北欧调查显示,非常早产婴儿出院的做法存在很大差异
Sofia Arwehed1, Anna Axelin1,2, Lars J Björklund3
1Department of Women's and Children's Health, Uppsala University and Uppsala University Hospital, Uppsala, Sweden.
Acta paediatrica (Oslo, Norway : 1992)
|August 4, 2023
概括
非常早产婴儿的出院标准在北欧新生儿病房中存在很大差异,主要依赖于临床评估. 这种不一致可能会延迟婴儿出院,突出显示需要标准化基于证据的指导方针.
科学领域:
- 新生儿医学 新生儿医学
- 儿科医疗保健研究 儿科医疗保健研究
- 临床实践指南 临床实践指南
背景情况:
- 北欧新生儿病房显示出非常早产婴儿的临床实践和出院标准的差异.
- 了解这些差异对于优化婴儿护理和家庭过渡至关重要.
研究的目的:
- 描述北欧新生儿病房中非常早产婴儿的当前临床实践和出院标准.
- 确定排放准备性评估的变化和潜在改进领域.
主要方法:
- 在丹麦,芬兰,冰岛,挪威和瑞典的89个2级和3级新生儿病房的医疗主管分发了一份基于网络的调查.
- 实现了93% (83个单位) 的响应率,提供了有关放电实践的数据.
主要成果:
- 排放准备主要依赖于临床评估,在各单位使用的具体标准中存在显著差异.
- 36%的人使用了正式的心肺呼吸系统稳定性测试,59%的人使用了婴儿体重/生长标准.
- 在45%的单位中,掌握父母语言是强制性出院标准;父母的准备往往在住院后期开始.
结论:
- 北欧新生儿病房的出院标准存在显著差异,这表明缺乏证据基础和延迟出院的可能性.
- 标准化的标准和实施早期的父母准备,可能包括口译服务,可以促进婴儿更早,更顺利的出院.
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