关键词: Premature infant evidence-based nursing neonatal intensive care unit (NICU) sleep

来  源:   DOI:10.21037/tp-24-92   PDF(Pubmed)

Abstract:
UNASSIGNED: Sleep influences the interaction between infants and their environment, as well as the achievement of crucial milestones in motor and language development. This is particularly significant for preterm infants in vulnerable positions. However, prematurely born infants in the neonatal intensive care unit (NICU) are exposed to various stimuli such as noise and light, which disrupt their normal sleep patterns. This study assesses and consolidates the existing evidence on non-pharmacological strategies for protecting and promoting sleep in preterm infants. By providing an evidence-based data repository, it offers a valuable reference for clinical interventions.
UNASSIGNED: We conducted computer-based searches using various databases and resources, including UpToDate, BMJ Best Practice, Guidelines International Network (GIN), National Institute for Health and Clinical Excellence (NICE), Scottish Intercollegiate Guidelines Network (SIGN), National Guideline Clearinghouse (NGC), Registered Nurses Association of Ontario (RNAO), Joanna Briggs Institute (JBI), World Health Organization (WHO), Cochrane Library, Web of Science, PubMed, China National Knowledge Infrastructure (CNKI), Wanfang Data, and China Biology Medicine disc (CBM). The search period spanned from January 2014 to May 2024.
UNASSIGNED: We have included a total of 22 articles in our review, comprising two guidelines, 11 systematic reviews, 1 evidence summary, 1 technical report, 2 practice recommendations, and 5 randomized controlled trials. The evidence was synthesized from eight domains: sleep team construction, risk factor assessment, sleep assessment tools, positional management, noise control, light management, sensory stimulation, and hospital-home transition sleep management, resulting in 27 pieces of evidence.
UNASSIGNED: This study summarizes the optimal evidence for the management of sleep in premature infants, providing empirical support for standardizing the management of sleep in premature infants. It is recommended that healthcare professionals judiciously apply the best evidence while considering the clinical context, thus promoting safe sleep for premature infants.
摘要:
睡眠会影响婴儿与其环境之间的相互作用,以及实现运动和语言发展的关键里程碑。这对于处于脆弱位置的早产儿尤其重要。然而,在新生儿重症监护病房(NICU)的早产婴儿暴露于各种刺激,如噪声和光,扰乱了他们正常的睡眠模式。这项研究评估和巩固了现有的非药物策略保护和促进早产儿睡眠的证据。通过提供基于证据的数据存储库,为临床干预提供了有价值的参考。
我们使用各种数据库和资源进行基于计算机的搜索,包括UpToDate,BMJ最佳实践,准则国际网络(GIN),国家健康与临床卓越研究所(NICE),苏格兰校际指南网络(SIGN),国家准则信息交换所(NGC),安大略省注册护士协会(RNAO),乔安娜·布里格斯研究所(JBI),世界卫生组织(世卫组织)科克伦图书馆,WebofScience,PubMed,中国国家知识基础设施(CNKI),万方数据,和中国生物医学光盘(CBM)。搜索期从2014年1月到2024年5月。
我们在评论中总共包含了22篇文章,包括两个指导方针,11个系统审查,1证据摘要,1份技术报告,2个实践建议,5项随机对照试验。证据来自八个领域:睡眠团队建设,风险因素评估,睡眠评估工具,职位管理,噪声控制,光管理,感官刺激,和医院-家庭过渡睡眠管理,产生了27份证据.
本研究总结了早产儿睡眠管理的最佳证据,为规范早产儿睡眠管理提供经验支持。建议医疗保健专业人员在考虑临床背景的同时明智地应用最佳证据,从而促进早产儿的安全睡眠。
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