的益处、以家庭为中心的护理模式以及新生儿个体化发育护理与评估计划相关的三个主题类别。研究结果强调了将以发育为中心的护理实践，如皮肤接触、特殊喂养和家长积极参与，纳入临床实践以支持早产儿神经发育并改善其健康结局的重要性。
