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題名：發展支持性照護在臨床之應用--以早產兒洗澡為例
書刊名：護理雜誌
作者：廖珍娟
作者(外文)：Liaw, Jen-jiuan
出版日期：2003
卷期：50:4
頁次：頁23-28
主題關鍵詞：發展；支持；早產；照護；洗澡；Development；Support；Preterm；Caregiving；Bath
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:0
  • 點閱點閱:52
　　　　　隨著新生兒醫療照護系統的進步，早產兒的存活率也漸漸提高，然而某些研究卻顯示早產兒在神經發展障礙的致病率仍然隨著其妊娠週數的減少而增加（鄒等，1999）。這些結果使得新生兒加護中心必須由以臨床需求為基礎的照顧轉變為以早產兒行為為基礎的照顧，以便支持早產兒的神經成熟度、社交與情緒的發展，也就是發展支持性的照護。本篇文章主要是在強調發展支持性照護在促進早產兒健康與發展上的重要，並闡述支持性措施包括促進早產兒的穩定性、姿勢的支持、照護活動的時間安排與執行速度（Becker, Grunwald, & Brazy, 1999），最後將這個照護的概念與原則應用在幫早產兒洗澡的實務過程中。藉由洗澡的實例期望將發展支持性照護實際應用到其他醫療照護的活動，讓早產兒在接受任何醫療照護處置時能表現得更穩定更舒適而有更健康、更美好的未來。
　　　　　Improvements in of medical care in Taiwan have led to rapid increases in the survival rates of preterm infants. However, some studies indicate that among preterm infants, neurodevelopmental impairments increase as gestational ages decrease. The results suggest that the focus of neonatal intensive caregiving has to shift from clinical-based care to cue-based care, and support the infants' neuromaturation and social and emotional development. That is to implement developmentally supportive care. The major purposes of this paper are to emphasize the importance of developmentally supportive care in improving the health and development of preterm infants, describe the elements of supportive interventions, and apply the concepts of developmentally supportive care to bathing preterm infants. Through the example of bathing preterm infants, supportive interventions can also be incorporated into other medical care procedures in clinical practice. Through the implementation of developmentally supportive care, these fragile infants are expected to have healthier outcomes and a healthier future.
期刊論文
1.Becker, Patricia T.、Grunwald, Patricia C.、Brazy, Jane E.(1999)。Motor Organization in Very Low Birth Weight Infants during Caregiving: Effects of a Developmental Intervention。Journal of Developmental & Behavioral Pediatrics，20(5)，344-354。  new window
2.Zahr, L. K.、Balian, S.(1995)。Responses of premature infants to routine nursing interventions and noise in the NICU。Nursing Research，44(3)，179-185。  new window
3.Peters, K. L.(1998)。Bathing premature infants: Physiological and behavioral consequences。American Journal of Critical Care，7(2)，90-100。  new window
4.Brandon, D. H.、Holditch-Davis, D.、Beylea, M.(1999)。Nursing care and the development of sleeping and waking behaviors in preterm infants。Research in Nursing and Health，22(3)，217-229。  new window
5.Neu, M.、Browne, J. V.(1997)。Infant physiologic and behavioral organization during swaddled versus unswaddled weighing。Journal of Perinatology，17(3)，193-198。  new window
6.Starr, N. M.、Hoye, L.(1998)。An overview of developmentally supportive care of the premature infant。Journal of Pediatric Health Care，12(1)，33-34。  new window
7.Fleisher, B. E.、Vandenberg, K.、Constantinou, J.、Heller, C.、Benitz, W. E.、Johnson, A.(1995)。Individualized developmental care for very-low-birth-weight infants。Clinical Pediatrics，34(10)，523-529。  new window
8.Taquino, L. T.、Lockridge, T.(1999)。Caring for critically ill infants: Strategies to promote physiological stability and improve the developmental outcomes。Critical Care Nurse，19(6)，64-79。  new window
9.Westrup, B.、Kleberg, A.、Eichwald, K.、Stjemqvist, K.、Lagercrantz, H.(2000)。A randomized, controlled trial to evaluate the effects of the newborn individualized developmental care and assessment program in a Swedish setting。Pediatrics，105(1)，66-72。  new window
10.Als, H.、Gilkerson, L.(1997)。The role of relationshipbased developmentally supportive newborn intensive care in strengthening outcome of preterm infants。Seminars in Perinatology，21(3)，178-189。  new window
