Aija Anette, Toome Liis, Axelin Anna, Raiskila Simo, Lehtonen Liisa
University of Turku, Turku, Finland; Clinic of Paediatrics, Tallinn Children's Hospital, Tallinn, Estonia.
Clinic of Paediatrics, Tallinn Children's Hospital, Tallinn, Estonia; Department of Paediatrics, University of Tartu, Tartu, Estonia.
Early Hum Dev. 2019 Mar;130:10-16. doi: 10.1016/j.earlhumdev.2019.01.003. Epub 2019 Jan 11.
Parents' involvement during hospital care is beneficial for preterm infants and their parents. Although parents are encouraged to be present in many neonatal intensive care units (NICUs), little is known about their role during medical rounds.
To study parents' presence in the NICU, the degree of parents' participation during medical rounds, and to identify underlying factors for participation.
A prospective study was performed in 11 neonatal units in six European countries including parents of preterm infants born before 35 gestational weeks.
Parents' presence and the degree of participation (7-point Likert scale) during medical rounds were asked using a text-message question sent to the mobile phone of each parent separately.
A total of 241 families were included in the study; mothers responded to 630 and fathers to 474 text-message questions, respectively. In studied units, mothers were present during medical rounds on 62.5% to 91% and fathers 30.8% to 77.8% of the days. The degree of mothers' and fathers' participation also varied between units (p < 0.001 and p = 0.022, respectively). In multivariate analysis, parents' presence increased by increasing gestational age (p = 0.010), fathers' education (p = 0.009), and by the policy in the unit to invite parents to medical rounds (p = 0.036). The background characteristics did not explain the degree of participation.
There is significant variation between neonatal units in how they include parents in medical rounds. Only few background characteristics explained the differences suggesting that unit culture plays a major role in welcoming parents to participate.
父母参与住院期间的护理对早产儿及其父母有益。尽管许多新生儿重症监护病房（NICU）鼓励父母在场，但对于他们在查房期间的作用知之甚少。
研究父母在NICU的在场情况、查房期间父母的参与程度，并确定参与的潜在因素。
在六个欧洲国家的11个新生儿病房进行了一项前瞻性研究，纳入了孕周小于35周的早产儿的父母。
通过分别发送到每位父母手机的短信问题，询问父母在查房期间的在场情况和参与程度（7点李克特量表）。
共有241个家庭纳入研究；母亲回复了630条短信问题，父亲回复了474条短信问题。在各研究病房，母亲在查房期间在场的天数为62.5%至91%，父亲为30.8%至77.8%。母亲和父亲的参与程度在各病房之间也有所不同（分别为p<0.001和p=0.022）。多因素分析显示，随着孕周增加（p=0.010）、父亲受教育程度提高（p=0.009）以及病房邀请父母参加查房的政策（p=0.036），父母在场的情况增加。背景特征无法解释参与程度的差异。
各新生儿病房在让父母参与查房方面存在显著差异。只有少数背景特征能够解释这些差异，这表明病房文化在欢迎父母参与方面起着主要作用。
