摘要
目的:构建住院早产儿早期多感官刺激方案。方法:计算机检索中英文数据库关于早产儿多感官刺激干预的相关文献,对纳入文献进行质量评价和内容提取,经课题组讨论形成住院早产儿早期多感官刺激方案初稿,采用德尔菲法对其进行论证和修订。结果:最终纳入12篇文献,包括11篇随机对照试验(RCT)研究、1篇类实验研究。2轮专家函询回收率均为100%,专家对函询表作出判断的依据为0.890,熟悉程度为0.840,专家权威系数为0.865。第2轮专家函询中,条目重要性评分的变异系数为0~0.22、肯德尔和谐系数为0.370(χ^(2)=281.007,P<0.001);可行性评分的变异系数为0.06~0.24、肯德尔和谐系数为0.361(χ^(2)=274.088,P<0.001)。最终形成的住院早产儿早期多感官刺激方案,包括2个一级条目、9个二级条目和22个三级条目。结论:本研究构建住院早产儿早期多感官刺激方案过程严谨,具有较好的科学性,可为临床医护人员对住院早产儿进行早期干预提供参考。
Objective:To develop an early multisensory stimulation program for hospitalized premature infants.Methods:The relevant literature on multisensory stimulation intervention for premature infants was retrieved from various Chinese and English databases by computer.The quality of the included literature was evaluated and the content was extracted.After discussion by the research group,the initial draft of the early multisensory stimulation plan for hospitalized premature infants was formed,and the Delphi method was used to verify and revise it.Results:A total of 12 articles were included,including 11 randomized controlled trials(RCTs)and 1 quasi-experimental study.The response rate for both rounds of expert inquiries was 100%.The basis for experts′judgment on the questionnaire was 0.89,the familiarity level was 0.84,and the expert authority coefficient was 0.865.In the second round of expert consultation,the coefficient of variation for item importance scores ranged from 0 to 0.22,and the Kendall concordance coefficient was 0.370(χ^(2)=281.007,P<0.001).The coefficient of variation for feasibility scores ranged from 0.06 to 0.24,and the Kendall concordance coefficient was 0.361(χ^(2)=274.088,P<0.001).The final early multisensory stimulation protocol for hospitalized premature infants included 2 first-level items,9 second-level items,and 22 third-level items.Conclusion:This study developed an early multisensory stimulation protocol for hospitalized premature infants with rigorous and scientifically sound procedures,which could provide reference for clinical staff in implementing early intervention for hospitalized premature infants.
作者
黄婷
郑剑煌
林春燕
李丽端
HUANG Ting;ZHENG Jianhuang;LIN Chunyan;LI Liduan(The Second Affiliated Hospital of Fujian Medical University,Fujian 362000 China)
出处
《全科护理》
2025年第19期3620-3626,共7页
Chinese General Practice Nursing
关键词
新生儿重症监护病房
早产儿
多感官刺激
神经发育
德尔菲法
neonatal intensive care unit
premature infant
multisensory stimulation
neurodevelopment
Delphi method
