新生児の緩和ケアのためのカンガルー抱擁輸送:サービス評価
Jacqueline Plazina1,2,3, Melissa Melville1, Li-An Collie1
1NeoRESQ, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Nursing in critical care
|September 2, 2025
まとめ
新生児は,カンガルーの抱擁法を使用して,終末期緩和ケアのために安全に移動することができます. この革新的な輸送モデルは 移動中に赤ちゃんの快適さと安全性を保証し 家族にとって有意義な選択肢となります
科学分野:
- 新生児のケア
- 緩和ケア
- 輸送医療
背景:
- 幼児死亡の60%以上は新生児で,大半は病院で終末期ケアを受けています.
- 大人と子供とは異なり 新生児には 専門の緩和ケア施設がありません
- 新生児回収サービスが カンガルーの抱擁輸送モデルを開発し 家族が自宅やホスピスでの緩和ケアを選択できるようにしました
研究 の 目的:
- カンガルーの抱擁輸送のためのサービスワークフローを評価する.
- 新生児の臨床的特徴を評価する
- このケアモデルの安全性,有効性,必要なプロセスと人材を決定する.
主な方法:
- プラン・ド・スタディ・アクト (PDSA) サイクルを用いたサービス評価
- 作業の流れ,人数,安全性,プロセス/機器,そして人材の5つの領域で評価された結果
- PDSAサイクルと使用許容度で評価された安全対策
主要な成果:
- 21世帯のうち13世帯が カンガルーの抱擁輸送を選んだ
- ほとんどの新生児は妊娠期で1200g以上でした.
- スタッフからのフィードバックはポジティブで,平均準備時間は0. 5時間,輸送時間は4時間でした.
結論:
- カンガルーの抱擁輸送は 新生児の終末期緩和ケアのための安全で効果的な方法です
- このモデルは新生児の患者さんにとって 有意義なサービスを提供します
- 潜在的複雑性のため,早産の新生児についてはさらなる評価が必要である.
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