婴儿带领的化器断奶:在早产新生儿护理中的一个有希望的范式转变
Jennifer Rath1, Lauren A Stracuzzi, Sarah E Wawrzynski
1Author Affiliations: Neonatal Intensive Care (Mss Rath and Stracuzzi), Center for HealthCare Delivery Science (Dr Wawrzynski), and Patient Care Services (Dr Haut), Nemours Children's Health, Wilmington, Delaware.
概括
婴儿主导的化器断奶是早产婴儿的安全替代方案,表明他们可以在较低的体重下过渡到开放的婴儿床. 这种方法支持在护理期间更好的温度调节和体重增加.
科学领域:
- 新生儿护理 新生儿护理
- 儿科温度调节 儿科温度调节
- 婴儿发育婴儿的发展.
背景情况:
- 温度调节对于早产婴儿护理至关重要.
- 传统的护士领导的化器断奶协议是标准的.
- 婴儿驱动的化器协议显示出有前途.
研究的目的:
- 为了检查婴儿主导的化器断奶对新生儿队伍的影响.
- 为了确定婴儿在更早的妊娠年龄和更低的体重时是否断奶.
- 在过渡到开放婴儿床期间评估体重增加.
主要方法:
- 回顾性图表审查. 回顾性图表审查.
- 40名体重小于1500克的婴儿进行了比较.
- 对协议前后变化数据的分析.
主要成果:
- 婴儿主导的断奶组在婴儿床过渡时体重较低 (1836.8g vs 1975.9g,P=.02).
- 在婴儿主导的小组中,在断奶前5天的体重变化较低 (141g vs 185g,P=.03).
- 怀孕年龄在断奶时没有显著差异,断奶后的体重变化或离院几天没有显著差异.
结论:
- 婴儿主导的断奶是早产新生儿的安全替代方案.
- 建议对婴儿和家庭有潜在的益处.
- 需要对更大的队列进行进一步的研究来验证疗效.
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