Durand B
Nurs Res. 1975 Jul-Aug;24(4):272-86.
A five-year-old child with Down's syndrome and severe failure to thrive, given a program of individually tailored developmental nursing care, showed substantial improvement as evidenced by changes in seven of nine criteria chosen for measurement. When investigation of the child and his family suggested that the failure to thrive was the result of masked deprivation, a study was designed to measure the effect of a 17-day program of developmental nursing care on specific parameters of growth and behavior-height, weight amount of sleep, caloric intake, active mobility, awareness of the environment, prelanguage vocalizations, self-stimulation behavior, and play activity with toys. Data on these criteria were gathered before, during, and after the nursing care program. Findings supported the assumptions that there would be an increase in height, weight, amount of sleep, active mobility, awareness of the environment, prelanguage vocalizations and a decrease in self-stimulation. Findings did not support the assumptions that there would be an increase in caloric intake and play activity with toys. The study supported the use of nursing care as the primary therapeutic modality for children with this condition and illustrated an approach to systematic evaluation of the effects of nursing care.
一名患有唐氏综合征且严重发育不良的五岁儿童，接受了个性化定制的发育护理计划，从所选取用于测量的九项标准中的七项变化来看，有了显著改善。当对该儿童及其家庭的调查表明发育不良是隐蔽性剥夺的结果时，设计了一项研究来测量为期17天的发育护理计划对生长和行为的特定参数——身高、体重、睡眠时间、热量摄入、活动能力、对环境的感知、语言前发声、自我刺激行为以及玩玩具的活动——的影响。在护理计划实施前、实施期间和实施后收集了这些标准的数据。研究结果支持了这样的假设，即身高、体重、睡眠时间、活动能力、对环境的感知、语言前发声会增加，自我刺激会减少。研究结果不支持热量摄入和玩玩具的活动会增加的假设。该研究支持将护理作为患有这种疾病儿童的主要治疗方式，并展示了一种系统评估护理效果的方法。
