Preterm Bebeklerde Gestasyonel Haftalara Göre Bireyselleştirilmiş Destekleyici Gelişimsel Bakım Uygulamaları
Abstract
Dünya Sağlık Örgütü’ne göre her yıl 15 milyon preterm doğum
meydana gelmekte ve yaklaşık bir milyon preterm erken doğum komplikasyonları
nedeniyle hayatını kaybetmektedir. İmmatürite, enfeksiyon ve yoğun bakım
ortamındaki çevresel faktörler (gürültü, parlak ışık, sık uygulanan dokunma
benzeri girişimler, ağrılı girişimler) preterm bebeğin gelişimsel sonuçlarını
olumsuz etkileyen stresörler arasındadır. Yapılan araştırmalarda hastanede
yatış ile stres ve travmanın preterm bebeklerin uzun süreli psikososyal sağlık
durumu üzerinde etkileri olduğu, bu etkilerin ortaya çıkmasında sağlık
çalışanlarının verdiği bakım, verilen bakımın özelliği ve bakıma ilişkin hasta
deneyiminin kritik rol oynadığı belirlenmiştir. Bireyselleştirilmiş
Destekleyici Gelişimsel Bakım; yenidoğan yoğun bakım ortamında çevresel
stresörlerin azaltılması, erken dönemde anne bebek ilişkisinin başlatılması,
bebeğin nörodavranışsal olgunlaşması ve organizasyonunu desteklemeyi içeren
kapsamlı bir programdır. Gestasyonel haftalarına göre gelişimsel özellikleri
farklı olan preterm bebeklere bu program doğrultusunda bakım verilirken gelişimsel
farklıklar göz önünde bulundurularak gerekli hazırlıklar ve uygulamalar
yapılmalıdır. Bu derleme makalemizdeki amaç; preterm bebeklere gestasyonel
haftalara göre bireyselleştirilmiş destekleyici gelişimsel bakım uygulamaları
doğrultusunda verilecek hemşirelik bakımını açıklamaktır.
References
- 1. World Health Organisation. Preterm Birth. URL: http://www.who.int/news-room/fact-sheets/detail/preterm-birth Erişim Tarihi: 28.02.2019
- 2. Duerden EG, Grunau RE, Guo T, Foong J, Pearson A, Au-Young S, et al. Early procedural pain is associated with regionally-specific alterations in thalamic development in preterm neonates. Journal of Neuroscience, 2018;38(4):878-886.
- 3. Tutar Güven Ş, İşler Dalgıç A. An individualized supportive developmental care program developed for premature newborns. International Refereed Journal of Gynaecological Diseases and Maternal Child Health 2017;9:41-61.
- 4. Symington AJ, Pinelli J. Developmental care for promoting development and preventing morbidity in preterm infants. Cochrane Database of Systematic Reviews 2006;(2).
- 5. Orton J, Spittle A, Doyle L, Anderson P, Boyd R. Do early intervention programmes improve cognitive and motor outcomes for preterm infants after discharge? A systematic review. Dev Med Child Neurol 2009;51(11), 851-859.
- 6. Gibbins S, Hoath SB, Coughlin M, Gibbins A, Franck L. The universe of developmental care: a new conceptual model for application in the neonatal intensive care unit. Advances in Neonatal Care 2008;8(3):141-147.
- 7. Doyle LW, Saigal S. Long-term outcomes of very preterm or tiny infants. NeoReviews 2009;10(3):e130-e137.
- 8. Als H. Newborn individualized developmental care and assessment program (NIDCAP): new frontier for neonatal and perinatal medicine. Journal of Neonatal-Perinatal Medicine 2009;2(3):135-147.
- 9. Kaya A, Tutar Güven Ş, İşler Dalgıç A. Evidence based nursing approaches in individualized supportive developmental care program developed for pretem newborns. International Refereed Journal of Gynaecological Diseases and Maternal Child Health 2018;13:96-115.
- 10. Maroney DI. Recognizing the potential effect of stress and trauma on premature infants in the NICU: how are outcomes affected?. J Perinatol 2003;23(8):679.
