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; 陈琼; 范玲; 徐红贞; 胡晓静; 蒙景雯; 林艳; 彭文涛

doi:10.16460/j.issn1008-9969.2024.11.028

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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

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

作者信息 +

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

LI Ying-xin^1a,2, CHEN Qiong^1a,2, FAN Ling³, XU Hong-zhen⁴, HU Xiao-jing⁵, MENG Jing-wen⁶, LIN Yan⁷, PENG Wen-tao^1b,2

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文章历史 +

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。

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.

导出引用

李颖馨, 陈琼, 范玲, 徐红贞, 胡晓静, 蒙景雯, 林艳, 彭文涛. 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[J]. 护理学报. 2024, 31(11): 28-34 https://doi.org/10.16460/j.issn1008-9969.2024.11.028

LI Ying-xin, CHEN Qiong, FAN Ling, XU Hong-zhen, HU Xiao-jing, MENG Jing-wen, LIN Yan, PENG Wen-tao. Best evidence summary for developmental supportive care in premature infants in neonatal intensive care units[J]. Journal of Nursing. 2024, 31(11): 28-34 https://doi.org/10.16460/j.issn1008-9969.2024.11.028

中图分类号： R473.72

参考文献

[1] 杨茹, 陈琼, 李颖馨, 等. 我国医院早产儿发育支持护理实施现状调查[J].中华现代护理杂志, 2022,28(17):2360-2364. DOI:10.3760/cma.j.cn115682-20210918-04267.
[2] 赵敏,朱海虹,万珊珊,等. 新生儿重症监护室中早产儿发育支持护理的研究进展[J]. 当代护士(上旬刊), 2023, 30(8): 17-20. DOI:10.19791/j.cnki.1006-6411.2023.22.004.
[3] 聂玲, 孙小玲, 蒋玲, 等. NICU早产儿睡眠保护的最佳证据总结[J]. 中华护理杂志, 2023,58(12):1449-1455. DOI: 10.3761/j.issn.0254-1769.2023.12.006.
[4] 林楠, 诸纪华, 金陈娣, 等.新生儿重症监护室发育支持环境管理的推荐意见总结[J].中华实用儿科临床杂志. 2022,37(17):1325-1330.DOI:10.3760/cma.j.cn101070-20220120-00076.
[5] Dicenso A, Bayley L, Haynes RB.Accessing pre-appraised evidence: fine-tuning the 5S Model into a 6S Model[J]. Evid Based Nurs,2009,12(4):99-101. DOI:10.1136/ebn.12.4.99-b.
[6] Foster MJ, Shurtz S.Making the critical appraisal for summaries of evidence(CASE) for evidence-based medicine (EBM): critical appraisal of summaries of evidence[J]. J Med Libr Assoc,2013,101(3):192-198. DOI:10.3163/1536-5050.101.3.008.
[7] 韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价 (AGREEII) 工具实例解读[J]. 中国循证儿科杂志,2013, 8(4): 316-319. DOI: 10.3969/j.issn.1673-5501.2013.04.017.
[8] 朱政, 胡雁, 周英凤, 等.推动证据向临床转化(五)证据临床转化研究中的文献质量评价[J].护士进修杂志, 2020,35(11):996-1000. DOI:10.16821/j.cnki.hsjx.2020.11.009.
[9] 胡雁, 郝玉芳. 循证护理学[M].2版. 北京:人民卫生出版社, 2018:45-50.
[10] 王青春,胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967. DOI:10.16821/j.cnki.hsjx.2015.11.002.
[11] Rodríguez RG, Pattini AE.Neonatal intensive care unit lighting: update and recommendations[J]. Arch Argent Pediatr,2016,114(4):361-367. DOI:10.5546/aap.2016.eng.361.
[12] Griffiths N, Spence K, Loughran-Fowlds A, et al.Individualised developmental care for babies and parents in the NICU: evidence-based best practice guideline recommendations[J]. Early Hum Dev,2019(139):104840. DOI:10.1016/j.earlhumdev.2019.104840.
[13] Whitehorn A.Evidence summary. neonatal intensive care unit (NICU): sound reduction[EB/OL].[2024-03-20]. https://connect.jbi-connentplus.org/search
[14] Government of western Australia child and adolescent health service. developmental care: reducing environmental stimuli[EB/OL].[2024-03-20]. https://cahs.health.wa.gov.au/~/media/HSPs/CAHS/Documents/Health-Professionals/Neonatology-guidelines/Developmental-Care-Reducing-Environmental-Stimuli.pdf?thn=0.
[15] Yue W, Han X, Luo J, et al.Effect of music therapy on preterm infants in neonatal intensive care unit: systematic review and meta-analysis of randomized controlled trials[J]. J Adv Nur, 2021, 77(2):635-652. DOI: 10.1111/jan.14630.
