技术现状和建议。袋鼠妈妈护理:在高科技环境下的应用。

Q2 Nursing
Breastfeeding Review Pub Date : 2010-11-01
K H Nyqvist, G C Anderson, N Bergman, A Cattaneo, N Charpak, R Davanzo, U Ewald, S Ludington-Hoe, S Mendoza, C Pallás-Allonso, J G Peláez, J Sizun, A M Wiström
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引用次数: 0

摘要

自20世纪70年代在哥伦比亚开发袋鼠妈妈护理(KMC)以来,临床应用出现了两种趋势。在低收入环境中,实施了原始的KMC模式。这包括连续的(24小时/天;7天/周)和长时间的母婴皮肤接触;婴儿采用袋鼠体位提前出院;(理想情况下)纯母乳喂养和适当的随访。在富裕的环境中,间歇性的KMC在有限的时间内进行一次或几小时的皮肤接触是很常见的。由于越来越多的证据表明,在所有重症监护环境中,KMC对婴儿和家庭都有好处,因此,高科技环境中的KMC被选为第一届欧洲KMC会议的主题。在第七届国际KMC袋鼠妈妈护理研讨会上,讨论了高科技新生儿重症监护病房(NICU)中KMC模式在所有类型环境中的临床实施。转移到/从KMC,袋鼠式转运,袋鼠式营养,父母的角色,NICU环境的改变,KMC的护理表现,以及婴儿不稳定的KMC情况。结论:建议在高科技环境中应用原始的KMC方法,尽可能持续皮肤接触,但仍应继续进行科学评价。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
State of the art and recommendations. Kangaroo mother care: application in a high-tech environment.

Unlabelled: Since Kangaroo Mother Care (KMC) was developed in Colombia in the 1970s, two trends in clinical application emerged. In low-income settings, the original KMC modelis implemented. This consists of continuous (24 h/day; 7 days/week) and prolonged mother/parent-infant skin-to-skin contact; early discharge with the infant in the kangaroo position; (ideally) exclusive breastfeeding and, adequate follow up. In affluent settings, intermittent KMC with sessions of one or a few hours skin-to-skin contact for a limited period is common. As a result of the increasing evidence of the benefits of KMC for both infants and families in all intensive care settings, KMC in a high-tech environment was chosen as the topic for the first European Conference on KMC, and the clinical implementation of the KMC modelin all types of settings was discussed at the 7th International Workshop on KMC Kangaroo Mother Care protocols in high-tech Neonatal Intensive Care Units (NICU) should specify criteria for initiation, kangaroo position, transfer to/from KMC, transport in kangaroo position, kangaroo nutrition, parents'role, modification of the NICU environment, performance of care in KMC, and KMCin case of infant instability.

Conclusion: Implementation of the original KMC method, with continuous skin-to-skin contact whenever possible, is recommended for application in high-tech environments, although scientific evaluation should continue.

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来源期刊
Breastfeeding Review
Breastfeeding Review Nursing-Maternity and Midwifery
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