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新生儿科家庭同伴支持小组:为何开展及如何启动?

Peer support groups for families in Neonatology: Why and how to get started?

作者信息

Dahan Sonia, Bourque Claude Julie, Reichherzer Martin, Prince Josée, Mantha Ginette, Savaria Melissa, Janvier Annie

机构信息

CHU Sainte-Justine Research Center, Montréal, QC, Canada.

Unité d'éthique clinique, CHU Sainte-Justine, Montréal, QC, Canada.

出版信息

Acta Paediatr. 2020 Dec;109(12):2525-2531. doi: 10.1111/apa.15312. Epub 2020 May 18.

Abstract

AIM

To describe the development of peer-to-peer support meetings between parents of children in neonatal intensive care unit (NICU) and veteran resource parents who had a previous NICU experience.

METHODS

The study had two steps: a needs assessment and a feasibility pilot study. Parental perspectives were investigated using mixed methods.

RESULTS

One hundred and fifty-three parents were participated. NICU parents (89%) wished to meet resource parents to discuss: their parental role, normalising their experience and emotions, adapting to their new reality, control, guilt, trust and coping. Practical aspects of the meetings were tested/finalised. Resource parent moderators reported that the presence of more than one moderator per meeting was essential. A checklist of topics to discuss was developed. Having a diversity of moderators (fathers, diagnoses other than prematurity, for example) was judged important. The name of the meeting had an impact on attendance: there were less participants when the word "support" was used. The best location (central, parents' kitchen) and optimal time/duration of meetings, selection of parent moderators and compensation were also determined.

CONCLUSION

Peer support meetings moderated by resource parents provide a unique and useful means to support NICU parents. Future investigations will explore whether these meetings will improve clinical outcomes.

摘要

目的

描述新生儿重症监护病房(NICU)患儿家长与有NICU经历的资深资源家长之间开展的 peer-to-peer 支持会议的发展情况。

方法

该研究分两个阶段:需求评估和可行性预试验研究。采用混合方法调查家长的观点。

结果

153名家长参与其中。NICU患儿家长(89%)希望与资源家长见面讨论:他们的家长角色、使自身经历和情绪正常化、适应新现实、掌控感、内疚感、信任感及应对方式。对会议的实际操作方面进行了测试/确定。资源家长主持人报告称每次会议有多名主持人在场至关重要。制定了一份讨论主题清单。认为有不同类型的主持人(例如父亲、非早产诊断等)很重要。会议名称对参会情况有影响:使用“支持”一词时参会人数较少。还确定了最佳会议地点(中心位置、家长厨房)、最佳会议时间/时长、家长主持人的选拔以及报酬。

结论

由资源家长主持的 peer-to-peer 支持会议为支持NICU患儿家长提供了一种独特且有用的方式。未来的研究将探索这些会议是否会改善临床结局。

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