ISSN 2097-6054(网络) ISSN 1672-9234(印刷) CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
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综述

袋鼠式护理在新生儿外科术后应用的研究进展

  • 曾兆兰 ,
  • 史泽瑶 ,
  • 李小文
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  • 610041 成都市 四川大学华西第二医院新生儿科护理单元/四川大学华西护理学院,出生缺陷与相关妇儿疾病教育部重点实验室
曾兆兰,女,本科,护师,E-mail:573401642@qq.com

收稿日期: 2022-11-01

  网络出版日期: 2023-10-19

Application and research progress of kangaroo mother care after neonatal surgery

  • Zhaolan ZENG ,
  • Zeyao SHI ,
  • Xiaowen LI
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Received date: 2022-11-01

  Online published: 2023-10-19

摘要

袋鼠式护理已经在新生儿中广泛应用,但在新生儿外科术后应用尚在探索阶段。该文从实施者、适用对象、实施要点、安全保障方面对外科术后新生儿袋鼠式护理的应用现状进行综述;归纳了该方法在稳定生命体征、预防感染、促进伤口愈合、降低意外拔管的风险、缓解疼痛、加快胃肠功能恢复、促进神经系统发育等方面的效果;分析了其在外科领域应用中面临的挑战,为开展相关临床实践提供参考。

本文引用格式

曾兆兰 , 史泽瑶 , 李小文 . 袋鼠式护理在新生儿外科术后应用的研究进展[J]. 中华护理教育, 2023 , 20(10) : 1261 -1265 . DOI: 10.3761/j.issn.1672-9234.2023.10.018

Abstract

Kangaroo mother care has been widely applied in neonates,though its application after neonatal surgery is still in the exploratory stage. This paper reviewed the application status of kangaroo mother care after neonatal surgery from the aspects of implementers,applicable objects,implementation points and security guarantee. The effects of stabilizing vital signs,preventing infection,promoting wound healing,reducing the risk of accidental extubation,relieving pain,accelerating the recovery of gastrointestinal function and promoting the development of nervous system were summarized. Besides,this paper analyzed the challenges faced by kangaroo mother care in the surgical field,and provided reference for relevant clinical practice.

