探索新生儿重症监护室中支气管肺功能失调的临床康复实践:一种定性研究
1Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Nursing in critical care
|March 3, 2025
概括
在中国,早产婴儿患有支气管肺功能障碍 (BPD) 的康复缺乏标准化,实践不一致,合作有限. 加强多学科团队和家长参与对于改善新生儿重症监护室 (NICU) 的结果至关重要.
科学领域:
- 新生儿护理 新生儿护理
- 儿科康复儿童康复中心
- 呼吸系统药物 呼吸系统药物
背景情况:
- 支气管肺功能障碍 (BPD) 是极度早产婴儿的常见并发症,增加神经发育障碍的风险.
- 康复治疗可以改善患有BPD的婴儿的肺和神经功能.
- 中国目前的康复实践缺乏关于最佳时间,类型,频率和后续行动的共识.
研究的目的:
- 调查新生儿重症监护室 (NICU) 中BPD目前的临床康复实践.
主要方法:
- 定性描述性研究.定性描述性研究.
- 涉及12名线人. 涉及12名线人.
主要成果:
- 确定了五个主要主题:非标准化实践,缺乏共识/合作,父母参与有限,护士角色受限,环境不充分.
- 康复的频率,强度,启动和随访不一致.
- 跨学科的沟通和家长的参与 (例如,袋鼠照顾) 是最小的.
结论:
- 目前在NICU的BPD康复不一致,缺乏跨学科的合作和最佳的家长参与.
- 需要多学科团队和基于证据的,文化定制的康复方案.
- 改善家长参与,康复空间,环境因素和护士培训对于婴儿康复至关重要.
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