适用于NICU的不良童年经历框架的应用
Kathryn J Malin1, Dorothy Vittner, Umber Darilek
1College of Nursing, Marquette University, Milwaukee, Wisconsin (Dr Malin); Children's Wisconsin, Milwaukee (Dr Malin); Egan School of Nursing & Health Studies, Fairfield University, Fairfield, Connecticut (Dr Vittner); Department of Pediatrics (Dr Darilek) and School of Nursing (Drs McGlothen-Bell, Crawford, and McGrath), The University of Texas Health Science Center at San Antonio; University of Florida, Gainesville (Dr Koerner); Infant Feeding Care, Wellesley, Massachusetts (Dr Pados); School of Nursing, Old Dominion University, Norfolk, Virginia (Dr Cartagena); and Center for Health Policy and Health Services Research, Henry Ford Health, Detroit, Michigan (Dr Vance).
儿童不良经历 (ACE) 框架可以指导新生儿重症监护室 (NICU) 护理,将住院治疗视为潜在的ACE. 创伤知情实践和支持性关系减轻了婴儿神经发育和家庭福祉的风险.
科学领域:
- 新生儿护理 新生儿护理
- 发展心理学是发展心理学.
- 公共卫生 公共卫生
背景情况:
- 新生儿重症监护室 (NICU) 的住院治疗对婴儿和家庭造成重大压力和创伤.
- 现有的框架未能充分解决NICU环境中代际压力,疼痛,有毒压力和父母分离的复杂相互作用.
- 迫切需要有结构的方法来指导临床护理和研究婴儿和家庭在NICU的结果.
研究的目的:
- 在NICU环境中应用不良童年经历 (ACEs) 框架.
- 为指导临床实践和研究婴儿神经发育结果和父母依恋提供一个结构.
- 增强对NICU环境中的风险和保护因素的理解.
主要方法:
- 关于ACEs框架及其与NICU相关性的概述.
- 在NICU的背景下,详细讨论ACE金字塔的各个层面的风险.
- 识别和讨论支持性和保护性因素,以减轻NICU相关的ACE.
主要成果:
- 婴儿重症监护室住院可以被视为不良童年经历 (ACE),增加健康状况较差的风险.
- 促进安全,稳定和培养关系至关重要.
- 创伤知情护理和个性化发育护理可以抵消NICU压力的负面影响.
结论:
- 护士在通过皮肤对皮肤护理和家长参与等实践来平衡NICU刺激方面发挥着至关重要的作用.
- ACEs框架为未来研究NICU人群中的累积风险和幸福感提供了有价值的镜头.
- 实施创伤知情护理对于改善婴儿和家庭的结果至关重要.
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