NICU早产儿睡眠保护的最佳证据总结

doi:10.3761/j.issn.0254-1769.2023.12.006

摘要/Abstract

摘要：

目的检索、评价并整合NICU早产儿睡眠保护的相关证据，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早产儿睡眠保护的文献，包括临床决策、指南、系统评价、技术报告、证据总结、专家共识，检索时限为2012年1月—2022年7月，由2名研究者独立对纳入文献进行质量评价，结合专业判断提取证据。结果共纳入12篇文献，包括临床决策1篇、指南2篇、技术报告1篇、证据总结1篇、系统评价6篇、专家共识1篇，分别从睡眠评估、流程优化、环境支持、体位支持、感官刺激、培训教育6个方面总结24条证据。结论该研究总结了NICU早产儿睡眠保护的相关证据，医护人员应结合早产儿实际情况，有针对性地选择证据，制订并实施科学的早产儿睡眠保护方案，进一步提高早产儿护理质量。

关键词: 早产儿, 睡眠保护, 发育支持护理, 循证护理学, 新生儿护理

Abstract:

Objective To retrieve，evaluate and integrate relevant evidence of the sleep protection for premature infants in NICU to provide clinical references. Methods According to the “6S” model of evidence resources，we searched computer decision support systems，guideline websites，association websites and databases for all evidence of sleep protection for preterm infants in NICU，including relevant clinical decision support，clinical practice guidelines，systematic reviews，technical reports，evidence summaries，expert consensuses，and the search time limit is from January 2012 to July 2022. Results A total of 12 pieces of the literature were included，including 1 clinical decision support，2 guidelines，1 technical report，1 evidence summary，6 systematic reviews，1 expert consensus. After sorted out，24 pieces of best evidence were summarized from 6 aspects，including sleep assessment，process optimization，environmental support，postural support，sensory stimulation and training education. Conclusion This study summarized the current best evidence of sleep protection for premature infants in NICU. Medical staff should consider the clinical situation when applying the evidence，formulate and implement scientific sleep protection programs to improve the nursing quality for premature infants.

Key words: Premature Infants, Sleep Protection, Developmental Support Care, Evidence-Based Nursing, Neonatal Nursing

聂玲, 孙小玲, 蒋玲, 马月兰, 刘永戍, 沈婷, 余婷, 蔡会文. NICU早产儿睡眠保护的最佳证据总结[J]. 中华护理杂志, 2023, 58(12): 1449-1455.

NIE Ling, SUN Xiaoling, JIANG Ling, MA Yuelan, LIU Yongshu, SHEN Ting, YU Ting, CAI Huiwen. Summary of best evidence of sleep protection for premature infants in NICU[J]. Chinese Journal of Nursing, 2023, 58(12): 1449-1455.

图/表 4

图1 文献筛选流程图

Figure 1 Flow chart of the literature

表1 纳入文献的基本特征（n=12）

Table 1 General characteristics included in the literature（n=12）

表2 指南的质量评价结果（n=2）

Table 2 Results of quality evaluation of the guidelines（n=2）

表3 NICU早产儿睡眠保护的最佳证据总结

Table 3 Summary of best evidence of sleep protection for premature infants in NICU

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