Individualized Developmental Care in the Newborn Intensive Care Unit

新生兒加護中心的個別化發展性照顧

陳昭惠(Chao-Huei Chen) ； 王德明(Teh-Ming Wang) ； 遲景上(Ghing-Shiang Chi)

《Acta Paediatrica Taiwanica》 41卷3期 (2000/06) Pp. 119-122

https://doi.org/10.7097/APT.200006.0119

摘要

隨著新生兒加護科學的進步，極低體重早産兒的存活率逐年增加。但是我們注意到新的疾病，如：學習困難，行為問題，低智商，及動作問題也有增加。新生兒個別化發展性照顧是根據嬰兒行為的表現來調整照顧者提供的治療及措施。研究顯示，在發展性照顧下的早産兒使用呼吸器及住院天數會縮短，並且較早開始經口喂食。不論是短期或是長期的神經行為發展都會較進步。發展性照顧強調的不僅是改變環境提供嬰兒及家人平靜舒適的環境。它更提供一個機會，讓所有的工作人員去了解嬰兒的行為，在我們給予治療前思考及反省我們的作為對嬰兒的影響。

關鍵字

個別化發展性照顧 ； 早産兒

並列摘要

With recent advances on newborn intensive care, the survival rate of very low birth weight preterm infants has been improved. The consequently new morbidities such as learning disabilities, behavioral problems, lower mean IQ and motor clumsiness have become more frequent. Neonatal individualized developmental care seeks to read the behavior of premature in fants, and pace our procedures and care-giving according to individual infants cues. Studies have shown that with implementation of developmental care, the time spent on ventilator and hospitalization was decreased, and infants started oral feeding earlier. The short and long-term neurobehavioral outcomes were improved. Developmental care focuses not only on changing the environment to provide a calming and soothing environment for the infants and family, but also provides a chance for all the staff members to read the behavior of the infants, think and reflect before doing something to the infants.

並列關鍵字

individualized developmental care ； preterm infants