Advances in Neonatal Care最新文献_第6页

Meta-Analysis of eVisit Technology on Psychological Anxiety and Factors Influencing the Parents of NICU Newborns. 电子就诊技术对新生儿重症监护室新生儿父母的心理焦虑和影响因素的 Meta 分析。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-11-26 DOI: 10.1097/ANC.0000000000001199

Jiayi Wang, Guijuan He

{"title":"Meta-Analysis of eVisit Technology on Psychological Anxiety and Factors Influencing the Parents of NICU Newborns.","authors":"Jiayi Wang, Guijuan He","doi":"10.1097/ANC.0000000000001199","DOIUrl":"10.1097/ANC.0000000000001199","url":null,"abstract":"Background: Due to the geographical distance, work obligations, and parenting responsibilities, it is often difficult for parents to visit the neonatal intensive care unit (NICU). Limited parent presence might also constrain updates about infant status thus increasing anxiety, which potentially leads to a stronger necessity for visitation.Purpose: Examine the evidence for use of electronic visit (eVisit) technology for parents of newborns in NICU, for example, do eVisits decrease anxiety and are there other factors that demonstrate effectiveness.Data sources: Seven databases were used to search for evidence from 1 January 2000 to 13 November 2023.Study selection: Studies were included with terms related to eHealth, NICU, infant, parent and 41 eligible studies were assessed.Data extraction: Data were extracted by 2 reviewers with a systematic-staged review approach.Results: Eight studies with a total of 1450 cases were included. Results of meta-analysis showed that eVisit technology improved anxiety compared with conventional visitation (MD = - 5.04, 95% CI [-5.92, - 4.17], P < .01) and hospitalization satisfaction (RR = 1.09, 95% CI [1.05, 1.13], P < .01), but the effect was not significant with regard to reduction in infant length of stay (MD = - 1.07, 95% CI [-5.39, 3.25], P = .63).Implications for practice and research: A large sample, high-quality, multi-centered randomized controlled study needs to be conducted to validate the effect of eVisit technology on the psychological state of parents, implications for nursing practice as well as potential newborn affects to improve future ease of use.Video abstract: Available for more insights from the authors. This video shows the concept, current status, significance, and implications for practice and research of eVisit technology.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"544-553"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Announcing NANN's 2024 Award Winners. 宣布 NANN 2024 年获奖者名单。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1097/ANC.0000000000001206

Jennifer Silver

引用次数: 0

Preventing Hypothermia in Newborns With Congenital Anomalies in the Delivery Room. 在产房预防先天性畸形新生儿体温过低。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1097/ANC.0000000000001184

Lauren Heimall, Michele Barrila-Yetman, Kia R McCray, Danielle Cestare, Melissa Duran, K Taylor Wild, Anne Ades

{"title":"Preventing Hypothermia in Newborns With Congenital Anomalies in the Delivery Room.","authors":"Lauren Heimall, Michele Barrila-Yetman, Kia R McCray, Danielle Cestare, Melissa Duran, K Taylor Wild, Anne Ades","doi":"10.1097/ANC.0000000000001184","DOIUrl":"10.1097/ANC.0000000000001184","url":null,"abstract":"Background: Thermoregulation interventions in the delivery room have historically focused on preterm infants and studies often exclude term infants or those infants with known congenital anomalies.Purpose: The purpose of this quality improvement project was to reduce the rate of admission hypothermia in neonates of all gestational ages born with congenital anomalies and admitted to the intensive care unit (ICU).Methods: Utilizing the Institute for Healthcare Improvement model for improvement, implementation of plan, do study, act cycles focused on standardizing temperatures of the delivery room and resuscitation bed, recommendations for temperature monitoring, trialing polyethylene lined hats, and implementing a delivery room thermoregulation checklist.Results: Overall, the mean rate of neonates admitted to the ICU hypothermic (<36.5°C) decreased from 27% to 9% over an 8-month period.Implications for practice and research: The interventions significantly reduced the number of neonates admitted to the ICU with hypothermia. Implementation of thermoregulation bundles should apply to all neonates with congenital anomalies to decrease risks associated with hypothermia.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"408-416"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exclusive Human Milk Diets and the Reduction of Necrotizing Enterocolitis. 全母乳喂养与减少坏死性小肠结肠炎的发生