- 11. Davydow DS, Katon WJ, Zatzick DF. Psychiatric morbidity and functional impairments in survivors of burns, traumatic injuries, and ICU stays for other critical illnesses: a review of the literature. International Review of Psychiatry 2009;21(6):531-538.
- 12. Davydow DS, Richardson LP, Zatzick DF, Katon WJ. Psychiatric morbidity in pediatric critical illness survivors: a comprehensive review of the literature. Arch of Pediatr Adolesc Med 2010;164(4):377-385.
- 13. Silberstein D, Litmanovitz I. Developmental care in the neonatal intensive care unit according to Newborn Individualized Developmental Care and Assessment Program (NIDCAP). Harefuah 2016;155(1):27-31.
- 14. Milette I, Martel MJ, da Silva MR, Coughlin McNeil M. Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the NICU. Part B: Recommendations and Justification. A Joint Position Statement From the CANN, CAPWHN, NANN, and COINN. Canadian Journal of Nursing Research 2017;49(2):63-74.
- 15. Milette I, Martel MJ, da Silva MR, McNeil MC. Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the Neonatal Intensive Care Unit. Part A. Canadian Journal of Nursing Research 2017;49(2):46-62.
- 16. Peters KL, Rosychuk RJ, Hendson L, Coté JJ, McPherson C, Tyebkhan JM. Improvement of short-and long-term outcomes for very low birth weight infants: Edmonton NIDCAP trial. Pediatrics 2009;124(4):1009-1020.
- 17. Legendre V, Burtner PA, Martinez KL, Crowe TK. The evolving practice of developmental care in the neonatal unit: a systematic review. Physical & Occupational Therapy in Pediatrics 2011;31(3):315-338.
- 18. Moody C, Callahan TJ, Aldrich H, Gance-Cleveland, B, Sables-Baus S. Early initiation of newborn individualized developmental care and assessment program (NIDCAP) reduces length of stay: A quality improvement project. J Pediatr Nurs 2017;32:59-63.
- 19. Hendricks-Munoz KD, Prendergast CC. Barriers to provision of developmental care in the neonatal intensive care unit: neonatal nursing perceptions. Am J Perinatol 2007;25(2):71-78.
- 20. Zhang X, Lee SY, Chen J, Liu H. Factors influencing implementation of developmental care among NICU nurses in China. Clinical Nursing Research 2016;25(3):238-253.
- 21. Mosqueda R, Castilla Y, Perapoch J, de la Cruz J, López-Maestro M, Pallás C. Staff perceptions on Newborn Individualized Developmental Care and Assessment Program (NIDCAP) during its implementation in two Spanish neonatal units. Early Hum Dev 2013;89(1):27-33.
- 22. Coughlin ME. Trauma-Informed Care in the NICU: Evidenced-Based Practice Guidelines for Neonatal Clinicians. Springer Publishing Company, 2016.
- 23. Newborn Services Clinical Guideline. Early Preterm Infant (24 to 27 Weeks Gestation). Reviewed by Charge Nurse – Newborn, December 2004, URL: http://www.adhb.govt.nz/newborn/Guidelines/Developmental/DevCare24-27.htm#Vision Erişim Tarihi: 15.10.2018
- 24. VandenBerg KA. Individualized developmental care for high risk newborns in the NICU: a practice guideline. Early Hum Dev 2007;83(7):433-442.
- 25. Newborn Services Clinical Guideline. Developing Preterm Infant (28 to 32 Weeks Gestation). Reviewed by Charge Nurse – Newborn, December 2004, URL: http://www.adhb.govt.nz/newborn/Guidelines/Developmental/DevCare28-32.htm. Erişim Tarihi: 15.10.2018
- 26. Newborn Services Clinical Guideline. Growing Preterm Infant (33 to 36 Weeks Gestation). Reviewed by Charge Nurse – Newborn, December 2004, URL: http://www.adhb.govt.nz/newborn/guidelines/developmental/devcare33-36.htm Erişim Tarihi: 15.10.2018
- 27. Newborn Services Clinical Guideline. Older Preterm Infant (37 Plus Weeks Corrected Gestation). Reviewed by Charge Nurse – Newborn, December 2004, URL: http://www.adhb.govt.nz/newborn/guidelines/developmental/DevCare37+.htm Erişim Tarihi: 15.10.2018
Individualized Supportive Developmental Care Applications for Preterm Infants According to Gestational Weeks
Abstract
15 million preterm births
occur each year according to the World Health Organization, and almost one
million preterms lose their lives due to premature birth complications.