参考文献

[1] Chan GJ, Valsangkar B, Kajeepeta S, et al. What is kangaroo mother care? Systematic review of the literature[J]. J Glob Health, 2016, 6(1):010701.
[2] Lisanti AJ, Buoni A, Steigerwalt M, et al. Kangaroo care for hospi-talized infants with congenital heart disease[J]. MCN Am J Matern Child Nurs, 2020, 45(3):163-168.
[3] Levesque V, Johnson K, McKenzie A, et al. Implementing a skin-to-skin care and parent touch initiative in a tertiary cardiac and surgical neonatal intensive care unit[J]. Adv Neonatal Care, 2021, 21(2):E24-E34.
[4] Zhu LB, Xu YH, Li JF, et al. The effect of kangaroo mother care after duodenal obstruction in neonates[J]. Front Surg, 2022, 9:813052.
[5] 何雪萍, 石榴, 夏佳. 家庭袋鼠式护理在新生儿肠造口中的应用[J]. 护理实践与研究, 2022, 19(6):904-906.
[6] Lisanti AJ, Demianczyk AC, Costarino A, et al. Skin-to-skin care is a safe and effective comfort measure for infants before and after neonatal cardiac surgery[J]. Pediatr Crit Care Med, 2020, 21(9):e834-e841.
[7] Harrison TM, Ludington-Hoe S. A case study of infant physio-logic response to skin-to-skin contact after surgery for complex congenital heart disease[J]. J Cardiovasc Nurs, 2015, 30(6):506-516.
[8] Kelley-Quon LI, Kenney BD, Bartman T, et al. Safety and feasi-bility of skin-to-skin care for surgical infants:a quality improve-ment project[J]. J Pediatr Surg, 2019, 54(11):2428-2434.
[9] Harrison TM, Brown R. Autonomic nervous system function after a skin-to-skin contact intervention in infants with congenital heart disease[J]. J Cardiovasc Nurs, 2017, 32(5):E1-E13.
[10] 雷静, 曹建玉, 朱璐兰. 袋鼠式护理在先天性肠旋转不良手术新生患儿术后护理中的应用效果[J]. 当代护士(上旬刊), 2020, 27(3):94-96.
[11] Jyoti J, Spence K, Laing S, et al. Parents’ awareness and use of nonpharmacological methods to manage their baby’s proce-dural pain in a surgical neonatal intensive care unit[J]. J Neonatal Nurs, 2023, 29(1):60-67.
[12] 中华医学会儿科学分会新生儿学组, 中国医药教育协会新生儿专业委员会. 新生儿重症监护病房家庭参与式照护实践指南[J]. 中华儿科杂志, 2023, 61(4):292-300.
[13] 胡晓静, 张玉侠, 庄薇, 等. 新生儿重症监护病房早产儿袋鼠式照护的评估与实施[J]. 中国循证儿科杂志, 2019, 14(1):64-68.
[14] 刘芬, 肖苏琴, 卢思宇, 等. “袋鼠式护理” 临床护理路径在早产儿中的构建[J]. 中国护理管理, 2021, 21(2):315-320.
[14] Liu F, Xiao SQ, Lu SY, et al. Construction of “Kangaroo Mother Care” Clinical Nursing Pathway in premature infants[J]. Chin Nurs Manag, 2021, 21(2):315-320.
[15] Lisanti AJ, Demianczyk AC, Costarino A, et al. Skin-to-skin care is associated with reduced stress,anxiety,and salivary cortisol and improved attachment for mothers of infants with critical congenital heart disease[J]. J Obstet Gynecol Neonatal Nurs, 2021, 50(1):40-54.
[16] Harrison TM. Improving neurodevelopment in infants with complex congenital heart disease[J]. Birth Defects Res, 2019, 111(15):1128-1140.
[17] Buil A, Carchon I, Apter G, et al. Kangaroo supported diagonal flexion positioning:new insights into skin-to-skin contact for communication between mothers and very preterm infants[J]. Arch Pediatr, 2016, 23(9):913-920.
[18] Harrison TM, Chen CY, Stein P, et al. Neonatal skin-to-skin contact:implications for learning and autonomic nervous system function in infants with congenital heart disease[J]. Biol Res Nurs, 2019, 21(3):296-306.
[19] 刘晓瑜, 张红, 李秋燕, 等. 袋鼠式护理在婴儿体外循环术后快速康复中的应用[J]. 护士进修杂志, 2018, 33(9):841-843.
[20] Yamamichi T, Yoshida M, Sakai T, et al. Factors associated with neonatal surgical site infection after abdominal surgery[J]. Pediatr Surg Int, 2022, 38(2):317-323.
[21] 汪玥, 余雷, 鲁巍. 新生儿开腹手术后切口感染的影响因素分析[J]. 中华医院感染学杂志, 2019, 29(24):3814-3817.
[22] Gazzolo D, Masetti P, Meli M. Kangaroo care improves post-extubation cardiorespiratory parameters in infants after open heart surgery[J]. Acta Paediatr, 2000, 89(6):728-729.
[23] Broge MJ, Steurer LM, Ercole PM. The feasibility of kangaroo care and the effect on maternal attachment for neonates in a pediatric cardiac intensive care unit[J]. Adv Neonatal Care, 2021, 21(3):E52-E59.
[24] Harrison TM, Brown R, Duffey T, et al. Effects of massage on postoperative pain in infants with complex congenital heart disease[J]. Nurs Res, 2020, 69(5S Suppl 1):S36-S46.
[25] 国家儿童健康与疾病临床医学研究中心, 儿童发育疾病研究教育部重点实验室, 儿科学重庆市重点实验室, 等. 中国新生儿疼痛管理循证指南(2023年)[J]. 中国当代儿科杂志, 2023, 25(2):109-127.
[26] 彭艳芬, 何秋明, 郑海清, 等. 新生儿小肠造瘘术后营养状态及危险因素分析[J]. 中华新生儿科杂志, 2018, 33(5):350-353.
[27] 王敏, 朱海涛, 沈淳. 新生儿小肠造瘘术后肠内营养制剂作用观察[J]. 中华小儿外科杂志, 2017, 38(9):660-665.
[28] Peterson JK. Supporting optimal neurodevelopmental outcomes in infants and children with congenital heart disease[J]. Crit Care Nurse, 2018, 38(3):68-74.
[29] 李文, 刘墨言, 岳少杰, 等. 危重早产儿袋鼠式护理方案的探索与实践[J]. 中国护理管理, 2021, 21(12):1771-1776.
[30] 傅亚丽, 张先红, 李禄全, 等. NICU医护人员对家庭参与式护理的认知与实践调查[J]. 中华护理杂志, 2021, 56(12):1806-1812.
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