新生儿病房照明管理最佳证据总结
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女,本科,副主任护师,护士长

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中山大学附属第一医院柯麟“导航”人才培育项目(KLHL2023CC05);2025年度雏菊学院儿童安宁缓和医疗科研项目(DA-YB-202505);广西科技计划项目重点研发计划项目(桂科AB24010147)


Summary of best evidence on lighting management in neonatal wards
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    目的 检索、评价并汇总新生儿病房照明管理相关证据,为新生儿科医护人员实施病房照明管理提供依据。方法 计算机检索国内外相关数据库及指南网中关于新生儿病房照明管理的文献,包括临床决策、指南、证据总结、专家共识、系统评价,检索时限为建库至2024年12月22日。由2~4名研究者独立完成文献方法学质量评价和证据的提取、综合和汇总。结果 纳入12篇文献,包括1篇指南、4篇证据总结、4篇系统评价、3篇专家共识。从照明系统设计、光源选择、照明强度、昼夜照明、遮光保护、光照影响6个方面提取29条最佳证据。结论 总结的新生儿病房照明管理最佳证据较为科学、全面,对新生儿病房的临床医护人员实施照明管理实践具有指导意义。但证据的转化及临床应用需结合地域环境及新生儿个体差异情况,考虑证据与实践的差距,制订适合的照明管理实施方案,以促进新生儿早日康复。

    Abstract:

    Objective To search, evaluate and summarize the evidence related to the lighting management in neonatal wards, and to provide evidence for the medical staff in neonatal department to carry out the practice of ward lighting management.Methods The literature on lighting management of neonatal wards in domestic and foreign related databases and guideline networks were searched by using computer, including clinical decision-making, guidelines, evidence summaries, expert consensus and systematic reviews.The retrieval time was from the establishment of the database to December 22, 2024.The quality evaluation of literature methodo-logy and the extraction, synthesis and summary of evidence were conducted by 2-4 researchers independently.Results Twelve articles were included, consisting of 1 guideline, 4 evidence summaries, 4 systematic reviews and 3 expert consensus statements.Twenty-nine pieces of best evidence were extracted from six aspects:lighting system design, light source selection, lighting intensity, day and night lighting, shading protection and lighting impact.Conclusion The best evidence of lighting management in neonatal wards is scientific and comprehensive, which has guiding significance for clinical medical staff in neonatal ward to implement ligh-ting management practice.However, the transformation and clinical application of evidence need to combine the regional environment and the individual differences of newborns, consider the gap between evidence and practice, and formulate a suitable lighting management implementation plan to promote the early recovery of newborns.

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谢巧庆,李容丹,何春梅,罗美,李智英.新生儿病房照明管理最佳证据总结[J].护理学杂志,2025,(11):40-43+52

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  • 收稿日期:2025-01-25
  • 最后修改日期:2025-03-15
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  • 在线发布日期: 2025-07-09