INDIVIDUALIZED DEVELOPMENTAL CARE FOR VERY-LOW-BIRTH-WEIGHT PREMATURE-INFANTS

被引:101
作者
FLEISHER, BE
VANDENBERG, K
CONSTANTINOU, J
HELLER, C
BENITZ, WE
JOHNSON, A
ROSENTHAL, A
STEVENSON, DK
机构
[1] STANFORD UNIV,SCH MED,DEPT PEDIAT,STANFORD,CA 94305
[2] STANFORD UNIV,SCH MED,DEPT PSYCHIAT,STANFORD,CA 94305
[3] CHILDRENS HLTH COUNCIL,PALO ALTO,CA
关键词
D O I
10.1177/000992289503401003
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Forty very-low-birth-weight neonatal intensive care unit (NICU) infants with birth weights less than or equal to 1,250 g were randomly assigned to treatment or control groups. Behavior of the treatment infants was systematically evaluated, and individualized developmentally oriented care plans were implemented to enhance stability. Treatment babies required fewer days of intermittent mandatory ventilation and continuous positive airway pressure and achieved full enteral feedings sooner, Length of hospital stay and hospital charges were less for treatment than control infants. There were favorable effects on treatment infants' behavioral performance at 42 weeks' postconceptional age. These results support the hypothesis that behaviorally sensitive, developmentally oriented care improves medical and neurodevelopmental outcome in the NICU.
引用
收藏
页码:523 / 529
页数:7
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