Immaturity, infection and environmental factors in intensive care environment
(noise, bright light, frequently applied touch-like interventions and painful
interventions) are among the stressors that negatively affect the developmental
outcomes of the preterm infant. In the researches made, it was determined that
hospitalization, stress and trauma had effects on long-term psycho-social
health status of preterm infants, and that the care provided by the health care
workers, the characteristics of the care given and the patient experience related
to care played critical role in the emergence of these effects. Individualized
Supportive Developmental Care; is an extensive program which includes reducing
the environmental stressors, initiating the mother-baby relationship in the
early period, supporting the neurobehavioral maturation and organization of the
baby in the neonatal intensive care environment. While care is given to the
preterm infants whose developmental properties are different according to their
gestational weeks in line with this program, necessary preparations and
applications should be made by taking developmental differences into
consideration. The aim in this compilation paper is; to explain the nursing
care to be given to preterm infants according to individualized supportive
developmental care applications based on Synactive Theory according to
gestational weeks.
References
- 1. World Health Organisation. Preterm Birth. URL: http://www.who.int/news-room/fact-sheets/detail/preterm-birth Erişim Tarihi: 28.02.2019
- 2. Duerden EG, Grunau RE, Guo T, Foong J, Pearson A, Au-Young S, et al. Early procedural pain is associated with regionally-specific alterations in thalamic development in preterm neonates. Journal of Neuroscience, 2018;38(4):878-886.
- 3. Tutar Güven Ş, İşler Dalgıç A. An individualized supportive developmental care program developed for premature newborns. International Refereed Journal of Gynaecological Diseases and Maternal Child Health 2017;9:41-61.
- 4. Symington AJ, Pinelli J. Developmental care for promoting development and preventing morbidity in preterm infants. Cochrane Database of Systematic Reviews 2006;(2).
- 5. Orton J, Spittle A, Doyle L, Anderson P, Boyd R. Do early intervention programmes improve cognitive and motor outcomes for preterm infants after discharge? A systematic review. Dev Med Child Neurol 2009;51(11), 851-859.
- 6. Gibbins S, Hoath SB, Coughlin M, Gibbins A, Franck L. The universe of developmental care: a new conceptual model for application in the neonatal intensive care unit. Advances in Neonatal Care 2008;8(3):141-147.
- 7. Doyle LW, Saigal S. Long-term outcomes of very preterm or tiny infants. NeoReviews 2009;10(3):e130-e137.
- 8. Als H. Newborn individualized developmental care and assessment program (NIDCAP): new frontier for neonatal and perinatal medicine. Journal of Neonatal-Perinatal Medicine 2009;2(3):135-147.
- 9. Kaya A, Tutar Güven Ş, İşler Dalgıç A. Evidence based nursing approaches in individualized supportive developmental care program developed for pretem newborns. International Refereed Journal of Gynaecological Diseases and Maternal Child Health 2018;13:96-115.
- 10. Maroney DI. Recognizing the potential effect of stress and trauma on premature infants in the NICU: how are outcomes affected?. J Perinatol 2003;23(8):679.
- 11. Davydow DS, Katon WJ, Zatzick DF. Psychiatric morbidity and functional impairments in survivors of burns, traumatic injuries, and ICU stays for other critical illnesses: a review of the literature. International Review of Psychiatry 2009;21(6):531-538.
- 12. Davydow DS, Richardson LP, Zatzick DF, Katon WJ. Psychiatric morbidity in pediatric critical illness survivors: a comprehensive review of the literature. Arch of Pediatr Adolesc Med 2010;164(4):377-385.
- 13. Silberstein D, Litmanovitz I. Developmental care in the neonatal intensive care unit according to Newborn Individualized Developmental Care and Assessment Program (NIDCAP). Harefuah 2016;155(1):27-31.
