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时间运动观测以描述儿科后急性护理医院的发育环境
Patrick G Hogan1, Claire E Wallace1, Nanette R Schaffer-Nay1
1Ranken Jordan Pediatric Bridge Hospital, Maryland Heights, Missouri, USA.
Child: care, health and development
|September 25, 2023
概括
长期住院的儿童经常面临神经发育延迟,因为刺激有限. 时间运动观测显示,这些孩子在床上和独自度过了大量的清醒时间,突出了改善发育编程的需要.
科学领域:
- 儿科健康 儿科健康
- 发展心理学 发展心理学
- 医院质量改善 医院质量改善
背景情况:
- 长期住院的儿童面临神经发育迟缓的风险.
- 受到限制的社交互动,运动和环境刺激加剧了这些风险.
- 了解住院环境因素对于发育丰富至关重要.
研究的目的:
- 描述慢性住院儿童住院环境的与发展相关的方面.
- 在儿科急性后护理环境中确定发展丰富的机会.
- 通过质量改进倡议为神经发育编程提供信息.
主要方法:
- 对0-5岁的住院患者进行了超过232小时的时间运动观察.
- 使用训练有素的观察员将观察结果分类为五个领域:何处,与谁,位置,状态和环境.
- 在iPad上使用REDCap收集连续数据,在任何域更改时启动新的观察.
主要成果:
- 总共收集了2636个独特的观察结果,这些患者的平均年龄为1年8个月,住院时间长.
- 患者每天平均花费4小时6分钟与某人互动,3小时51分钟离开床.
- 患者同时离开床,互动,并保持清醒,平均每天2小时21分钟.
结论:
- 尽管护理模式优先考虑出床时间和社交互动,但患者在床上和独自度过了大量的清醒时间.
- 量化发展机会对于有针对性的神经发育规划至关重要.
- 调查结果强调需要加强住院环境,以提供发展支持.
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