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摇晃婴儿综合征预防项目的开发与评估

Development and evaluation of a shaken baby syndrome prevention program.

作者信息

Goulet Céline, Frappier Jean-Yves, Fortin Sylvie, Déziel Line, Lampron Annie, Boulanger Maryse

机构信息

Faculty of Nursing, Université de Montréal, Montréal, Canada.

出版信息

J Obstet Gynecol Neonatal Nurs. 2009 Jan-Feb;38(1):7-21. doi: 10.1111/j.1552-6909.2008.00301.x.

Abstract

OBJECTIVE

To evaluate parents' and nurses' opinions regarding the adequacy of an educational program on shaken baby syndrome: the Perinatal Shaken Baby Syndrome Prevention Program (PSBSPP).

DESIGN

Qualitative and quantitative assessments in the form of interviews and questionnaires administered in French.

SETTING

Two birthing institutions in Montréal, QC, Canada: a university hospital and a regional center.

PARTICIPANTS

Two hundred and sixty-three parents (73.8% mothers, 26.2% fathers) received the intervention after the birth of their child, and 69 nurses administered it.

METHODS

Parents' and nurses' assessments of the adequacy and relevance of the program and nurses' assessments of the training they received to administer the program were evaluated.

RESULTS

Both parents and nurses supported this initiative. Most parents appreciated the usefulness of the information. Nurses believed the program was adequate, and their training to deliver the program was satisfactory. All participants reported that the program was highly relevant, especially for new parents.

CONCLUSION

The Perinatal Shaken Baby Syndrome Prevention Program achieves the goals of (a) increasing parents' knowledge about infant crying, anger, and shaken baby syndrome and (b) helping parents identify coping strategies. The relevance of introducing the PSBSPP in all birthing institutions is supported. Future studies should focus on vulnerable and culturally diverse populations, and longitudinal follow-up could help determine if the PSBSPP reduces the incidence of shaken baby syndrome.

摘要

目的

评估家长和护士对一项关于摇晃婴儿综合征教育项目——围产期摇晃婴儿综合征预防项目(PSBSPP)的充分性的看法。

设计

采用法语进行访谈和问卷调查形式的定性和定量评估。

地点

加拿大魁北克省蒙特利尔的两家分娩机构:一家大学医院和一个区域中心。

参与者

263名家长(73.8%为母亲,26.2%为父亲)在孩子出生后接受了该干预措施,69名护士实施了该项目。

方法

评估家长和护士对项目充分性和相关性的评价,以及护士对实施该项目所接受培训的评价。

结果

家长和护士都支持这一举措。大多数家长赞赏信息的有用性。护士认为该项目足够充分,且他们实施该项目的培训令人满意。所有参与者都报告称该项目高度相关,尤其是对新父母而言。

结论

围产期摇晃婴儿综合征预防项目实现了以下目标:(a)增加家长对婴儿哭闹、愤怒和摇晃婴儿综合征的了解;(b)帮助家长确定应对策略。支持在所有分娩机构引入PSBSPP的相关性。未来的研究应关注弱势群体和文化多元群体,纵向随访有助于确定PSBSPP是否能降低摇晃婴儿综合征的发生率。

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