Background: Respiratory distress syndrome (RDS) or hyaline membrane disease (HMD) is the most common cause of neonatal morbidity and mortality in preterm infants. We aimed to determine the frequency of RDS among 3 gro...Background: Respiratory distress syndrome (RDS) or hyaline membrane disease (HMD) is the most common cause of neonatal morbidity and mortality in preterm infants. We aimed to determine the frequency of RDS among 3 groups of preterm infants and the value of some related factors. Methods: A cross-sectional, descriptive analytical investigation was carried out in the NICU ward of Akbarabadi Hospital (Tehran-Iran) during spring 2011. Newborns’ data were collected and assessed by using their hospital medical records. Seventy-three preterm infants with gestational age < 34 weeks were hospitalized in the NICU. All participants were divided into 3 groups: extremely preterm (<28 weeks), very preterm (28 to <32 weeks) and moderate preterm (32 to 34 weeks). Frequency of RDS and some related factors were compared among 3 groups. Results: RDS was observed in 65.6% of all participants;however frequency of RDS was not different between three groups. An inversely correlation was found between gestational age and mortality rate (p = 0.05). In regard to Betamethasone administration prior to birth, this interval was significantly longer in alive neonates in comparison to infants who died (p < 0.05). Conclusion: RDS was frequent in preterm neonates with gestational age < 32 weeks. Time of Betamethasone administration prior to birth can significantly influence on neonatal mortality rate.展开更多
Objective： This meta-analysis aimed to examine the effects of parental involvement in infant care in neonatal intensive care units （NlCUs）. Methods： PubMed, Embase, Cochrane Library, Web of Science, China National...Objective： This meta-analysis aimed to examine the effects of parental involvement in infant care in neonatal intensive care units （NlCUs）. Methods： PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure （CNKI）, Wanfang database, and VIP database were searched till November 2017. Randomized controlled trials （RCTs） and controlled clinical trials （CCTs） examining the effect of parental involvement in the NICU were considered for inclusion. Resulls： We included 10 studies （three RCTs, seven CCTs） with a total of 1,851 participants. The meta-analysis demonstrated that there were no statistically significant differences on nosocomial infection between two groups （risk ratio [RR] = 0.90, 95% CI 0.63-1.30, P = 0.58）. Compared with no parental involvement groups, parental involvement groups showed more weight gain （mean difference [MD] = 1.47, 95% CI 0.65-2.29, P 〈 0.05）, higher breast-feeding rate （RR = 1.38, 95% CI 1.25-1.53, P 〈 0.05）, lower readmission rate （RR = 0.35, 95% CI 0.15-0.80, P 〈 0.05）, and higher satisfaction rate （RR = 1.09, 95% CI 1.02-1.16, P 〈 0.05）.Conclusions： Parentaiinvolvement in the NICU interventions could not increase the rate of nosocomial infection of neonates, but could improve their weight gain, breast-feeding and parental satisfaction and decrease their readmission. However, since the conclusion of this meta-analysis was drawn based on the limited number of high-quality RCTs, more hioh-quality studies should be conducted in the future to confirm its positive intervention effects.展开更多
目的检索并再评价声音对NICU早产儿生长发育影响的系统评价,为临床医务人员临床决策及早产儿健康干预策略的持续改进提供参考。方法计算机检索The Cochrane Library、Embase、PubMed、Web of Science、万方、中国知网、维普和中国生物...目的检索并再评价声音对NICU早产儿生长发育影响的系统评价,为临床医务人员临床决策及早产儿健康干预策略的持续改进提供参考。方法计算机检索The Cochrane Library、Embase、PubMed、Web of Science、万方、中国知网、维普和中国生物医学文献数据库,检索关于声音对NICU早产儿影响的系统评价/Meta分析/荟萃分析,检索时间为建库至2023年5月。2名研究人员应用AMSTAR对文献进行方法学质量评价后,通过GRADE进行证据整理与分级。结果初检文献405篇,最终纳入文献20篇,AMSTAR质量评价结果表明,高等质量文献有5篇,其余15篇均为中等质量,纳入文献的总体方法学质量较低。采用GRADE系统对20篇系统评价的79条结局指标的证据质量评价结果显示,12条证据为中等质量,34条证据为低等质量,33条证据为极低质量。结论声音干预有利于改善NICU早产儿的相关生理指标、睡眠效率、行为状态、神经行为及大脑发育,可促进早产儿健康恢复,但系统评价的方法学质量和证据的质量均较低,临床实践需谨慎采纳有关证据,并逐步进行更加规范、严谨的研究。展开更多
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...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。展开更多
目的评估优质护理在新生儿重症监护室(Neonatal Intensive Care Unit,NICU)早产儿中的应用效果及对并发症发生情况的影响。方法方便选取2023年1—12月山东省聊城市东昌府区妇幼保健院NICU的46例早产儿为研究对象,根据随机数表法分为对照...目的评估优质护理在新生儿重症监护室(Neonatal Intensive Care Unit,NICU)早产儿中的应用效果及对并发症发生情况的影响。方法方便选取2023年1—12月山东省聊城市东昌府区妇幼保健院NICU的46例早产儿为研究对象,根据随机数表法分为对照组(23例,常规护理)和观察组(23例,优质护理)。比较两组的体格发育、新生儿神经行为测定(Neonatal Behavioral Neurological Assessment,NBNA)评分、摄入奶量及并发症发生情况。结果护理前,两组体格发育情况、NBNA评分、摄入奶量比较,差异无统计学意义(P均>0.05);护理后,观察组的身长、体质量、头围、NBNA评分及摄入奶量均优于对照组,差异有统计学意义(P均<0.05)。观察组的并发症总发生率(17.39%)低于对照组(0),差异有统计学意义(χ^(2)=4.381,P<0.05)。结论对NICU早产儿实施优质护理,可以增加摄入奶量,降低并发症发生率,促进体格、神经行为发育,有临床价值意义。展开更多
