嵌入"CoolCuddle"干预措施,用于婴儿接受治疗性低温的低氧性缺血性脑病在NICU:使用规范化过程理论的评估
Lucy Beasant1, Ela Chakkarapani2, Jeremy Horwood3
1Centre for Academic Child Health, University of Bristol, Bristol, UK.
BMJ open
|October 18, 2024
概括
通过CoolCuddle干预,家长可以抱着接受低氧缺血性脑病变 (HIE) 冷却治疗的婴儿. 这项研究发现,它可以安全地在新生儿重症监护室 (NICU) 实施,并采用灵活的标准操作程序.
科学领域:
- 新生儿护理 新生儿护理
- 产周医学 产周医学
- 儿科重症监护室的重症监护室
背景情况:
- 低毒性缺血性脑病变 (HIE) 影响新生儿由于出生前后的缺氧.
- 目前的做法往往阻止父母在HIE必要的冷却疗法期间接触.
- "CoolCuddle"的干预旨在在这个关键时期促进父母之间的联系.
研究的目的:
- 评估"CoolCuddle"干预措施在英国新生儿重症监护室 (NICU) 的实施情况.
- 确定影响"CoolCuddle"在临床实践中的采用和整合的因素.
- 评估父母在冷却治疗期间抱着婴儿的安全性和可行性.
主要方法:
- 使用定性方法和规范化过程理论 (NPT) 的过程评估.
- 通过调查问卷 (NoMADs) 和与NICU工作人员和家人进行半结构面试收集的数据.
- 在6个月的时间里,在英格兰的6个三级NICU进行了研究.
主要成果:
- 随着时间的推移,工作人员对"CoolCuddle"的接受度有所提高,最初人们对移动婴儿的安全性感到担忧.
- 一个明确的,可适应的标准操作程序对于安全实施至关重要.
- 该干预措施被发现与现有的冷却疗法和重症监护协议相兼容.
结论:
- "CoolCuddle"干预可以在各种NICU设置中的标准新生儿团队安全地实施.
- 可适应的标准操作程序是成功融入常规新生儿护理的关键.
- 在冷却疗法期间促进父母的接触可以在不损害婴儿安全或治疗疗效的情况下实现.
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