Weis J, Zoffmann V, Greisen G, Egerod I
Department of Neonatology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Acta Paediatr. 2013 Dec;102(12):1130-6. doi: 10.1111/apa.12404. Epub 2013 Sep 16.
To investigate the effect of the Guided Family-Centred Care intervention, developed by the lead author, on parental stress in a neonatal intensive care unit (NICU).
Parents (n = 134) of infants born ≤34 weeks gestational age were randomly assigned to a standard care group (n = 60) or intervention group (n = 74) between April 2011 and August 2012. Guided Family-Centred Care components used were as follows: scheduled nurse-parent dialogues, semi-structured reflection sheets and person-centred communication. Parental stress was assessed at discharge using parent-reported outcomes on the Nurse Parent Support Tool and the Parental Stressor Scale: Neonatal Intensive Care Unit.
The total stress scores reported by parents did not vary significantly between the intervention and standard groups, with a mean (SD) of 2.70 (0.67) versus 2.84 (0.71), respectively. However, the confidence interval included the prespecified clinical significance level. Subscale and Nurse Parent Support Tool scores did not differ between the groups. Overall, mothers reported more stress than fathers (p < 0.001).
Our study was unable to demonstrate the effect of person-centred communication using the Guided Family-Centred Care intervention. It may be necessary to replicate the design to address the risk of contamination and add instruments sensitive to human interaction.
研究第一作者开发的以家庭为导向的引导式护理干预对新生儿重症监护病房（NICU）中父母压力的影响。
2011年4月至2012年8月期间，将孕周≤34周的婴儿的父母（n = 134）随机分为标准护理组（n = 60）或干预组（n = 74）。所采用的以家庭为导向的引导式护理组成部分如下：定期的护士 - 父母对话、半结构化反思表和以人为本的沟通。在出院时，使用护士 - 父母支持工具和父母压力源量表：新生儿重症监护病房中父母报告的结果来评估父母压力。
干预组和标准组父母报告的总压力得分没有显著差异，分别为平均（标准差）2.70（0.67）和2.84（0.71）。然而，置信区间包括预先设定的临床显著性水平。两组之间的子量表得分和护士 - 父母支持工具得分没有差异。总体而言，母亲报告的压力比父亲更多（p < 0.001）。
我们的研究未能证明使用以家庭为导向的引导式护理干预进行以人为本的沟通的效果。可能有必要重复该设计以解决污染风险，并添加对人际互动敏感的工具。
