Roque Ariane Thaise Frello, Lasiuk Gerri C, Radünz Vera, Hegadoren Kathleen
J Obstet Gynecol Neonatal Nurs. 2017 Jul-Aug;46(4):576-587. doi: 10.1016/j.jogn.2017.02.005. Epub 2017 May 12.
To synthesize and summarize evidence regarding the mental health of parents of infants in the NICU.
Thirteen electronic databases were searched in October 2014 using the following terms individually and in combination: postpartum woman, mother, NICU, preterm birth, depression, anxiety, acute stress disorder (ASD), posttraumatic stress disorder (PTSD), and parental stress.
We examined the published research regarding the experiences of parents who have infants admitted to the NICU, the mental health problems that parents may develop, the tools that have been used to identify such problems, and factors related to parental mental health.
After the exclusion of articles according to preset criteria, we included 66 articles in the full review.
Mental health issues are common in parents of infants in the NICU across diverse ethnocultural groups and countries. Parents report feelings of guilt and shame, high levels of stress, mood and anxiety symptoms, and the positive influence of specific coping strategies and social support. The ethnocultural meanings of these experience and thus nursing interventions may differ widely.
Ongoing assessments of the mental health of parents should be part of routine NICU care. Identification of mood and anxiety symptoms and testing innovative interventions to address at-risk or affected parents is imperative to ensure that there are culturally appropriate policies and services in place to respond to the mental health needs of NICU families.
综合并总结有关新生儿重症监护病房（NICU）中婴儿父母心理健康的证据。
2014年10月检索了13个电子数据库，分别单独及组合使用以下检索词：产后女性、母亲、新生儿重症监护病房、早产、抑郁、焦虑、急性应激障碍（ASD）、创伤后应激障碍（PTSD）以及父母压力。
我们审查了已发表的关于新生儿重症监护病房收治婴儿的父母的经历、父母可能出现的心理健康问题、用于识别此类问题的工具以及与父母心理健康相关的因素的研究。
根据预设标准排除文章后，我们在全面审查中纳入了66篇文章。
心理健康问题在不同种族文化群体和国家的新生儿重症监护病房婴儿的父母中很常见。父母报告有内疚和羞耻感、高度压力、情绪和焦虑症状，以及特定应对策略和社会支持的积极影响。这些经历的种族文化意义以及护理干预可能差异很大。
对父母心理健康的持续评估应成为新生儿重症监护病房常规护理的一部分。识别情绪和焦虑症状并测试创新干预措施以应对有风险或受影响的父母，对于确保有符合文化背景的政策和服务来满足新生儿重症监护病房家庭的心理健康需求至关重要。
