在通常的护理中,父母拥抱新生儿脑病的婴儿时的冷却和生理学:CoolCuddle-2研究
Ela Chakkarapani1,2, Jenny Ingram1, Stephanie Stocks2
1Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK.
Acta paediatrica (Oslo, Norway : 1992)
|October 25, 2024
概括
CoolCuddle允许家长拥抱新生儿脑病变 (NE) 的治疗性低温 (TH) 的婴儿. 在NICU的实施没有对冷却或重症监护产生不良影响,可能改善婴儿舒适度.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 治疗性低温症治疗性的低温症
- 新生儿脑病变 新生儿脑病变
背景情况:
- 治疗性低温症 (TH) 是新生儿脑病变 (NE) 的标准护理.
- 父母和婴儿之间的联系至关重要,但在TH期间通常是有限的.
- CoolCuddle是为了促进父母在TH期间拥抱而开发的.
研究的目的:
- 评估在常规新生儿重症监护室 (NICU) 实施CoolCuddle的影响.
- 评估CoolCuddle对治疗性低温过程和重症监护的作用.
- 为了确定父母在TH期间拥抱的安全性和可行性.
主要方法:
- 一项队列研究涉及36名接受NE的TH的婴儿.
- 护士们接受了关于CoolCuddle和标准操作程序的培训.
- 在拥抱期间评估了生理稳定性 (温度,心肺呼吸,神经生理学).
主要成果:
- 在CoolCuddle期间,呼吸系统参数,心率或神经功能没有显著变化.
- 在拥抱期间,在振幅集成EEG上增加了睡眠和清醒循环 (p=0.008).
- 较弱的证据表明疼痛得分较低 (p=0.08) 并没有报告任何不良反应.
结论:
- 在常规实践中实施CoolCuddle是安全的和可行的.
- 它不会对治疗性低温过程或重症监护产生负面影响.
- 在新生儿重症监护期间,CoolCuddle可能会提高婴儿舒适度.
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