NICU出院早产儿及照护者延续性护理网络平台应用的范围综述  

A scoping review of application of continuing nursing network platform for discharged premature infants and their caregivers in NICU

作　　者：姚玫贤 吴桂丽[2] 卢晓霞 彭泽华[3] 陈薇[3] Yao Meixian;Wu Guili;Lu Xiaoxia;Peng Zehua;Chen Wei(Shantou University Medical College,Shantou 515041,China;Nursing Department,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515041,China;Neonatal Intensive Care Unit,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515041,China)

机构地区：[1]汕头大学医学院,汕头515041 [2]汕头大学医学院第二附属医院护理部,汕头515041 [3]汕头大学医学院第二附属医院新生儿重症监护病房,汕头515041

出　　处：《中华现代护理杂志》2023年第1期122-127,共6页Chinese Journal of Modern Nursing

摘　　要：目的对新生儿重症监护室(NICU)出院早产儿及照护者延续性护理网络平台应用的研究进行范围综述,旨在为未来研究及实践提供参考。方法采用主题词、关键词结合布尔逻辑法的方式,检索PubMed、Web of Science、Embase、Cochrane Library、中国知网、万方数据库、维普网和中国生物医学文献数据库中NICU出院早产儿及照护者延续性护理网络平台应用的相关研究。检索时限为建库至2022年2月14日。结果纳入23篇文献,基于网络平台延续性护理的内容要素包括提供专业知识和照护技能指导、同伴支持、与专业人员联系、信息与决策支持和心理支持,应用形式包含移动应用程序、网站平台及网络视频,结局指标类型主要为对照护者和早产儿的效果、亲子互动质量、母乳喂养情况及可行性评价,护理均有积极效果且具可行性。结论基于网络平台的延续性护理对NICU出院早产儿及照护者取得积极效果,多要素相结合、个性化定制、多学科参与的方式更符合照护者需求。未来研究需关注促进早产儿家庭功能,进一步制订适合每个儿童发展阶段需要的延续性护理干预内容,探索更加安全的网络服务监管模式并进行成本效益的评估。Objective To summarize the scope of research on the application of the continuous nursing network platform for premature infants and caregivers discharged from the Neonatal Intensive Care Unit(NICU),so as to provide reference for future research and practice.Methods The method of subject words,keywords and Boolean logic was used to retrieve research on the application of NICU's continuous nursing network platform for discharged premature infants and their caregivers in PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure(CNKI),WanFang Data,VIP and China Biomedical Literature Database.The retrieval time limit was from the establishment of the database to February 14,2022.Results A total of 23 articles were included.The content elements of continuous nursing based on network platform included the professional knowledge and nursing skills guidance,peer support,contact with professionals,information and decision-making support,and psychological support.Application forms included mobile applications,website platforms and online videos.The types of outcome indicators were mainly the effect incaregivers and premature infants,the quality of parent-child interaction,breastfeeding and feasibility evaluation.Nursing had positive effect and feasibility.Conclusions Continuous nursing based on the network platform has achieved positive effects on NICU discharged premature infants and caregivers,and the combination of multiple elements,personalized customization,and multidisciplinary participation are in line with the needs of caregivers.Future research needs to focus on promoting the family function of premature infants,further develop the content of continuous nursing suitable for each child's development stage,explore a safer network service supervision mode and conduct cost-benefit evaluation.

关 键 词：综述 婴儿 早产 照护者 网络平台 延续性护理 范围综述 

分 类 号：R473.72[医药卫生—护理学]