在COVID-19等呼吸道病原体引起的流行病期间,关于家长在NICU中的存在的实践建议
Marsha Campbell-Yeo1,2, Fabiana Bacchini3, Lynsey Alcock2
1Faculty of Health, School of Nursing, Dalhousie University, Halifax, NS, Canada.
Frontiers in pediatrics
|July 10, 2024
概括
在流行病期间,父母在新生儿重症监护室 (NICU) 的存在至关重要. 这项研究制定了13个强有力的和有条件的建议,建议在COVID-19等呼吸道病原体爆发期间,在加拿大NICU中进行家长存在的做法.
科学领域:
- 新生儿护理 新生儿护理
- 传染病流行病学 传染病流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 由呼吸道病原体引起的流行病,如COVID-19,显著影响医院访问政策.
- 保持父母在新生儿重症监护室 (NICU) 的存在对于婴儿的福祉和以家庭为中心的护理至关重要.
- 加拿大NICU需要基于证据的指导来适应卫生危机期间的家长存在实践.
研究的目的:
- 共同创建基于共识的建议,用于加拿大NICU的家长存在实践.
- 为应对由呼吸道病原体引起的流行病所带来的挑战.
- 确保在公共卫生紧急情况期间继续提供基本的家庭综合护理.
主要方法:
- 采用混合方法方法,整合证据审查,上下文分析和Delphi技术.
- 两轮的德尔菲调查对59名参与者进行了调查,以评估各种家长存在实践的重要性.
- 共识被定义为80%的协议,讨论以证据为基础,在价值和偏好框架内了解利益和危害.
主要成果:
- 经过两轮Delphi,共识了13项关于父母出席的共识建议.
- 包括六个强有力的建议:父母作为基本的照顾者,皮肤接触,母乳养,参加医疗检查,获得心理健康服务和父母合作伙伴的纳入.
- 七个有条件的建议涵盖了亲手照顾,触摸,双亲存在,获得食物/饮料,通信设备以及亲自访问巡回和服务.
结论:
- 开发的建议为加拿大NICU提供了一个框架,以管理在流行病期间的家长存在.
- 这些指南支持基本护理实践的调整,同时减轻感染风险.
- 实施这些建议可以帮助在关键情况下保持以家庭为中心的护理原则.
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