School of Nursing, UT Health San Antonio, San Antonio, Texas.
Adv Neonatal Care. 2021 Feb 1;21(1):16-22. doi: 10.1097/ANC.0000000000000819.
Over the past 2 decades, the prevalence of neonatal abstinence syndrome (NAS) has increased almost 5-fold. Skin-to-skin care (SSC), a method of parent-infant holding, is a recommended nonpharmacologic intervention for managing NAS symptoms. SSC has the potential to reduce withdrawal symptoms while positively influencing parent-infant attachment. Yet, little is known about the SSC experiences of mothers of infants with NAS.
The purpose of this study was to explore the SSC experiences of mothers of infants with NAS, including perceived barriers to SSC in the hospital and following discharge home.
A qualitative descriptive design was used to obtain new knowledge regarding the experience of SSC of mothers of infants with NAS. Purposive sampling was used to recruit participants eligible for the study. We conducted semistructured individual interviews with postpartum mothers of infants with NAS. Data were analyzed using thematic analysis.
FINDINGS/RESULTS: Thirteen mothers participated in the study. Four themes emerged from the data analysis: "a little nerve racking"; "she needed me, and I needed her"; dealing with the "hard times"; and "a piece of my puzzle is missing." SSC was described as a conduit for healing and bonding; in addition, several barriers to SSC were reported.
These findings highlight the inherent benefits of SSC for infants with NAS and demonstrate the unique challenges of these mother-infant dyads. Critical changes in hospital practices are needed to create an environment supportive of SSC for this patient population. In addition, research regarding implementation of interventions to increase SSC usage in this population is warranted.
在过去的 20 年中，新生儿戒断综合征（NAS）的患病率几乎增加了 5 倍。皮肤接触护理（SSC），即父母与婴儿的抱持方式，是一种推荐的非药物干预方法，用于管理 NAS 症状。SSC 有潜力减轻戒断症状，同时对母婴依恋产生积极影响。然而，对于患有 NAS 的婴儿的母亲的 SSC 体验知之甚少。
本研究的目的是探讨患有 NAS 的婴儿的母亲的 SSC 体验，包括在医院和出院回家后对 SSC 的感知障碍。
采用定性描述性设计，旨在获得有关患有 NAS 的婴儿的母亲的 SSC 体验的新知识。采用目的抽样法招募符合研究条件的参与者。我们对患有 NAS 的婴儿的产后母亲进行了半结构化的个人访谈。使用主题分析对数据进行分析。
共有 13 位母亲参与了研究。从数据分析中得出了四个主题：“有点紧张”；“她需要我，我也需要她”；应对“艰难时期”；以及“我的拼图缺失了一块”。SSC 被描述为一种治疗和建立联系的渠道；此外，还报告了一些 SSC 的障碍。
这些发现强调了 SSC 对患有 NAS 的婴儿的固有益处，并展示了这些母婴对的独特挑战。需要对医院实践进行重大改变，为这一患者群体创造支持 SSC 的环境。此外，需要研究实施干预措施以增加这一人群中 SSC 的使用。
