Toral-López Isabel, Fernández-Alcántara Manuel, González-Carrión Pilar, Cruz-Quintana Francisco, Rivas-Campos Antonio, Pérez-Marfil Nieves
Andalusian Health Service, Granada, Spain.
Mind, Brain and Behaviour Research Center (Cimcyc), University of Granada, Spain.
J Pediatr Nurs. 2016 Mar-Apr;31(2):e99-e108. doi: 10.1016/j.pedn.2015.09.007. Epub 2015 Oct 20.
The birth of a preterm infant can have a great emotional impact on the parents when the length of stay is long. Early discharge programs facilitate the transition to the home and have beneficial effects on both the parents and children. However, only a few studies have been conducted to identify the real needs of parents of preterm infants and to determine whether early discharge programs meet such needs. The main objective of this study was to identify the experiences and obstacles, during hospitalization and after discharge, of fathers and mothers of preterm infants who did or did not participate in an early discharge program.
A qualitative study using semi-structured interviews was performed and included 23 parents of preterm infants. Thematic analysis was performed with the assistance of Atlas.ti 6.2 software.
Two main themes were identified: the emotional experience and obstacles to care during hospitalization and the emotional experiences and obstacles at home related to the early discharge program. The results indicated that preterm birth initially has a deep emotional impact on parents.
There is a remarkable lack of coordination regarding the information provided to parents on their infant's health status. Being first-time parents seems to be an important factor, although further evidence supporting this notion should be provided.
Parents considered early discharge programs to be very useful in addressing the emotional aspects of hospitalization and the acquisition of neonatal care skills. Parents claim that the coordination and the information provided should be improved.
当早产儿住院时间较长时,其出生会对父母产生巨大的情感影响。早期出院计划有助于向家庭过渡,对父母和孩子都有有益影响。然而,仅有少数研究旨在确定早产儿父母的实际需求,以及早期出院计划是否满足这些需求。本研究的主要目的是确定参与或未参与早期出院计划的早产儿父母在住院期间和出院后的经历及障碍。
采用半结构式访谈进行定性研究,纳入了23名早产儿父母。借助Atlas.ti 6.2软件进行主题分析。
确定了两个主要主题:住院期间的情感体验及护理障碍,以及与早期出院计划相关的在家中的情感体验及障碍。结果表明,早产最初会对父母产生深刻的情感影响。
在向父母提供有关其婴儿健康状况的信息方面,明显缺乏协调。初为人父母似乎是一个重要因素,不过应提供进一步支持这一观点的证据。
父母认为早期出院计划在解决住院的情感问题和获得新生儿护理技能方面非常有用。父母称,协调工作和所提供的信息应加以改进。