Jones Hannah, Santamaria Nick
University of Melbourne, Melbourne, Vic., Australia.
Newborn Intensive Care, The Royal Women's Hospital, Parkville, Vic., Australia.
Scand J Caring Sci. 2018 Sep;32(3):1012-1017. doi: 10.1111/scs.12543. Epub 2017 Nov 13.
There has been increased focus on the use of family-centred care interventions, such as skin-to-skin contact (SSC) in Neonatal Intensive Special Care (NISC) Units over the past two decades. SSC between a parent and their neonate has previously shown to promote positive mental and emotional health in parents and assist in bonding and attachment between parent and neonate. The purpose of this study was to investigate the effect that SSC between parent and their neonate has on the parent's heart rate (HR) and blood pressure (BP). There has been a lack of prior research investigating the physiological responses from SSC on parents, hence the need to conduct this study. The study was conducted as an observational cohort study at The Royal Women's Hospital NISC Unit in Melbourne, Australia. One SSC between parent and neonate was recorded, and three repeated measures analysis of variance (anova) were conducted to investigate the relationship between SSC and the parent's HR, systolic BP and diastolic BP. The study found statistically significant differences between the parent's initial HR and BP, to measurements taken during the SSC (p < 0.05). This may suggest that parents' find SSC with their neonate to be a stress-reducing intervention, whilst they are in a NISC Unit. This may in turn promote associated benefits, such as a decrease in parental depression and anxiety, whilst they are in the NISC Unit, physical health benefits, as well as increased feelings of bonding between parent and their neonate. Based on the findings, it is suggested that SSC should be promoted in NISC Units as a family-centred care intervention that lowers parent's HR and BP and may provide associated health benefits.
在过去二十年里,人们越来越关注以家庭为中心的护理干预措施的使用,比如在新生儿重症特别护理(NISC)病房进行皮肤接触(SSC)。此前研究表明,父母与新生儿之间的皮肤接触能促进父母的积极心理和情绪健康,并有助于父母与新生儿之间的情感联结和依恋。本研究的目的是调查父母与新生儿之间的皮肤接触对父母心率(HR)和血压(BP)的影响。此前缺乏对皮肤接触对父母生理反应的研究,因此有必要开展这项研究。该研究在澳大利亚墨尔本皇家妇女医院NISC病房以观察性队列研究的方式进行。记录了一次父母与新生儿之间的皮肤接触情况,并进行了三次重复测量方差分析(anova),以研究皮肤接触与父母心率、收缩压和舒张压之间的关系。研究发现,父母最初的心率和血压与皮肤接触期间的测量值之间存在统计学上的显著差异(p < 0.05)。这可能表明,父母在NISC病房时,与新生儿的皮肤接触是一种减轻压力的干预措施。这反过来可能会带来相关益处,比如在NISC病房期间父母抑郁和焦虑情绪的减轻、身体健康方面的益处,以及父母与新生儿之间情感联结的增强。基于这些研究结果,建议在NISC病房推广皮肤接触,将其作为一种以家庭为中心的护理干预措施,这种措施可以降低父母的心率和血压,并可能带来相关的健康益处。