Rosenbaum Joan L, Smith Joan R, Yan Yan, Abram Nancy, Jeffe Donna B
a Edward Mallinckrodt Department of Pediatrics , Washington University School of Medicine , St. Louis , Missouri , USA.
Death Stud. 2015 Jan-Jun;39(1-5):191-200. doi: 10.1080/07481187.2014.946628. Epub 2014 Dec 20.
This study tested the effect of a neonatal-bereavement-support DVD on parental grief after their baby's death in a Neonatal Intensive Care Unit compared with standard bereavement care (controls). Following a neonatal death, the authors measured grief change from a 3- to 12-month follow-up using a mixed-effects model. Intent-to-treat analysis was not significant, but only 18 parents selectively watched the DVD. Thus, we subsequently compared DVD viewers with DVD nonviewers and controls. DVD viewers reported higher grief at 3-month interviews compared with DVD nonviewers and controls. Higher grief at 3 months was negatively correlated with social support and spiritual/religious beliefs. These findings have implications for neonatal-bereavement care.
本研究测试了与标准丧亲护理（对照组）相比，新生儿丧亲支持DVD对新生儿重症监护病房中婴儿死亡后父母悲伤情绪的影响。新生儿死亡后，作者使用混合效应模型测量了从3个月到12个月随访期间的悲伤情绪变化。意向性分析无显著差异，但只有18位父母选择性地观看了该DVD。因此，我们随后比较了DVD观看者与非观看者以及对照组。与DVD非观看者和对照组相比，DVD观看者在3个月访谈时报告的悲伤程度更高。3个月时较高的悲伤情绪与社会支持以及精神/宗教信仰呈负相关。这些发现对新生儿丧亲护理具有启示意义。
