Cooper L G, Gooding J S, Gallagher J, Sternesky L, Ledsky R, Berns S D
National Office, March of Dimes Foundation, White Plains, NY, USA.
J Perinatol. 2007 Dec;27 Suppl 2:S32-7. doi: 10.1038/sj.jp.7211840.
Family-centered care is becoming a standard of care in neonatal intensive care units (NICUs). The purpose of this study was to evaluate the impact of a national program designed to promote family-centered care in NICUs and to provide information and comfort to families during the NICU hospitalization of their newborn.
A quasi-experimental, post-only design was utilized, examining eight March of Dimes NICU Family Support((R)) (NFS) sites. Data were gathered via telephone interviews with NICU administrators and surveys of both NICU staff and NICU families.
NICU administrators interviewed identified benefits of NFS, including culture change and additional support to families. Surveys of NICU staff showed that NFS enhances the overall quality of NICU care resulting in less stressed, more informed and confident parents. Surveys of NICU families showed that NFS both reduced their stress and made them feel more confident as their baby's parent.
March of Dimes NFS has had a positive impact on the stress level, comfort level and parenting confidence of NICU families. In addition, it has enhanced the receptivity of staff to the presence and benefits of family-centered care.
以家庭为中心的护理正成为新生儿重症监护病房（NICU）的护理标准。本研究的目的是评估一项旨在促进NICU以家庭为中心护理的全国性项目的影响，并在新生儿在NICU住院期间为家庭提供信息和安慰。
采用准实验性、仅事后设计，对美国疾病控制与预防中心的8个NICU家庭支持（R）（NFS）站点进行了研究。数据通过与NICU管理人员的电话访谈以及对NICU工作人员和NICU家庭的调查收集。
接受访谈的NICU管理人员确定了NFS的益处，包括文化变革和对家庭的额外支持。对NICU工作人员的调查显示，NFS提高了NICU护理的整体质量，使家长压力减轻、信息更充分且更自信。对NICU家庭的调查显示，NFS既减轻了他们的压力，又让他们作为婴儿的父母感到更自信。
美国疾病控制与预防中心的NFS对NICU家庭的压力水平、舒适度和育儿信心产生了积极影响。此外，它提高了工作人员对以家庭为中心护理的接受度及其益处的认识。
