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Updated: Jan 8, 2026

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NICUにおける社会的健康決定要因スクリーニングプロセスの実施

Kristina A Clark¹, Megan E Colwell, Hannah M Lyons

¹Care Coordinator Neonatal Intensive Care Unit, Ann & Robert H. Lurie Children's Hospital of Chicago (Clark, Colwell, Lyons), Chicago IL, Associate Physician Diplomate, UC San Diego School of Medicine and Rady Children's Hospital of San Diego (Dr Voller), San Diego, CA, Elizabeth C. Poster Professor, University of Texas at Arlington, College of Nursing and Health Innovation (Dr Manworren), Arlington, TX, PhD Program Director, University of Texas at Arlington, College of Nursing and Health Innovation (Dr Manworren), Arlington, TX, Associate Professor, Department of Pediatrics, Feinberg School of Medicine, Northwestern University (Dr Manworren), Chicago, IL, Reference & Clinical Services Librarian Department of Clinical and Organizational Development, Ann & Robert H. Lurie Children's Hospital of Chicago (Fawcett), Chicago IL, Attending Neonatologist, Ann & Robert H. Lurie Children's Hospital of Chicago (Dr Murthy), Chicago, IL, Professor, Department of Pediatrics, Feinberg School of Medicine, Northwestern University (Dr Murthy), Chicago, IL, and Children's Hospitals Neonatal Consortium (Dr Murthy), Dover, DE.

The Journal of nursing administration

|December 22, 2025

まとめ

ケアコーディネーションは、早産児の社会的健康決定要因（SDoH）を効果的に扱います。ケアコーディネーターによる一貫した再評価は、家族を重要なリソースにつなぎ、エンゲージメントと健康転帰を改善します。

科学分野:

新生児集中治療室（NICU）のケアコーディネーション
社会的健康決定要因（SDoH）のスクリーニングと紹介

背景:

SDoHは健康転帰、特に早産児のような脆弱な集団に大きな影響を与えます。
効果的なスクリーニングと紹介は、リスクの高い新生児集団におけるSDoHに対処するために不可欠です。

研究の目的:

レベルIV NICUにおける社会的健康決定要因（SDoH）スクリーニングとリソース紹介を強化する上でのケアコーディネーション（CC）の有効性を調査すること。
CCが家族を不可欠なリソースにつなぎ、健康転帰を改善することへの影響を評価すること。

主な方法:

2022年にCCに登録された乳児の網膜的記述的研究。
SDoHスクリーニング、リソース紹介、およびその後の転帰の完了率を評価しました。
SDoH評価とサポートにおけるCCスタッフの役割に焦点を当てました。

主要な成果:

入室後24時間以内にSDoHスクリーニングが完了したのはわずか28%でしたが、CCによる再評価は96%でした。提供された主なリソースには、ケアアドバイザー、家族サービス、財政支援が含まれていました。紹介されたリソースへの接続率は81%から91%でした。

結論:

長期的なCCは、家族のSDoHのニーズを理解し、サポートするために不可欠です。
柔軟で早期のSDoHスクリーニングとCCの再評価を組み合わせることで、リソース接続とエンゲージメントが向上します。
継続的なCCサポートは、NICUの乳児と家族の障壁を減らし、信頼を築き、より良い健康転帰を促進します。

キーワード:

社会的健康決定要因 NICU ケアコーディネーション早産児スクリーニングリソース紹介

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