Department of Neonatology-SAMID, 12 de Octubre University Hospital, Madrid, Spain.
Pediatr Crit Care Med. 2012 Sep;13(5):568-77. doi: 10.1097/PCC.0b013e3182417959.
To compare, in a large representative sample of European neonatal intensive care units, the policies and practices regarding parental involvement and holding babies in the kangaroo care position as well as differences in the tasks mothers and fathers are allowed to carry out.
Prospective multicenter survey.
Neonatal intensive care units in eight European countries (Belgium, Denmark, France, Italy, The Netherlands, Spain, Sweden, and the United Kingdom).
Patients were not involved in this study.
None.
A structured questionnaire was mailed to 362 units (response rate 78%); only units with ≥50 very-low-birth-weight annual admissions were considered for this study. Facilities for parents such as reclining chairs near the babies' cots, beds, and a dedicated room were common, but less so in Italy and Spain. All units in Sweden, Denmark, the United Kingdom, and Belgium reported encouraging parental participation in the care of the babies, whereas policies were more restrictive in Italy (80% of units), France (73%), and Spain (41%). Holding babies in the kangaroo care position was widespread. However, in the United Kingdom, France, Italy, and Spain, many units applied restrictions regarding its frequency (sometimes or on parents request only, rather than routinely), method (conventional rather than skin-to-skin), and clinical conditions (especially mechanical ventilation and presence of umbilical lines) that would prevent its practice. In these countries, fathers were routinely offered kangaroo care less frequently than mothers (p < .001) and less often it was skin-to-skin (p < .0001).
This study showed that, although the majority of units in all countries reported a policy of encouraging both parents to take part in the care of their babies, the intensity and ways of involvement as well as the role played by mothers and fathers varied within and between countries.
在欧洲新生儿重症监护病房中具有代表性的大样本中，比较父母参与和婴儿袋鼠式护理的政策和实践，以及母亲和父亲被允许执行的任务的差异。
前瞻性多中心调查。
欧洲八个国家（比利时、丹麦、法国、意大利、荷兰、西班牙、瑞典和英国）的新生儿重症监护病房。
本研究未涉及患者。
无。
向 362 个单位（应答率为 78%）邮寄了一份结构化问卷；仅对每年有≥50 名极低出生体重儿的单位进行了这项研究。靠近婴儿摇篮、病床和专用房间的斜倚椅等供父母使用的设施很常见，但在意大利和西班牙则较少。瑞典、丹麦、英国和比利时的所有单位都报告了鼓励父母参与婴儿护理，而意大利（80%的单位）、法国（73%）和西班牙（41%）的政策限制更多。将婴儿放在袋鼠式护理位置很普遍。然而，在英国、法国、意大利和西班牙，许多单位对其频率（有时或仅在父母要求时，而不是常规）、方法（常规而不是皮肤对皮肤）和临床条件（特别是机械通气和脐部线路存在）施加限制，从而阻止其实施。在这些国家，父亲通常比母亲（p <.001）更不经常提供袋鼠式护理，而且皮肤对皮肤的情况也较少（p <.0001）。
本研究表明，尽管所有国家的大多数单位都报告了一项鼓励父母双方参与照顾婴儿的政策，但参与的强度和方式以及母亲和父亲所扮演的角色在国家内部和国家之间存在差异。
