NICU新生儿声音干预的最佳证据总结  

Best evidence summary of sound interventions for neonates in the NICU

作　　者：黄丹[1] 高静[2] 陈欢[2] 陈昕羽 HUANG Dan;GAO Jing;CHEN Huan;CHEN Xinyu(Chengdu Fifth People's Hospital/The Fifth People's Hospital Affiliated To Chengdu University of Traditional Chinese Medicine,Sichuan 611130 China)

机构地区：[1]成都市第五人民医院/成都中医药大学附属第五人民医院,611130 [2]成都中医药大学

出　　处：《全科护理》2025年第8期1393-1398,共6页Chinese General Practice Nursing

摘　　要：目的:检索、评价并整合新生儿重症监护病房(neonatal intensive care unit,NICU)新生儿声音干预的相关证据,为临床实践提供循证依据。方法:根据“6S”证据模型,检索计算机决策支持系统、国内外指南网、相关学会网站及数据库中有关NICU新生儿声音干预的文献,包括最佳实践指南、临床决策、指南、证据总结、专家共识、系统评价,检索时限为2019年1月1日—2023年11月30日。由2名研究者独立对纳入文献进行质量评价。结果:纳入18篇文献,其中临床决策1篇、指南1篇、证据总结1篇、系统评价15篇,分别从声音干预获益、声音干预方法、声音干预效果评价、声音干预注意事项4个方面进行证据总结,形成了13条推荐意见。结论:该研究总结了NICU新生儿声音干预的相关证据,医护人员应结合NICU实际情况,有针对性地选择证据,制订并实施科学的声音干预方案,进一步提高重症新生儿护理质量。Objective:To search,evaluate,and synthesize evidence on sound interventions for neonates in the neonatal intensive care unit(NICU),aiming to provide an evidence⁃based foundation for clinical practice.Methods:Guided by the"6S"evidence model,literature on sound interventions in NICU neonates was systematically retrieved from computerized decision support systems,domestic and international guideline repositories,professional association websites,and databases.The search included best practice guidelines,clinical policies,guidelines,evidence summaries,expert consensuses,and systematic reviews published between January 1,2019,and November 30,2023.Two researchers independently appraised the methodological quality of included studies.Results:A total of 18 studies were included,comprising 1 clinical policy,1 guideline,1 evidence summary,and 15 systematic reviews.Evidence was synthesized across four domains:benefits of sound interventions,implementation strategies,outcome evaluation,and clinical precautions,resulting in 13 actionable recommendations.Conclusions:This study summarized the relevant evidence of neonatal sound interventions in NICU.Medical staff should select evidence according to the actual situation of NICU,formulate and implement scientific sound intervention programs,and further improve the quality of neonatal care.

关 键 词：NICU 新生儿 声音干预 证据总结 循证护理 

分 类 号：R473.72[医药卫生—护理学]