北美新生儿肠道康复护理现状:基于调查的描述性研究
Katie A Huff1,2, Ethan A Mezoff3, Abeer Azzuqa4
1Division of Neonatal-Perinatal Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
概括
大多数北美中心都有针对新生儿肠衰竭 (IF) 的肠道康复计划 (IRP). 然而,护理方案和随访情况各不相同,这凸显了对标准化新生儿FI管理策略的需要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 新生儿护理 新生儿护理
- 肠道康复 肠道康复
背景情况:
- 建议通过肠道康复计划 (IRP) 提供多学科护理,以改善儿科肠道衰竭 (IF) 的存活率.
- 这些建议在新生儿FI的实施程度尚不清楚.
- 这项研究旨在评估北美新生儿IF护理的现状.
研究的目的:
- 评估在北美管理新生儿IF的IRP的可用性和特点.
- 为了确定新生儿IF的诊断,管理和随访协议的变化.
- 了解IF新生儿多学科护理的现状.
主要方法:
- 一项基于网络的调查于2023年7月分发给北美中心.
- 该调查包括适应性问询 (10-54个问题),涵盖IF诊断,IRP管理,协议和后续行动.
- 使用斯皮尔曼相关性来分析受访者角色和答案之间的关系.
主要成果:
- 达到了93%的高响应率 (42/45中心).
- 79%的中心报告为新生儿患者提供IRP,但计划组成和护理不同.
- 60%的中心使用了新生儿IF管理的特定协议,76%提供了多学科的后续监测.
结论:
- 新生儿IF护理在北美各地表现出显著的变化.
- 尽管IRP有众所周知的好处,但相当多的中心无法获得这种针对新生儿的专业护理.
- 对新生儿特定的IF护理策略的进一步研究对于优化患者的治疗结果至关重要.
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