[16] Li Y, Zhang J, Yang C, et al.Effects of maternal sound stimulation on preterm infants: a systematic review and Meta-analysis[J]. Int J Nur Pract, 2023, 29(2):e13039. DOI:10.1111/ijn.13039.
[17] Pineda R, Guth R, Herring A, et al.Enhancing sensory experiences for very preterm infants in the NICU: an integrative review[J]. J Perinatol, 2017, 37(4):323-332. DOI:10.1038/jp.2016.179.
[18] Newborn individualized developmental care and assessment program.Developmental care guidelines for use in the NICU[EB/OL].[2023-09-16]. https://nidcap.org/.
[19] Thames valley neonatal ODN quality care group. Positioning and handling on the neonatal unit.[2023-09-16].https://www.piernetwork.org/uploads/4/7/8/1/47810883/positioning_and_handling_on_the_neonatal_unit_v3_july_2017._final.pdf.
[20] van den Hoogen A, Teunis CJ, Shellhaas RA, et al. How to improve sleep in a neonatal intensive care unit: a systematic review[J]. Early Hum Dev,2017(113):78-86. DOI: 10.1016/j.earlhumdev.2017.07.002.
[21] Liao JH, Hu RF, Su LJ, et al.Nonpharmacological interventions for sleep promotion on preterm infants in neonatal intensive care unit: a systematic review[J]. Worldviews Evid Based Nurs. 2018, 15(5):386-393. DOI:10.1111/wvn.12315.
[22] 沈巧, 郑显兰, 史源, 等. 中国新生儿疼痛管理循证指南(2023年)[J]. 中国当代儿科杂志, 2023,25(2):109-127. DOI:10.7499/j.issn.1008-8830.2210052.
[23] Pillai Riddell RR, Bucsea O, Shiff I, et al. Non-pharmacological management of infant and young child procedural pain[J].Cochrane Database Syst Rev,2023,6(6):CD006275. DOI: 10.1002/14651858.CD006275.pub3.
[24] Sharma N, Samuel AJ.A Systematic review of multisensory stimulation on procedural pain among preterm neonates[J]. Pediatr Phys Ther,2023, 35(3):286-291. DOI:10.1097/PEP.0000000000001012.
[25] Wade C, Frazer JS, Qian E, et al.Development of locally relevant clinical guidelines for procedure-related neonatal analgesic practice in Kenya: a systematic review and Meta-analysis[J]. Lancet Child Adolesc Health, 2020, 4(10): 750-760. DOI: 10.1016/S2352-4642(20)30182-6.
[26] Sun X, Xu J,Zhou R,et al.Effectiveness of different bathing methods on physiological indexes and behavioral status of preterm infants: a systematic review and Meta-analysis[J]. BMC Pediatr, 2023, 23(1):507. DOI: 10.1186/s12887-023-04280-y.
[27] Chitale R, Ferguson K, Talej M, et al.Early enteral feeding for preterm or low birth weight infants: a systematic review and Meta-analysis[J]. Pediatrics, 2022, 150(Suppl 1):e2022057092E. DOI: 10.1542/peds.2022-057092E.
[28] Fu ZY, Huang C, Lei L, et al.The effect of oropharyngeal colostrum administration on the clinical outcomes of premature infants: a meta-analysis[J]. Int J Nurs Stud, 2023(144):104527. DOI: 10.1016/j.ijnurstu.2023.104527.
[29] Xavier Ramos MS, Martins CDC, Souza ES, et al.Oropharyngeal colostrum immunotherapy and nutrition in preterm newborns: Meta-analysis[J]. Rev Saude Publica. 2021(55):59. DOI:10.11606/s1518-8787.2021055003051.
[30] Chen D, Yang Z, Chen C, et al.Effect of oral motor intervention on oral feeding in preterm infants: a systematic review and Meta-analysis[J]. Am J Speech Lang Pathol, 2021,30(5):2318-2328.DOI:10.1044/2021_AJSLP-20-00322.
[31] Rodriguez Gonzalez P, Perez-Cabezas V, Chamorro-Moriana G, et al.Effectiveness of oral sensory-motor stimulation in premature infants in the neonatal intensive care unit (NICU) systematic review[J]. Children, 2021, 8(9):31. DOI: 10.3390/children8090758.
[32] Embarek-Hernández M, Güeita-Rodríguez J, Molina-Rueda F.Multisensory stimulation to promote feeding and psychomotor development in preterm infants: a systematic review[J]. Pediatr Neonatol, 2022,63(5):452-461. DOI: 10.1016/j.pedneo.2022.07.001.
