Uni- and multimodal sensory-supported interventions for very preterm and extremely preterm infants in the neonatal intensive care unit: An overview of systematic reviews and interventional studies

被引:1
作者
Tang, Xiaoli [1 ,2 ,3 ,4 ]
Sha, Sha [1 ]
Bei, Fei [1 ]
Shen, Nanping [3 ]
Zhu, Zhiyu [1 ]
Ren, Zijin [2 ]
Gao, Wenying [2 ]
Wang, Qihui [2 ]
Tian, Siying [2 ]
Jin, Qian [1 ]
Shayiti, Subinuer [2 ,4 ]
Zhang, Ying [2 ]
机构
[1] Shanghai Jiao Tong Univ, Shanghai Childrens Med Ctr, Sch Med, Dept Neonatol, Shanghai, Peoples R China
[2] Shanghai Jiao Tong Univ, Sch Nursing, 227 South Chong Qing Rd,Bldg 1,Room 213, Shanghai 200025, Peoples R China
[3] Shanghai Jiao Tong Univ, Dept Nursing, Shanghai Childrens Med Ctr, Sch Med, Shanghai, Peoples R China
[4] Shanghai Jiao Tong Univ, Shanghai Engn Res Ctr Intelligence Pediat, Shanghai Childrens Med Ctr, Sch Med, Shanghai, Peoples R China
关键词
intensive care nursing; neonatal; preterm infant; sensory stimulations; sensory-supported intervention; INDIVIDUALIZED DEVELOPMENTAL CARE; KANGAROO-MOTHER CARE; BORN PRETERM; STABILITY; EARMUFFS; OUTCOMES; MASSAGE; THERAPY; STRESS; MOTOR;
D O I
10.1111/nicc.13112
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
BackgroundVery and extremely preterm infants (VEPIs) experience sensory deprivation in the neonatal intensive care unit (NICU). While various sensory-supported interventions might improve immediate physiological response, their impact on long-term development remains unclear. Additionally, these interventions may pose challenges in the NICU environment due to complex treatments and monitoring requirements.AimsThis review aimed to understand the current evidence on sensory-supported interventions in the NICU, identify the components of these interventions and determine their effects on the VEPIs.Study DesignA systematic search across nine electronic databases (PubMed, EBSCO, EMBASE, Web of Science, Scopus, Cochrane, Cochrane trial, IEEE Xplore DL and ACM DL) was conducted in December 2020 and updated in September 2022. The search gathers information on sensory-supported interventions for VEPIs in the NICU.ResultsThe search yielded 23 systematic reviews and 22 interventional studies, categorized into auditory (19), tactile/kinesthetic (5), positional/movement support (7), visual (1) and multisensory (13) interventions. While unimodal and multimodal interventions showed short-term benefits, their long-term effects on VEPIs are indeterminate. Translating these findings into clinical practice remains a challenge due to identified gaps.ConclusionOur reviews indicate that sensory-supported interventions have a transient impact, with intervention studies reporting positive effects. Future research should develop and test comprehensive, continuous multisensory interventions tailored for the early NICU stage.Relevance to Clinical PracticeMultimodal sensory interventions show promise for VEPIs, but long-term effects need further study. Standardizing protocols for NICU integration and parental involvement is crucial. Ongoing research and collaboration are essential for optimizing interventions and personalized care.
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页数:22
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共 74 条
[1]   Effectiveness of interventions on early neurodevelopment of preterm infants: a systematic review and meta-analysis [J].
Aita, Marilyn ;
Faugere, Gwenaelle De Clifford ;
Lavallee, Andreane ;
Feeley, Nancy ;
Stremler, Robyn ;
Rioux, Emilie ;
Proulx, Marie-Helene .
BMC PEDIATRICS, 2021, 21 (01)
[2]   Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants [J].
Almadhoob, Abdulraoof ;
Ohlsson, Arne .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2020, (01)
[3]  
Als H., 1986, HIGH RISK NEONATE DE, P3, DOI DOI 10.1080/J006V06N03_02
[4]   Stress hormones and posttraumatic stress symptoms following paediatric critical illness: an exploratory study [J].
Als, Lorraine C. ;
Picouto, Maria D. ;
O'Donnell, Kieran J. ;
Nadel, Simon ;
Cooper, Mehrengise ;
Pierce, Christine M. ;
Kramer, Tami ;
Glover, Vivette A. S. ;
Garralda, M. Elena .
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, 2017, 26 (05) :511-519
[5]   The effects of massage therapy in hospitalized preterm neonates: A systematic review [J].
Alvarez, Maria Jose ;
Fernandez, Daniel ;
Gomez-Salgado, Juan ;
Rodriguez-Gonzalez, Dolores ;
Roson, Maria ;
Lapena, Santiago .
INTERNATIONAL JOURNAL OF NURSING STUDIES, 2017, 69 :119-136
[6]   Infants born preterm, stress, and neurodevelopment in the neonatal intensive care unit: might music have an impact? [J].
Anderson, Dane E. ;
Patel, Aniruddh D. .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2018, 60 (03) :256-266
[7]   Sensory-based interventions in the NICU: systematic review of effects on preterm brain development [J].
Beltran, Mercedes I. ;
Dudink, Jeroen ;
de Jong, Tamara M. ;
Benders, Manon J. N. L. ;
van den Hoogen, Agnes .
PEDIATRIC RESEARCH, 2022, 92 (01) :47-60
[8]   Language Exposure of Preterm Infants in the Neonatal Unit: A Systematic Review [J].
Best, Kobi ;
Bogossian, Fiona ;
New, Karen .
NEONATOLOGY, 2018, 114 (03) :261-276
[9]   Systematic review of developmental care interventions in the neonatal intensive care unit since 2006 [J].
Burke, Sara .
JOURNAL OF CHILD HEALTH CARE, 2018, 22 (02) :269-286
[10]   Global, Regional, and National Incidence and Mortality of Neonatal Preterm Birth, 1990-2019 [J].
Cao, Guiying ;
Liu, Jue ;
Liu, Min .
JAMA PEDIATRICS, 2022, 176 (08) :787-796