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Motricité cérébrale
Volume 35, n° 1
pages 41-43 (mars 2014)
Doi : 10.1016/j.motcer.2014.01.001
Le programme NIDCAP (Newborn Individualized Developmental Care and Assessment Program). Principes et théorie
NIDCAP (Newborn Individualized Developmental Care and Assessment Program). Principles and theory
 

J.-B. Muller a, , V. Castaing a, S. Denizot b, G. Caillaux a, A. Frondas a, L. Simon a, J.-C. Roze a, C. Flamant a
a Service de réanimation et de médecine néonatale, CHU de Nantes, 38, boulevard Jean-Monnet, 44000 Nantes, France 
b Maternité de la polyclinique Atlantique Nantes, avenue Claude-Bernard, 44819 Saint-Herblain, France 

Auteur correspondant.
Résumé

Le Newborn Individualized Developmental Care and Assessment Program (NIDCAP), ou Programme néonatal individualisé d’évaluation et de soins de développement, est un programme de soins qui vise à soutenir le développement du nouveau-né prématuré. Ce programme s’applique au cours du séjour de l’enfant et de ses parents en néonatologie. Cette prise en charge débute dès la naissance, elle est intégrée aux soins médicaux et infirmiers. Ces soins personnalisés sont centrés sur l’enfant prématuré et sa famille. Le NIDCAP est fondé sur la théorie synactive de développement, décrite par Heidelise Als en 1982. Suivant cette théorie, l’observation du comportement du prématuré basé sur les 5 systèmes (végétatif, moteur, veille-sommeil, attentionnel et autorégulation) permet d’adapter les soins aux compétences de l’enfant. Les techniques de soins de développement utilisées correspondent d’une part à des stratégies environnementales (contrôle des stimulations sonores et visuelles) et d’autre part à des stratégies comportementales (enveloppement de l’enfant, succion non nutritive, peau à peau précoce…). La place des parents et le soutien à l’allaitement maternel sont également au centre de l’organisation des soins. Le NIDCAP qui intègre et individualise ces techniques de soins a montré son efficacité en période néonatale et sur le développement de l’enfant jusqu’à deux ans.

The full text of this article is available in PDF format.
Abstract

Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is a program of care that aims to support the development of preterm infants. This program applies during hospitalisation of the child and his parents in neonatology. This support begins at birth, and it is integrated into medical and nursing care. This personalized care is centered on the premature child and his family. NIDCAP is based on the synactive theory of infant development described by Heidelise Als in 1982. According to this theory, observing the behavior of prematurity based on 5 systems (autonomic, motor, sleep-wake, attentional and self-regulatory) allows to adapt care at skills of the child. Caregiving development used correspond firstly to environmental strategies (control of sound and visual stimulation) and other behavioral strategies (swaddling, non-nutritive sucking, early skin-to-skin…). The role of parents and support breastfeeding are also central on the organization of care. NIDCAP that integrates these techniques and individualized care has shown efficacy in the neonatal period and the development of children up to 2years.

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Mots clés : NIDCAP, Prématuré, Soins de développement, Théorie synactive du développement

Keywords : Newborn Individualzed Developmental Care and Assessment Program, Preterm, Development care, Synactive theory of infant development




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