Holditch-Davis D, Miles M S
Department of Children's Health, University of North Carolina at Chapel Hill School of Nursing, CB# 7460 Carrington Hall, Chapel Hill, NC 37599-7460, USA.
Neonatal Netw. 2000 Apr;19(3):13-21. doi: 10.1891/0730-0832.19.3.13.
The purpose of this article is to let mothers tell the stories of their neonatal intensive care unit (NICU) experiences and to determine how well these experiences fit the Preterm Parental Distress Model. Interviews were conducted with 31 mothers when their infants were six months of age corrected for prematurity and were analyzed using the conceptual model as a framework. The analysis verified the presence in the data of the six major sources of stress indicated in the Preterm Parental Distress Model: (1) pre-existing and concurrent personal and family factors, (2) prenatal and perinatal experiences, (3) infant illness, treatments, and appearance in the NICU, (4) concerns about the infant's outcomes, (5) loss of the parental role, and (6) health care providers. The study indicates that health care providers, and especially nurses, can have a major role in reducing parental distress by maintaining ongoing communication with parents and providing competent care for their infants.
本文的目的是让母亲们讲述她们在新生儿重症监护病房(NICU)的经历,并确定这些经历与早产父母困扰模型的契合程度。当婴儿矫正胎龄6个月时,对31位母亲进行了访谈,并以概念模型为框架进行分析。分析证实了早产父母困扰模型中指出的六个主要压力源在数据中的存在:(1)既存和并发的个人及家庭因素,(2)产前和围产期经历,(3)婴儿疾病、治疗以及在NICU的状况,(4)对婴儿预后的担忧,(5)父母角色的丧失,以及(6)医疗保健提供者。该研究表明,医疗保健提供者,尤其是护士,通过与父母保持持续沟通并为其婴儿提供妥善护理,在减轻父母困扰方面可发挥重要作用。