Individualized developmental care for high risk newborns in the NICU: A practice guideline
Individualized developmental care for high risk newborns in the NICU: A practice guideline
复制标题
新生儿重症监护室高风险新生儿的个性化发育护理： 实践指南
DOI：
10.1016/j.earlhumdev.2007.03.008
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发表时间：
2007-07-01
影响因子：
2.5
通讯作者：
VandenBerg, Kathleen A.
中科院分区：
文献类型：
--
作者：
VandenBerg, Kathleen A.
新生儿重症监护病房(NICU)的新生儿得到了高度先进的医疗技术的照顾，但幸存者的残疾和神经发育问题的发生率仍然很高，存在问题。早产会扰乱大脑结构的发育进程，影响感觉系统的发育。发展的联动理论提供了一个框架，概念化的组织神经行为能力的早期发展的胎儿，新生儿和幼儿。婴儿调节和控制行为的能力是通过与环境的持续互动而出现的，并通过五个系统表现出来：自主/生理、运动、状态、注意/互动和自我调节。在健康的足月新生儿中，这五个子系统是成熟的、集成的、同步的和平稳管理的。不太成熟、健康或患病的早产儿可能无法或部分能够管理环境投入，即使是最低限度的投入也表现出反应过度和耐受性差。失控和压力反应变得频繁，除非环境和照顾者努力阅读婴儿的信息和敏感度阈值，并根据婴儿的行为交流调整护理和处理以及环境。新生儿个性化发展护理和评估计划(NIDCAP)是一项综合性计划，包括行为观察方法和创建以家庭为中心的个体发展护理，支持婴儿自身的发展目标。NIDCAP方法寻求支持婴儿在每个成熟阶段的自主神经、运动和状态系统的稳定和组织，白色最小化应激事件。(C)2007爱思唯尔爱尔兰有限公司。保留所有权利。
The newborn infant in the neonatal intensive care unit (NICU) is cared for with highly advanced medical technology, but the incidence of disability and neurodevelopmental problems among survivors remains high and problematic. Preterm birth disrupts the developmental progression of brain structures and affects development of the sensory systems. The Synactive Theory of Development provides a framework to conceptualize the organization of the neurobehavioral capabilities in the early development of the fetus, newborn and young infant. The infant's ability to regulate and control behavior emerges through continued interaction with the environment and is expressed through five systems: autonomic/physiology, motor, state, attention/interaction and self-regulation. In the healthy full term newborn the five subsystems are mature, integrated, synchronized and managed smoothly. The less mature, healthy or sick preterm newborn may be unable or partially able to manage environmental inputs, demonstrating over-reactive responses and poor tolerance from even minimal input. Loss of control and stress responses become frequent unless the environment and caregivers work to read the infants' messages and thresholds for sensitivity and adjust care and handling and the environment based on the infant's behavioral communications. The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is a comprehensive program which includes a behavioral observation methodology and creation of individual family centered developmental caregiving support of the infant's own developmental goals. The NIDCAP approach seeks to support the infant's stabilization and organization of the autonomic, motor, and state systems at each level of maturation, white minimizing stressful events. (c) 2007 Elsevier Ireland Ltd. All rights reserved.