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新生儿重症监护病房(NICU)住院新生儿家长的压力管理:一项定性研究

Stress Management among Parents of Neonates Hospitalized in NICU: A Qualitative Study.

作者信息

Heidari Haydeh, Hasanpour Marzieh, Fooladi Marjan

机构信息

Department of Nursing and Midwifery, Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Department of Pediatric and Neonatal Intensive Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Caring Sci. 2017 Mar 1;6(1):29-38. doi: 10.15171/jcs.2017.004. eCollection 2017 Mar.

Abstract

Infant hospitalization is stressful event for parent in NICU. Parents think that they have lost control because of unfamiliar environment. Therefore, stress management is very important in this period. The family as the main factor of strength and protection for infant is required as the bases of standard care in NICU. Therefore the aim of this study was to investigate stress management in Iranian NICU Parents. Using qualitative content analysis approach helped to collect and analysis data for open coding, classification, and theme abstraction. Twenty one parents with hospitalized neonates, physicians and nurses in the city of Isfahan were purposely recruited and selected for in-depth interviews. The analyzed content revealed unique stress management approaches among the parents. The main themes were: 1) spirituality, 2) seeking information, 3) Seeking hope, 4) maintaining calm, 5) attachment to infant, and 6) communicating with the medical team Findings of this study highlights the importance of medical team's attention to stressed parents who are trying to make adjustment or adapt to the hospitalization of their infant. A revised management approach to address the emotional needs of parents of neonates in Iran seems essential for improving communication with physicians and nurses.

摘要

婴儿住院对新生儿重症监护病房(NICU)患儿的父母来说是一个压力重重的事件。父母们认为,由于环境陌生,他们失去了掌控感。因此,在这一时期进行压力管理非常重要。家庭作为婴儿力量和保护的主要因素,是NICU标准护理的基础。因此,本研究的目的是调查伊朗NICU患儿父母的压力管理情况。采用定性内容分析方法有助于收集和分析数据,进行开放编码、分类和主题提炼。在伊斯法罕市,有目的地招募了21名新生儿住院患儿的父母、医生和护士,并对他们进行深入访谈。分析的内容揭示了父母们独特的压力管理方法。主要主题有:1)精神寄托,2)寻求信息,3)寻求希望,4)保持冷静,5)与婴儿建立情感纽带,6)与医疗团队沟通。本研究结果凸显了医疗团队关注努力适应婴儿住院情况的压力重重的父母的重要性。在伊朗,修订管理方法以满足新生儿父母的情感需求,对于改善与医生和护士的沟通似乎至关重要。

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