确定在卫生机构中为小和生病的新生儿及其母亲的空间需求:系统性审查
Natalie Strobel1, Georgia Whisson1, Derek Swe1
1Kurongkurl Katitjin, Edith Cowan University, Perth, Australia.
Journal of global health
|October 17, 2025
概括
这次系统性审查没有发现低收入国家的小和生病新生儿 (SSN) 单位空间的基准. 需要更多的研究来确定SSN护理的最佳空间要求和感染控制标准.
科学领域:
- 新生儿护理 新生儿护理
- 卫生设施的设计设计.
- 公共卫生 公共卫生
背景情况:
- 在低收入和中等收入国家 (LMICs) 扩大小型和生病新生儿 (SSN) 服务提供没有确立的基准.
- 有限的证据可用于SSN单位的最佳床位需求,如特殊护理托儿所和新生儿重症监护室 (NICU).
- 本次审查重点关注卫生设施,特别是2级地区医院,以满足SSN及其母亲的空间需求.
研究的目的:
- 系统地审查和综合证据,对健康设施中小型和生病新生儿 (SSN) 单位的最佳空间要求.
- 确定SSN单位和母-NICU床位的床位空间和地板空间的基准.
- 突出关于LMICs空间需求的研究差距.
主要方法:
- 系统审查包括模拟,实验,观察研究,指导方针和专家意见.
- 搜索了多个数据库 (Medline,EMBASE,CENTRAL,CINAHL,LILACS) 在2023年10月之前.
- 使用ROB 2,ROBINS I,ROBINS E和AGREE-II工具评估研究质量;数据进行了叙事合成.
主要成果:
- 包括来自高收入国家的12份报告 (3个指导方针,1个模拟研究).
- 一个指导方针建议在开放式单元中每张床2.8平方米,14平方米的地板空间.
- 一项研究将母-NICU床位空间定义为20 m2 (包括) 或28 m2 (不包括浴室).
结论:
- 没有发现关于LMIC中SSN单元空间需求的研究.
- 对于高收入国家最佳空间的证据有限而异质.
- 进一步的研究,特别是模拟研究,对于建立功能基准和评估感染控制影响至关重要.
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