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呼吸道合胞病毒确诊住院对美国早产儿照料者的影响。

Impact of Respiratory Syncytial Virus-Confirmed Hospitalizations on Caregivers of US Preterm Infants.

作者信息

Pokrzywinski Robin M, Swett Laura L, Pannaraj Pia S, Yi Jumi, Pavilack Melissa S, Kumar Veena R, McLaurin Kimmie K

机构信息

1 Evidera, Bethesda, MD, USA.

2 Children's Hospital Los Angeles, Los Angeles, CA, USA.

出版信息

Clin Pediatr (Phila). 2019 Jul;58(8):837-850. doi: 10.1177/0009922819843639. Epub 2019 Apr 21.

Abstract

This study assessed the impact of respiratory syncytial virus-confirmed hospitalizations (RSVH) on caregivers of high-risk preterm infants. Caregivers for infants born at 29 to 35 weeks' gestational age and hospitalized for confirmed RSV disease responded to measures of self-rated and perceived infant stress (1-7; 7 = very stressful), perceived infant health (0-100; 100 = best imaginable health), and productivity impairment. Data were collected at hospital discharge through 1 month post-discharge. Caregiver responses indicated high stress levels, poor health, and productivity loss were reported at discharge; however, steady improvements were seen through 1 month post-discharge: caregiver-rated stress (from 6 to 2), infant stress (5 to 1), caregiver-perceived infant health (64 to 84), and productivity loss (mothers: 91% to 31%; fathers: 81% to 18%). Qualitative results indicated emotional impact, family routine disruption, financial concerns, and medical concerns persisted at 1 month post-discharge. This study found the caregiver burden of RSVH persists at least 1 month beyond discharge.

摘要

本研究评估了呼吸道合胞病毒确诊住院(RSVH)对高危早产儿照料者的影响。孕周为29至35周且因确诊呼吸道合胞病毒疾病而住院的婴儿的照料者,对自我评定的和感知到的婴儿压力(1 - 7分;7分表示压力极大)、感知到的婴儿健康状况(0 - 100分;100分表示想象中最好的健康状况)以及生产力受损情况进行了回应。在出院时直至出院后1个月收集数据。照料者的回应表明,出院时报告有高压力水平、健康状况不佳和生产力损失;然而,在出院后1个月内情况稳步改善:照料者评定的压力(从6分降至2分)、婴儿压力(从5分降至1分)、照料者感知到的婴儿健康状况(从64分升至84分)以及生产力损失(母亲:从91%降至31%;父亲:从81%降至18%)。定性结果表明,出院后1个月时,情感影响、家庭日常活动中断、经济担忧和医疗担忧依然存在。本研究发现,呼吸道合胞病毒确诊住院给照料者带来的负担在出院后至少持续1个月。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9026/6552118/f6ed8ec1b1f4/10.1177_0009922819843639-fig1.jpg

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