[33] Safer care victoria.Developmental care for neonates[EB/OL].[2023-09-16]. https://www.safercare.vic.gov.au/best-practice-improvement/clinical-guidance/neonatal/developmental-care-for-neonates.
[34] Li YX, Hu YL, Chen Q, et al.Clinical practice guideline for kangaroo mother care in preterm and low birth weight infants[J]. J Evid Based Med,2022,15(4):408-424. DOI: 10.1111/jebm.12509.
[35] White RD, Smith JA, Shepley MM, et al.Recommended standards for newborn ICU design, eighth edition[J]. J perinatal, 2013,33(S1):S2-S16. DOI: 10.1038/jp.2013.10.
[36] Maleki M, Mardani A, Harding C, et al.Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: a systematic review and meta-analysis[J].Womens Health (Lond), 2022(18):17455057221104674.DOI:10.1177/17455057221104674.
[37] Reeves-Messner T, Spilker A.Shh..babies growing: a clinical practice guideline for reducing noise level in the neonatal intensive care unit[J]. J Neonat Nur, 2017,23(4):199-203. DOI:10.1016/j.jnn.2017.02.006.
[38] Wachman EM,Lahav A.The effect of noise on preterm infants in the NICU[J]. Arch Dis Child Fetal Neonatal Ed, 2011,96(4):F305-309. DOI: 10.1136/adc.2009.182014.
[39] Brown G.NICU noise and the preterm infant[J].Neonat Netw, 2009,28(3):165-173. DOI: 10.1891/0730-0832.28.3.165.
[40] Venkataraman R, Kamaluddeen M, Amin H, et al.Is less noise, light and parental/caregiver stress in the neonatal intensive care unit better for neonates?[J]. Indian Pediatr, 2018,55(1):17-21.
[41] Romantsik O, Calevo MG, Bruschettini M. Head midline position for preventing the occurrence or extension of germinal matrix-intraventricular hemorrhage in preterm infants[J]. Cochrane Database Syst Rev, 2017(7):CD012362. DOI:10.1002/14651858.CD012362.pub2.
[42] Sehgal A, Stack J.Developmentally supportive care and NIDCAP[J]. Indian J Pediatr, 2006,73(11):1007-1010. DOI:10.1007/BF02758309.
[43] Pickler RH, McGrath JM, Reyna BA, et al. A model of neurodevelopmental risk and protection for preterm infants[J]. J Perinat Neonatal Nurs,2010,24(4):356-365. DOI:10.1097/ANC.0000000000000022.
[44] Hall JW 3rd. Development of the ear and hearing[J]. J Perinatol,2000(8 Pt 2):S12-20.DOI:10.1038/sj.jp.7200439.
[45] Vinall J, Miller SP, Bjornson BH, et al.Invasive procedures in preterm children: brain and cognitive development at school age[J]. Pediatrics, 2014,133(3):412-421. DOI:10.1542/peds.2013-1863.
[46] 陈梦莹, 夏冬晴, 闵翠婷, 等.早产儿新生期反复操作性疼痛与幼儿行为发育的关系[J]. 中国儿童保健杂志, 2018,26(1):59-63. DOI:10.11852/zgetbjzz2018-26-01-16.
[47] McFadden A, Fitzpatrick B, Shinwell S, et al. Cue based versus scheduled feeding for preterm infants transitioning from tube to oral feeding:the cubs mixed methods feasi bility study[J]. Health Technol Assess, 2021, 25(74):1146.DOI:10.3310/hta25740.
[48] Raghupathy MK, Rao BK, Nayak SR, et al.Effect of family-centered care interventions on motor and neurobehavior development of very preterm infants: a protocol for systematic review[J]. Syst Rev, 2021,10(1):59. DOI:10.1186/s13643-021-01612-w.
[49] Uhm JY, Kim HS.Impact of the mother-nurse partnership programme on mother and infant outcomes in paediatric cardiac intensive care unit[J]. Intensive Crit Care Nurs,2019(50):79-87. DOI:10.1016/j.iccn.2018.03.006.
[50] Givrad S, Hartzell G, Scala M.Promoting infant mental health in the neonatal intensive care unit (NICU): a review of nurturing factors and interventions for NICU infant-parent relationships[J]. Early Hum Dev, 2021(154):105281. DOI:10.1016/j.earlhumdev.2020.105281.
[51] 傅亚丽, 张先红, 范娟, 等.新生儿重症监护室中家庭参与式护理实践及建议的质性研究[J].护理学报,2022,29(14):7-11. DOI:10.16460/j.issn1008-9969.2022.14.007.