INDIVIDUALIZED DEVELOPMENTAL CARE FOR VERY-LOW-BIRTH-WEIGHT PREMATURE-INFANTS
INDIVIDUALIZED DEVELOPMENTAL CARE FOR VERY-LOW-BIRTH-WEIGHT PREMATURE-INFANTS
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DOI：
10.1177/000992289503401003
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发表时间：
1995-10-01
影响因子：
1.6
通讯作者：
STEVENSON, DK
中科院分区：
文献类型：
--
作者：
FLEISHER, BE;VANDENBERG, K;STEVENSON, DK
40例出生体重小于或等于1,250 g的极低出生体重新生儿重症监护病房（NICU）婴儿被随机分配到治疗组或对照组。对治疗婴儿的行为进行系统评价，并实施个性化的以发展为导向的护理计划以增强稳定性。治疗组婴儿需要更少的间歇强制通气和持续气道正压通气天数，并且更快地实现全肠内喂养，治疗组的住院时间和住院费用比对照组婴儿少。治疗对婴儿42周后的行为表现有良好的影响。这些结果支持了行为敏感、以发展为导向的护理可以改善新生儿重症监护室的医疗和神经发育结果的假设。
Forty very-low-birth-weight neonatal intensive care unit (NICU) infants with birth weights less than or equal to 1,250 g were randomly assigned to treatment or control groups. Behavior of the treatment infants was systematically evaluated, and individualized developmentally oriented care plans were implemented to enhance stability. Treatment babies required fewer days of intermittent mandatory ventilation and continuous positive airway pressure and achieved full enteral feedings sooner, Length of hospital stay and hospital charges were less for treatment than control infants. There were favorable effects on treatment infants' behavioral performance at 42 weeks' postconceptional age. These results support the hypothesis that behaviorally sensitive, developmentally oriented care improves medical and neurodevelopmental outcome in the NICU.