UNPACKING THE BURDEN OF CARE FOR INFANTS IN THE NICU
UNPACKING THE BURDEN OF CARE FOR INFANTS IN THE NICU
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DOI：
10.1002/imhj.21636
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发表时间：
2017-03-01
影响因子：
2.4
通讯作者：
Mcgrath, Jacqueline M.
中科院分区：
文献类型：
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作者：
D'Agata, Amy L.;Sanders, Marilyn R.;Mcgrath, Jacqueline M.
在新生儿重症监护病房（NICU）的医疗环境中开始早期生活的婴儿经历了许多基本期望的破坏。在新生儿重症监护室，婴儿暴露于慢性、极端的压力源，包括痛苦的医疗程序和父母分离。由于他们的前语言发育阶段，婴儿不能完全表达这些经历，并且将这些经历与长期结果联系起来是困难的。这篇临床文章提出术语婴儿医学创伤在新生儿重症监护病房（IMTN）来描述婴儿的经验。在讨论新生儿重症监护室作为不良儿童事件之后，本文分为三个部分：(a)定义新生儿期的独特和关键因素，(b)对IMTN概念模型的回顾，以及(c)支持性神经保护策略的建议，以缓和新生儿重症监护室不良婴儿经历的强度。
Infants who begin early life in the medicalized environment of the neonatal intensive care unit (NICU) experience disruption to numerous fundamental expectancies. In the NICU, infants are exposed to chronic, extreme stressors that include painful medical procedures and parental separation. Due to their preverbal stage of development, infants are unable to fully express these experiences, and linking these experiences to long-term outcomes has been difficult. This clinical article proposes the terminology Infant Medical Trauma in the NICU (IMTN) to describe the infant experience. Following a discussion of the NICU as an adverse childhood event, the article has three sections: (a) the unique and critical factors that define the newborn period, (b) a review of the IMTN conceptual model, and (c) recommendations for supportive neuroprotective strategies to moderate the intensity of adverse NICU infant experiences.