家庭作为新生儿神经关键护理计划的合作伙伴
Simran Bansal1, Eleanor J Molloy2,3,4, Elizabeth Rogers5
1Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
患有神经疾病的婴儿的父母需要专门的支持. 将以家庭为中心的护理整合到新生儿神经关键护理 (NNCC) 计划中,可以改善婴儿和父母的结果.
科学领域:
- 新生儿神经病学 新生儿神经病学
- 发展心理学 发展心理学
- 家庭为中心的护理
背景情况:
- 患有神经疾病的新生儿的父母面临着重大的情感,后勤和社会挑战.
- 这些挑战增加了对心理健康问题的脆弱性,影响了父母和新生儿之间的联系和婴儿的神经发育.
- 目前新生儿重症监护室 (NICU) 的指导方针缺乏新生儿神经病患者群体中独特的父母需求的整合.
研究的目的:
- 审查基于证据的策略,以发展新生儿神经关键护理 (NNCC) 计划中的家庭合作护理.
- 强调解决家长需求以优化婴儿神经发育结果的重要性.
- 倡导采用整体方法,将家庭纳入新生儿神经病护理中的公平合作伙伴.
主要方法:
- 对新生儿环境中以家庭为中心的护理现有文献的审查.
- 确定NNCC.家庭合作方式的关键组成部分.
- 综合提高家长与临床医生的沟通,支持和参与的策略.
主要成果:
- NNCC计划需要一个以家庭为中心的环境,优先考虑沟通,纵向支持和父母伙伴关系.
- 基于证据的策略包括特定的人员配置模式,员工培训 (沟通,偏见,文化能力),照顾者培训,单一家庭房间,灵活的访问和综合护理.
- 重要组成部分还包括心理健康查,后续推和同行支持联系.
结论:
- 在NNCC中,家庭合作的方法对于优化神经和发育结果至关重要.
- 解决父母的心理健康和福祉是婴儿护理的组成部分.
- 实施这些策略可以改善父母和新生儿的精神和身体健康.
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