保洁清洁全屋打扫清理安保顺家政

以家庭为中心的护理和发育支持护理是新生儿重症监护病房 (NICU) 的现行规范。在这项研究中，产妇护理13825404095干预措施源自 Altimier 和 Phillips (2016) 设计的新生儿综合发育护理 (NIDC) 模型的七项核心措施，旨在保护新生儿重症监护室中的早产儿大脑。这项研究让母亲参与照顾早产儿。观察新生儿结局和母亲在处理早产儿时提供的护理能力水平。进行了一项重复干预的准实验时间序列设计研究。这项试点研究是在印度卡纳塔克邦曼加鲁鲁的两家私立医院的 60 名母亲中进行的，其中干预组 30 名，对照组 30 名。该工具包括基线形式、基于能力的绩效评定量表、生物生理参数检查表、D'Souza 等人的早产儿行为量表。(2014) 和 Nyqvist 等人的早产儿母乳喂养行为量表。(1999) 经 10 名专家验证。采用有目的的抽样技术来选择样本。研究结果表明，干预组母亲所表现出的能力具有统计学意义（p = 0.000）。实验组的新生儿生物生理参数在氧饱和度 (p = 0.007) 和呼吸频率 (p = 0.002) 方面均有所改善，并且两组均分别出现体重增加 (p = 0.001)。两组的早产儿行为 (p = 0.001) 和 PIBBS 评分 (p = 0.001) 也同时得到改善，行为状态没有显着差异，但干预组的 PIBBS 评分明显更好 (p = 0.001)。我们的研究结果揭示了支持性护理干预措施的必要性，这些干预措施可以通过简单的措施来进行，例如通过在新生儿重症监护病房期间参与护理来帮助母亲和护理人员成为新生儿生活的一部分。

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Competency based performance of mothers on preterm neonatal care through Neonatal Integrative Developmental Care (NIDC) interventions: An interventional pilot project

Family-centered care and developmentally supportive care are the current norms in Neonatal Intensive Care Units (NICU). In this study, interventions are derived from the seven core measures of the Neonatal integrative developmental care (NIDC) model designed by Altimier and Phillips (2016) which strive towards protection of premature brains while in the NICU. This study involved mothers in the care of their preterm neonates. Neonatal outcomes and competency levels in the care delivered by the mothers when handling their preterm infants were observed A quasi experimental time series design study with repeated interventions was undertaken. The pilot study was conducted among 60 mothers with 30 in the interventional group and 30 in the control group at two private hospitals, Mangaluru, Karnataka, India. The tool consisted of a baseline proforma, competency based performance rating scale, biophysiological parameters checklist, preterm infant behavior scale by D'Souza et al. (2014) and Preterm Infant Breastfeeding Behavior Scale by Nyqvist et al. (1999) validated by 10 experts. Purposive sampling technique was used to select the samples. The findings of the study showed that the competencies delivered by mothers in the interventional group were statistically significant (p = 0.000). Neonatal biophysiological parameters improved in terms of oxygen saturation (p = 0.007) and respiratory rate (p = 0.002) in the experimental group, and weight gain (p = 0.001) was noted in both the groups respectively. Preterm infant behavior (p = 0.001) and PIBBS scores (p = 0.001) also improved in both groups simultaneously with no significant difference in behavioral states but the PIBBS scores were significantly better in the interventional group (p = 0.001). Our study findings revealed the need for supportive care interventions that can be performed through simple measures, such as helping mothers and care-givers become a part of their neonate's life by participating in their care while in the NICU.