目的:分析母亲声音干预对NICU早产儿生长发育及睡眠的影响。方法:选取2023年1月至2023年11月福建省晋江市医院NICU收治的早产儿98例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组49例。对照组接受音乐疗法,观察组接受母亲...目的:分析母亲声音干预对NICU早产儿生长发育及睡眠的影响。方法:选取2023年1月至2023年11月福建省晋江市医院NICU收治的早产儿98例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组49例。对照组接受音乐疗法,观察组接受母亲声音干预。比较2组体格发育指标、行为状态与安静睡眠周期(QSC),行为状态评估采用安德森行为状态量表(ABSS)。结果:观察组体质量增长速率快于对照组(P<0.05)。观察组在干预中10 min、干预后5 min ABSS评分低于对照组(P<0.05)。观察组QSC平均时间、总时间长于对照组,中断次数较少(P<0.05)。结论:母亲声音干预可改善NICU早产儿行为状态与睡眠状态,促进体格发育。展开更多
文摘Background: Respiratory distress syndrome (RDS) or hyaline membrane disease (HMD) is the most common cause of neonatal morbidity and mortality in preterm infants. We aimed to determine the frequency of RDS among 3 groups of preterm infants and the value of some related factors. Methods: A cross-sectional, descriptive analytical investigation was carried out in the NICU ward of Akbarabadi Hospital (Tehran-Iran) during spring 2011. Newborns’ data were collected and assessed by using their hospital medical records. Seventy-three preterm infants with gestational age < 34 weeks were hospitalized in the NICU. All participants were divided into 3 groups: extremely preterm (<28 weeks), very preterm (28 to <32 weeks) and moderate preterm (32 to 34 weeks). Frequency of RDS and some related factors were compared among 3 groups. Results: RDS was observed in 65.6% of all participants;however frequency of RDS was not different between three groups. An inversely correlation was found between gestational age and mortality rate (p = 0.05). In regard to Betamethasone administration prior to birth, this interval was significantly longer in alive neonates in comparison to infants who died (p < 0.05). Conclusion: RDS was frequent in preterm neonates with gestational age < 32 weeks. Time of Betamethasone administration prior to birth can significantly influence on neonatal mortality rate.
文摘Objective： This meta-analysis aimed to examine the effects of parental involvement in infant care in neonatal intensive care units （NlCUs）. Methods： PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure （CNKI）, Wanfang database, and VIP database were searched till November 2017. Randomized controlled trials （RCTs） and controlled clinical trials （CCTs） examining the effect of parental involvement in the NICU were considered for inclusion. Resulls： We included 10 studies （three RCTs, seven CCTs） with a total of 1,851 participants. The meta-analysis demonstrated that there were no statistically significant differences on nosocomial infection between two groups （risk ratio [RR] = 0.90, 95% CI 0.63-1.30, P = 0.58）. Compared with no parental involvement groups, parental involvement groups showed more weight gain （mean difference [MD] = 1.47, 95% CI 0.65-2.29, P 〈 0.05）, higher breast-feeding rate （RR = 1.38, 95% CI 1.25-1.53, P 〈 0.05）, lower readmission rate （RR = 0.35, 95% CI 0.15-0.80, P 〈 0.05）, and higher satisfaction rate （RR = 1.09, 95% CI 1.02-1.16, P 〈 0.05）.Conclusions： Parentaiinvolvement in the NICU interventions could not increase the rate of nosocomial infection of neonates, but could improve their weight gain, breast-feeding and parental satisfaction and decrease their readmission. However, since the conclusion of this meta-analysis was drawn based on the limited number of high-quality RCTs, more hioh-quality studies should be conducted in the future to confirm its positive intervention effects.
文摘目的检索并再评价声音对NICU早产儿生长发育影响的系统评价,为临床医务人员临床决策及早产儿健康干预策略的持续改进提供参考。方法计算机检索The Cochrane Library、Embase、PubMed、Web of Science、万方、中国知网、维普和中国生物医学文献数据库,检索关于声音对NICU早产儿影响的系统评价/Meta分析/荟萃分析,检索时间为建库至2023年5月。2名研究人员应用AMSTAR对文献进行方法学质量评价后,通过GRADE进行证据整理与分级。结果初检文献405篇,最终纳入文献20篇,AMSTAR质量评价结果表明,高等质量文献有5篇,其余15篇均为中等质量,纳入文献的总体方法学质量较低。采用GRADE系统对20篇系统评价的79条结局指标的证据质量评价结果显示,12条证据为中等质量,34条证据为低等质量,33条证据为极低质量。结论声音干预有利于改善NICU早产儿的相关生理指标、睡眠效率、行为状态、神经行为及大脑发育,可促进早产儿健康恢复,但系统评价的方法学质量和证据的质量均较低,临床实践需谨慎采纳有关证据,并逐步进行更加规范、严谨的研究。
文摘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。
文摘目的:分析母亲声音干预对NICU早产儿生长发育及睡眠的影响。方法:选取2023年1月至2023年11月福建省晋江市医院NICU收治的早产儿98例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组49例。对照组接受音乐疗法,观察组接受母亲声音干预。比较2组体格发育指标、行为状态与安静睡眠周期(QSC),行为状态评估采用安德森行为状态量表(ABSS)。结果:观察组体质量增长速率快于对照组(P<0.05)。观察组在干预中10 min、干预后5 min ABSS评分低于对照组(P<0.05)。观察组QSC平均时间、总时间长于对照组,中断次数较少(P<0.05)。结论:母亲声音干预可改善NICU早产儿行为状态与睡眠状态,促进体格发育。