- 14. Milette I, Martel MJ, da Silva MR, Coughlin McNeil M. Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the NICU. Part B: Recommendations and Justification. A Joint Position Statement From the CANN, CAPWHN, NANN, and COINN. Canadian Journal of Nursing Research 2017;49(2):63-74.
- 15. Milette I, Martel MJ, da Silva MR, McNeil MC. Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the Neonatal Intensive Care Unit. Part A. Canadian Journal of Nursing Research 2017;49(2):46-62.
- 16. Peters KL, Rosychuk RJ, Hendson L, Coté JJ, McPherson C, Tyebkhan JM. Improvement of short-and long-term outcomes for very low birth weight infants: Edmonton NIDCAP trial. Pediatrics 2009;124(4):1009-1020.
- 17. Legendre V, Burtner PA, Martinez KL, Crowe TK. The evolving practice of developmental care in the neonatal unit: a systematic review. Physical & Occupational Therapy in Pediatrics 2011;31(3):315-338.
- 18. Moody C, Callahan TJ, Aldrich H, Gance-Cleveland, B, Sables-Baus S. Early initiation of newborn individualized developmental care and assessment program (NIDCAP) reduces length of stay: A quality improvement project. J Pediatr Nurs 2017;32:59-63.
- 19. Hendricks-Munoz KD, Prendergast CC. Barriers to provision of developmental care in the neonatal intensive care unit: neonatal nursing perceptions. Am J Perinatol 2007;25(2):71-78.
- 20. Zhang X, Lee SY, Chen J, Liu H. Factors influencing implementation of developmental care among NICU nurses in China. Clinical Nursing Research 2016;25(3):238-253.
- 21. Mosqueda R, Castilla Y, Perapoch J, de la Cruz J, López-Maestro M, Pallás C. Staff perceptions on Newborn Individualized Developmental Care and Assessment Program (NIDCAP) during its implementation in two Spanish neonatal units. Early Hum Dev 2013;89(1):27-33.
- 22. Coughlin ME. Trauma-Informed Care in the NICU: Evidenced-Based Practice Guidelines for Neonatal Clinicians. Springer Publishing Company, 2016.
- 23. Newborn Services Clinical Guideline. Early Preterm Infant (24 to 27 Weeks Gestation). Reviewed by Charge Nurse – Newborn, December 2004, URL: http://www.adhb.govt.nz/newborn/Guidelines/Developmental/DevCare24-27.htm#Vision Erişim Tarihi: 15.10.2018
- 24. VandenBerg KA. Individualized developmental care for high risk newborns in the NICU: a practice guideline. Early Hum Dev 2007;83(7):433-442.
- 25. Newborn Services Clinical Guideline. Developing Preterm Infant (28 to 32 Weeks Gestation). Reviewed by Charge Nurse – Newborn, December 2004, URL: http://www.adhb.govt.nz/newborn/Guidelines/Developmental/DevCare28-32.htm. Erişim Tarihi: 15.10.2018
- 26. Newborn Services Clinical Guideline. Growing Preterm Infant (33 to 36 Weeks Gestation). Reviewed by Charge Nurse – Newborn, December 2004, URL: http://www.adhb.govt.nz/newborn/guidelines/developmental/devcare33-36.htm Erişim Tarihi: 15.10.2018
- 27. Newborn Services Clinical Guideline. Older Preterm Infant (37 Plus Weeks Corrected Gestation). Reviewed by Charge Nurse – Newborn, December 2004, URL: http://www.adhb.govt.nz/newborn/guidelines/developmental/DevCare37+.htm Erişim Tarihi: 15.10.2018
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Nursing |
| Journal Section | Review |
| Authors | |
| Publication Date | October 15, 2019 |
| Published in Issue | Year 2019 Volume: 12 Issue: 4 |
E-Journal of Dokuz Eylul University Nursing Faculty was indexed by ULAKBİM Turkish Medical Index, Turk Medline, Turkiye Atıf Dizini, (since february 2021) EBSCO HOST, (since 26th of october 2021) DOAJ and (since 18th of January) Index Copernicus.
