Program in Occupational Therapy, Washington University School of Medicine, St Louis, MO, USA.
J Perinatol. 2012 Jul;32(7):545-51. doi: 10.1038/jp.2011.144. Epub 2011 Oct 27.
To explore differences in maternal factors, including visitation and holding, among premature infants cared for in single-patient rooms (SPR) compared with open-bay in the neonatal intensive care unit (NICU).
A total of 81 premature infants were assigned to a bed space in either the open-bay area or in a SPR upon NICU admission, based on bed space and staffing availability in each area. Parent visitation and holding were tracked through term equivalent, and parents completed a comprehensive questionnaire at discharge to describe maternal health. Additional maternal and medical factors were collected from the medical record. Differences in outcome variables were investigated using linear regression.
No significant differences in gestational age at birth, initial medical severity, hours of intubation or other factors that could affect the outcome were observed across room type. Significantly more hours of visitation were observed in the first 2 weeks of life (P=0.02) and in weeks 3 and 4 (P=0.02) among infants in the SPR. More NICU stress was reported by mothers in the SPR after controlling for social support (P=0.04).
Increased parent visitation is an important benefit of the SPR, however, mothers with infants in the SPR reported more stress.
探讨新生儿重症监护病房（NICU）中单人间（SPR）与开放式婴儿床（open-bay）早产儿在产妇探视和怀抱方面的差异。
NICU 入院时，根据各区域床位和人员配备情况，将 81 名早产儿分配到开放式婴儿床区或 SPR 床位。通过胎龄等效跟踪父母探视和怀抱情况，父母在出院时完成一份全面的问卷，描述产妇健康状况。从病历中收集其他产妇和医疗相关因素。采用线性回归分析比较结局变量的差异。
在房间类型方面，未观察到出生胎龄、初始医疗严重程度、插管时间等可能影响结局的因素存在显著差异。SPR 组婴儿在生命的前 2 周（P=0.02）和第 3、4 周（P=0.02）观察到的探视时间显著增加。在控制社会支持后（P=0.04），SPR 组的母亲报告的 NICU 压力更大。
增加父母探视是 SPR 的一个重要优势，但在 SPR 中婴儿的母亲报告压力更大。