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1097/ANC.0000000000001183

Lydia Harris, Stephanie Lewis, Shellye Vardaman

{"title":"Exclusive Human Milk Diets and the Reduction of Necrotizing Enterocolitis.","authors":"Lydia Harris, Stephanie Lewis, Shellye Vardaman","doi":"10.1097/ANC.0000000000001183","DOIUrl":"10.1097/ANC.0000000000001183","url":null,"abstract":"Background: Necrotizing enterocolitis (NEC) is common in preterm infants, especially infants less than 32 weeks gestation. Mortality from NEC is 7% and occurs in 1 out of 1000 preterm infants. Studies have shown the efficacy of an exclusive milk from mother diet in decreasing rates of NEC and associated mortality.Purpose: To evaluate the effectiveness of an existing exclusive human milk diet (EHMD) protocol on the incidence of NEC in extremely premature infants. EHMD, for the purposes of this project is defined as breast milk of mother, with or without human milk-based fortifier.Methods: A single-center retrospective quasi-experimental study. The sample included 201 infants born less than 32 weeks gestation, weighing less than 1250 grams, small for gestational age (SGA) and with low Apgar scores. Outcomes measured included incidences of NEC, mortality, and co-morbidities in infants pre- and postinitiation of an EHMD protocol.Results: Just 4.8% of the EHMD group had a NEC diagnosis compared to 10.5% of the bovine-based (BOV) group. There was a 1% mortality rate of the EHMD group as compared to 6% in the BOV group. The EHMD group had a statistically significant greater weight gain during hospitalization as compared to infants fed BOV ( P = < .05).Implications for practice and research: Neonatal intensive care units should consider EHMDs for use in this infant population. Future research is needed to support dissemination of the use of EHMD as standard of practice.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"400-407"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reimagining Supportive Approaches at the Intersection of Mandatory Reporting Policies for the Mother-Infant Dyad Affected by Substance Use. 在受药物使用影响的母婴二人组强制报告政策的交叉点上重新构想支持性方法。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1097/ANC.0000000000001209

引用次数: 0

Fetomaternal Hemorrhage and Choriocarcinoma: A Case Report. 孕产妇出血和绒毛膜癌：病例报告。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1097/ANC.0000000000001192

Meredith Farmer

{"title":"Fetomaternal Hemorrhage and Choriocarcinoma: A Case Report.","authors":"Meredith Farmer","doi":"10.1097/ANC.0000000000001192","DOIUrl":"10.1097/ANC.0000000000001192","url":null,"abstract":"Background: This case describes chronic anemia of a late preterm infant secondary to maternal-fetal hemorrhage and subsequent findings of maternal choriocarcinoma.Clinical findings: This infant was born at 35 6/7 weeks gestational age via cesarean section for non-reassuring fetal heart tones. The mother presented with decreased fetal movement and the biophysical profile was 4/8. Following delivery, the infant did not require respiratory support, was vigorous with extreme pallor, and had a hemoglobin of less than 5 on cord gas.Primary diagnosis: Chronic anemia secondary to fetomaternal hemorrhage.Interventions: The infant's initial hemoglobin was 2.4 and hematocrit was 8.1. The mother's Kleihauer-Betke test was elevated at 7%. The infant required a partial exchange transfusion following admission to the neonatal intensive care unit. Following the partial exchange transfusion, the infant began to experience increasing respiratory distress and required respiratory support. An echocardiogram showed severe persistent pulmonary hypertension of the neonate. The mother was subsequently diagnosed with choriocarcinoma.Outcomes: The infant fully recovered from chronic anemia and persistent pulmonary hypertension of the neonate and was discharged home with the mother. The infant required follow-up testing for choriocarcinoma outpatient.Practice recommendations: Newborns diagnosed with early chronic anemia should be evaluated, the cause investigated, and appropriate treatment considered. If the cause of blood loss is unknown, a maternal Kleihauer-Betke test should be considered. In this case, a partial exchange transfusion was performed to avoid cardiovascular volume overload, but another course of treatment could include small aliquots of packed red blood cell transfusions.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"417-423"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Scoping Review of Multimodal, Dyadic Early Relational Health Interventions in NICUs in the United States. 美国新生儿重症监护室多模式、双亲早期关系健康干预的范围综述。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1097/ANC.0000000000001189

Umber Darilek, Jasmine Graw, Laura Sisk, Allison D Crawford, Emme Lopez, Rebecca Howe, Kelly McGlothen-Bell

{"title":"A Scoping Review of Multimodal, Dyadic Early Relational Health Interventions in NICUs in the United States.","authors":"Umber Darilek, Jasmine Graw, Laura Sisk, Allison D Crawford, Emme Lopez, Rebecca Howe, Kelly McGlothen-Bell","doi":"10.1097/ANC.0000000000001189","DOIUrl":"10.1097/ANC.0000000000001189","url":null,"abstract":"Background: Early relational health (ERH) interventions can buffer toxic stress and improve the developmental trajectories of neonatal intensive care unit (NICU) infants.Purpose: The purpose was to examine the current state of the science related to multimodal, dyadic ERH interventions implemented in the NICU setting in the United States and identify gaps in the current literature.Data sources: PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsycInfo were searched in November 2022 and November 2023 for original studies and conference proceedings from 1970 to present in the English language. Gray literature searches were performed in February 2023 and December 2023.Study selection: English language, original research, with a focus on multimodal, dyadic ERH interventions that took place primarily in a NICU in the United States were included. Outcome measures could be related to implementation, relational health, or physical and/or mental health outcomes of parent and/or infant. Eighteen of 2021 reviewed articles met the inclusion criteria.Data extraction: Data were extracted for author, year, intervention, purpose, methods, sample, paternal inclusion, dyadic components, non-dyadic components, and major outcomes/results and distilled for study characteristics, multimodal, dyadic intervention characteristics, and outcome measures.Results: Several multimodal dyadic interventions exist to aid ERH in the NICU, providing evidence of improved outcomes for infants and families. More research is required using higher sample sizes and replication studies.Implications for practice and research: ERH interventions show promise in improving neurodevelopmental, behavioral, and maternal mental health outcomes and should be considered for implementation into NICU services.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"453-465"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Oral Colostrum Application on the Condition of the Mouth and Incidence of Late-Onset Sepsis Among Premature Infants: A Randomized Controlled Trial. 口服牛初乳对早产儿口腔状况和晚发败血症发病率的影响：随机对照试验

