实施"吃,睡,舒适"的护理模式:一个全面的综述
Sarah M Gallant1,2, Kelly DeCoste1,2,3, NaDeana Norris1,2
1Dalhousie University, Halifax, Nova Scotia.
Hospital pediatrics
|February 2, 2025
概括
吃,睡,安慰 (ESC) 模式改善了对新生儿戒断综合征的婴儿护理. 实施策略侧重于教育和家长参与,但需要更多关于公平性和过程结果的研究.
科学领域:
- 新生儿护理 新生儿护理
- 医疗实施科学 医疗实施科学
- 卫生公平性健康公平性
背景情况:
- 新生儿戒断综合征 (NAS) 影响婴儿,需要有效的护理模式.
- 饮食,睡眠,舒适 (ESC) 模式是NAS护理的创新方法,有望改善患者和卫生系统的结果.
- 在临床实践中,ESC模型的可持续实施仍未得到充分探索.
研究的目的:
- 在临床实践中对ESC模型的实施进行现有证据的映射.
- 确定与ESC模式实施相关的战略,障碍和促进者.
- 审查ESC模式实施的评估结果.
主要方法:
- 在多个数据库 (MEDLINE,Embase,CINAHL,PsycINFO,Google Scholar) 和通过谷歌搜索进行了全面的文献搜索.
- 包括自2017年以来发表的研究,探讨ESC模型在临床实践中的实施或评估.
- 两个审稿人进行了独立的选和数据提取,以确保研究的严格性.
主要成果:
- 确定了34项研究,详细介绍了ESC模型的实施努力.
- 关键障碍包括资源限制和系统压迫/偏见,而促进者涉及医疗保健提供者教育和加强家长参与.
- 最常见的实施策略涉及利益相关者培训和教育 (31.6%).
结论:
- 在各种环境中,ESC模型已经取得了成功,导致了诸如减少住院时间和减少婴儿药物治疗等积极结果.
- 在了解实施过程和结果的细微差别方面存在很大的差距.
- 未来的研究应该专注于公平地检查ESC护理模式的上下文元素和具体实施结果.
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