Dowling Donna A, Barsman Sarah Gutin, Forsythe Paula, Damato Elizabeth G
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (Drs Dowling and Damato and Ms Barsman); and UH Rainbow Babies and Children's Hospital, Cleveland, Ohio (Ms Forsythe).
J Perinat Neonatal Nurs. 2018 Oct/Dec;32(4):366-372. doi: 10.1097/JPN.0000000000000345.
Preterm infants born before 37 weeks' gestation die of sudden infant death syndrome (SIDS) at a rate more than double that of term infants. There is a need for SIDS prevention programs tailored to the specific needs of parents of high-risk infants. The purpose of this study was to pilot test an online educational module addressing SIDS risk-reduction recommendations (RRRs) for parents of preterm infants. This study was conducted in a 44-bed transitional care unit at a level IV NICU in the Midwest. A repeated-measures design was used. Two weeks before discharge, mothers completed a survey, addressing knowledge and plans for caring for their baby at home. Mothers then viewed the 5-section Caring about Preemies' Safe Sleep (CaPSS) education module and completed the postmodule evaluation. A discharge survey was completed 4 weeks postdischarge. Fifteen mothers, mean age 26.4 years, participated; 8 (53%) returned the postdischarge survey. Module evaluation rated clarity and completeness of information high. Mothers' ratings of SIDS knowledge were significantly higher after viewing the module (P = .000) and 4 weeks after discharge home (P = .012). Mothers found the use of a pacifier at sleep times to be new information and changed their plans for caring for their infant, with 28.6% of mothers always offering a pacifier before sleep after discharge compared with the 6.7% who had planned to do this before discharge. However, only 71% of infants slept in parents' room after discharge and only 41% were receiving at least some breast milk, which are not consistent with SIDS RRRs.
孕周小于37周出生的早产儿死于婴儿猝死综合征（SIDS）的比率是足月儿的两倍多。需要针对高危婴儿父母的特定需求制定SIDS预防计划。本研究的目的是对一个在线教育模块进行试点测试，该模块针对早产儿父母提供降低SIDS风险的建议（RRR）。本研究在中西部一家四级新生儿重症监护病房（NICU）的44张床位的过渡护理单元中进行。采用重复测量设计。出院前两周，母亲们完成了一项调查，内容涉及在家照顾婴儿的知识和计划。然后，母亲们观看了由五个部分组成的“关爱早产儿安全睡眠（CaPSS）”教育模块，并完成了模块后的评估。出院后4周完成了出院调查。15名母亲参与，平均年龄26.4岁；8名（53%）返回了出院后调查。模块评估对信息的清晰度和完整性评价很高。母亲们在观看模块后（P = 0.000）和出院回家4周后（P = 0.012）对SIDS知识的评分显著更高。母亲们发现睡觉时使用安抚奶嘴是新信息，并改变了她们照顾婴儿的计划，出院后28.6%的母亲在睡觉前总是提供安抚奶嘴，而出院前计划这样做的母亲为6.7%。然而，出院后只有71%的婴儿睡在父母房间，只有41%的婴儿至少接受了一些母乳，这与降低SIDS风险的建议不一致。
