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护理学报 ›› 2024, Vol. 31 ›› Issue (11): 28-34.doi: 10.16460/j.issn1008-9969.2024.11.028

• 循证护理 • 上一篇    下一篇

新生儿重症监护室住院早产儿发育支持护理的最佳证据总结

李颖馨1a,2, 陈琼1a,2, 范玲3, 徐红贞4, 胡晓静5, 蒙景雯6, 林艳7, 彭文涛1b,2   

  1. 1.四川大学华西第二医院 a.新生儿护理单元;b.护理部,四川 成都 610041;
    2.出生缺陷与相关妇儿疾病教育部重点实验室,四川 成都 610041;
    3.中国医科大学附属盛京医院 护理部,辽宁 沈阳 110004;
    4.浙江大学医学院附属儿童医院 护理部,浙江 杭州 310005;
    5.复旦大学附属儿科医院 护理部,上海 201102;
    6.北京大学第一医院 护理部,北京 100034;
    7.广州市妇女儿童医疗中心 护理部,广东 广州 510623
  • 收稿日期:2024-01-18 出版日期:2024-06-10 发布日期:2024-07-10
  • 通讯作者: 彭文涛（1972-）,女,四川成都人,博士,主任护师,护理部主任。E-mail: wentaopumc@126.com
  • 作者简介:李颖馨（1991-）,女,四川成都人,硕士,主管护师。
  • 基金资助:
    中华护理学会团体标准（T/CNAS05-2020）; 四川省科技厅科技计划重点研发项目（2020YFS0152）

Best evidence summary for developmental supportive care in premature infants in neonatal intensive care units

LI Ying-xin1a,2, CHEN Qiong1a,2, FAN Ling3, XU Hong-zhen4, HU Xiao-jing5, MENG Jing-wen6, LIN Yan7, PENG Wen-tao1b,2   

  1. 1a. Neonatal Care Unit; 1b. Dept. of Nursing Administration, West China Second University Hospital, Chengdu 610041, China;
    2. Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu 610041, China;
    3. Dept. of Nursing Administration, Shengjing Hospital of China Medical University, Shenyang 110004, China;
    4. Dept. of Nursing Administration, Children’s Hospital of Zhejiang University School of Medicine, Hangzhou 310005, China;
    5. Dept. of Nursing Administration, Children’s Hospital of Fudan University, Shanghai 201102, China;
    6. Dept. of Nursing Administration, Peking University First Hospital, Beijing 100034, China;
    7. Dept. of Nursing Administration, Guangzhou Women and Children’s Medical Center, Guangzhou 510623, China
  • Received:2024-01-18 Online:2024-06-10 Published:2024-07-10

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摘要： 目的 整合新生儿重症监护室（neonatal intensive care units, NICUs）住院早产儿发育支持护理的最佳证据,为临床医护人员提供规范化评估和管理早产儿发育支持护理的循证依据。方法 在指南网站和中英文数据库中系统检索有关早产儿发育支持护理的指南、专家共识、证据总结、系统评价和Meta分析,检索时限为2013年1月—2023年10月。结果 共纳入29篇文献,包括7篇指南、3篇专家共识、3篇证据总结以及16篇系统评价。从7个方面总结了36条最佳证据。结论 本研究总结了NICU住院早产儿发育支持护理的最佳证据,为医护人员提供循证支持。在临床实际应用中,应结合具体的临床情景,以规范管理早产儿的发育支持护理。

关键词: 婴儿, 早产, 新生儿重症监护室, 发育支持护理, 证据总结, 循证护理学

Abstract: Objective To integrate the best evidence for developmental supportive care of premature infants in neonatal intensive care units (NICUs), and to offer an evidence-based assessment and management of developmental supportive care for preterm infants for clinical medical staff. Methods We retrieved literature including guidelines, expert consensuses, evidence summaries, systematic reviews, and meta-analyses pertaining to developmental support care for preterm infants in both English and Chinese databases as well as guideline websites from January 2013 to October 2023. Results Twenty-nine articles were collected, including seven guidelines, three expert consensus statements, three evidence summaries, and sixteen systematic reviews. Thirty-six pieces of evidence were summarized from seven aspects. Conclusion This study summarizes the best evidence for developmental support care for premature infants, delivering a robust evidence base for medical staff. In clinical practice, specific clinical scenarios should be incorporated in order to standardize the management of developmental support care for preterm infants.

Key words: infant, premature, neonatal intensive care unit, developmental supportive care, evidence summary, evidence-based nursing

中图分类号: 

  • R473.72
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