Documenting the NICU design dilemma: comparative patient progress in open-ward and single family room units
Documenting the NICU design dilemma: comparative patient progress in open-ward and single family room units
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DOI：
10.1038/jp.2010.120
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发表时间：
2011-04-01
影响因子：
2.9
通讯作者：
Davis, B. O.
中科院分区：
文献类型：
--
作者：
Domanico, R.;Davis, D. K.;Davis, B. O.
目的：探讨单家室新生儿重症监护病房(NICU)设计的有效性，探讨有关患者医疗进展和患者安全的问题。解决这些问题对医院工作人员、管理人员和设计师同样有价值。研究设计：这项前瞻性研究通过机构审查委员会批准的方案，记录了患者在两种不同的NICU设计中的进展。包括噪音水平、照度和空气质量测量来定义两个NICU物理环境。结果：SFR病房的婴儿呼吸暂停事件较少，院内败血症和死亡率降低，以及更早过渡到肠内营养。结论：与开放式病房相比，SFR更有利于以家庭为中心的护理，有利于提高婴儿的医疗进步和母乳喂养的成功率。《围产期医学杂志》(2011年)31期，第281-288期；doi：10.1038/jp.2010.120；2010年11月11日在线出版
Objective: To test the efficacy of single family room (SFR) neonatal intensive care unit (NICU) designs, questions regarding patient medical progress and relative patient safety were explored. Addressing these questions would be of value to hospital staff, administrators and designers alike.Study Design: This prospective study documented, by means of Institution Review Board-approved protocols, the progress of patients in two contrasting NICU designs. Noise levels, illumination and air quality measurements were included to define the two NICU physical environments.Result: Infants in the SFR unit had fewer apneic events, reduced nosocomial sepsis and mortality, as well as earlier transitions to enteral nutrition. More mothers sustained stage III lactation, and more infants were discharged breastfeeding in the SFR.Conclusion: This study showed the SFR to be more conducive to family-centered care, and to enhance infant medical progress and breastfeeding success over that of an open ward. Journal of Perinatology (2011) 31, 281-288; doi: 10.1038/jp.2010.120; published online 11 November 2010