11.Als, H.(1986)。A Synactive Model of Neonatal Behavioral Organization: Framework for the Assessment of Neurobehavioral Development in the Premature Infant and for Support of Infants and Parents in the Neonatal Intensive Care Environment。Physical and Occupational Therapy in Pediatrics，6(3/4)，3-55。  new window
12.Blackburn, S.(1998)。Environmental impact of the NICU on developmental Outcomes。Journal of Pediatric Nursing，13(5)，279-289。  new window
13.Becker, P. T.、Grunwald, P. C.、Moorman, J.、Stuhr, S.(1993)。Effects of developmental care on behavioral organization in very-low-birth-weight infants。Nursing Research，42(4)，214-220。  new window
14.Brown, L. D.、Heermann, L. A.(1997)。The effects of developmental care on preterm infant outcomes。Applied Nursing Research，10(4)，190-197。  new window
15.Buehler, D. M.、Als, H.、Duffy, F. H.、McAnulty, G. B.、Liederman, J.(1995)。Effectiveness of individualized developmental care for low-risk preterm infants: Behavioral and electro physiologica evidence。Pediatrics，96(5)，923-932。  new window
16.陳昭惠、王德明、遲景上(20000500)。Individualized Developmental Care in the Newborn Intensive Care Unit。臺灣兒科醫學會雜誌，41(3)，119-122+164。  延伸查詢new window
17.Gorski, P. A.、Hole, W. T.、Leonard, C. H.、Martin, J. A.(1983)。Direct computer recording of premature infants and nursery care: Distress following two interventions。Pediatrics，72(2)，198-202。  new window
18.Cole, J. G.、Frappier, P. A.(1985)。Infant stimulation reassessed a new approach to providing care for the preterm infant。Journal of Obstetric, Gynecological, and Neonatal Nursing，14(6)，471-477。  new window
19.Petryshen, P.、Stevens, B.、Hawkins, J.、Stewart, M.(1997)。Comparing nursing costs for preterm infants receiving conventional vs. developmental care。Nursing Economics，15(3)，138-145。  new window
20.Als, H.(1998)。Developmental care in the newborn intensive care unit。Current Opinion in Pediatrics，10(2)，138-142。  new window
21.Als, H.、Lawhon, G.、Duffy, F. H.、McAnulty, G. B.、Gibes-Grossman, R.、Blickman, J. G.(1994)。Individualized developmental care for the very low birth weight preterm infant: Medical and neurofunctional effects。The Journal of the American Medical Association，272(11)，853-858。  new window
研究報告
1.台灣早產兒聯合追蹤小組、鄒國英(1999)。台灣極低體重早產兒至兩歲之發展預後--1999年成果報告。台北：中華民國新生兒科醫學會：中華民國早產兒基金會。  延伸查詢new window
學位論文
1.Liaw, J. J.(2002)。Facilitating NICU caregiving in Taiwan through understanding preterm infant behaviors(博士論文)。University of Washington，Seattle。  new window
單篇論文
1.Liaw, J. J.(2001)。Beliefs and values of nurses doing NICU care in Taiwan。  new window
圖書論文
1.Als, H.(1999)。Reading the premature infants。Nurturing the premature infants: Developmental interventions in the neonatal intensive care unit。New York：Oxford University Pess。  new window
2.Blackburn, S.、Vandenberg, K. A.(1993)。Assessment and management of neonatal neurobehavioral development。Comprehensive neonatal nursing: A physiological perspective。Philadelphia：W. B. Saunders。  new window
3.Bronfenbrenner, U.(1989)。Ecological systems theory。Six theories of child development: Revised formulations and current issues. Annals of Child Development。New York：Academic。  new window
4.Marin-Padilla, M.(1993)。Pathogenesis of late-acquired leptomeningeal heterotopias and secondary cortical alteration: A golgi study。Dyslexia and development。Cambridge, MA：Harvard University Press。  new window
5.Vandenberg, K. A.(1995)。Behaviorally supportive care for extremely premature infants。Care of the 24-25 week gestational age infant: A small baby protocol。Petaluma, CA：NICU INK Book Publishers。  new window
 
 
 
 
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