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1097/ANC.0000000000001194

Leila Barizeh, Mahnaz Jabraeili, Mohammad Bagher Hoseini, Mahni Rahkar Farshi, Julie-Anne Martyn, Deependra Kaji Thapa, Michelle Cleary

{"title":"The Effect of Oral Colostrum Application on the Condition of the Mouth and Incidence of Late-Onset Sepsis Among Premature Infants: A Randomized Controlled Trial.","authors":"Leila Barizeh, Mahnaz Jabraeili, Mohammad Bagher Hoseini, Mahni Rahkar Farshi, Julie-Anne Martyn, Deependra Kaji Thapa, Michelle Cleary","doi":"10.1097/ANC.0000000000001194","DOIUrl":"10.1097/ANC.0000000000001194","url":null,"abstract":"Background: Premature infants have higher risks of infection due to their underdeveloped immune systems and changes to the oral cavity's normal flora colonization.Purpose: To assess the effect of oral colostrum application on the condition of the mouth and the incidence of late-onset sepsis (LOS) among premature infants.Methods: In this randomized controlled trial, 70 newborn premature infants were randomly allocated to colostrum or sterile water groups. The Mouth Care Assessment Tool was used to evaluate the condition of the mouth for 5 days after oral colostrum application. The incidence of LOS was measured using clinical and laboratory indicators from 72 hours after birth until discharge.Results: The condition of the mouth was significantly different on days 4 and 5, demonstrating that the colostrum group had less need for oral care ( P < .001) compared to the control group. There was no significant difference between the 2 groups in clinical symptoms and laboratory values related to LOS ( P > .05).Implications for practice: Oral colostrum application can benefit oral mucosal health and reduce the need for oral care among premature infants. It is also safe alternative oral care for premature infants who cannot breastfeed during the first few days of life. Future research should include infants of different gestational ages and mechanically ventilated infants to assess the effect of oral colostrum application on serum immune factors.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"485-493"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Swaddling and Oropharyngeal Colostrum During Endotracheal Suctioning on Procedural Pain and Comfort in Premature Neonates: A Randomized Controlled Trial. 气管内吸引时襁褓和口咽初乳对早产新生儿手术疼痛和舒适度的影响：随机对照试验

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1097/ANC.0000000000001190

Huriye Karadede, Birsen Mutlu

{"title":"The Effect of Swaddling and Oropharyngeal Colostrum During Endotracheal Suctioning on Procedural Pain and Comfort in Premature Neonates: A Randomized Controlled Trial.","authors":"Huriye Karadede, Birsen Mutlu","doi":"10.1097/ANC.0000000000001190","DOIUrl":"10.1097/ANC.0000000000001190","url":null,"abstract":"Background: Endotracheal suctioning (ES) is a painful procedure frequently performed in the neonatal intensive care unit. This procedure negatively affects the comfort level of premature neonates.Purpose: To determine the effect of 2 nonpharmacologic methods, swaddling and the administration of oropharyngeal colostrum, on the pain and comfort levels of preterm neonates during ES.Methods: This randomized controlled experimental study comprised 48 intubated premature neonates (swaddling group n = 16; oropharyngeal colostrum group n = 16; and control group n = 16) at 26 to 37 weeks of gestation. The neonates were swaddled with a white soft cotton cloth or administered 0.4 mL of oropharyngeal colostrum 2 minutes before ES, according to the group in which they were included. Two observers evaluated the pain levels (Premature Infant Pain Profile-Revize [PIPP-R]) and comfort (Newborn Comfort Behavior Scale [COMFORTneo]) of the infants by observing video recordings of before, during, and after the procedure.Findings/results: A significantly lower mean PIPP-R score was found in the swaddling group during ES compared with the control group ( P = .002). The mean COMFORTneo scores of the swaddling and oropharyngeal colostrum groups during ES ( P < .01, P = .002) and the mean PIPP-R and COMFORTneo scores immediately after ES and 5, 10, and 15 minutes later were significantly lower than the control group ( P < .005).Implications for practice and research: Swaddling was effective both during and after the procedure, while oropharyngeal colostrum was effective only after the procedure in reducing ES-related pain in premature neonates. Swaddling and oropharyngeal colostrum were effective in increasing comfort both during and after the procedure.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"466-474"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Announcing NANN's 2024 Award Winners. 宣布 NANN 2024 年获奖者名单。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1097/ANC.0000000000001206

Jennifer Silver

引用次数: 0