Department of Pediatrics and Adolescent Medicine, Turku University Hospital, Kiinamyllynkatu 4-8, 20521, Turku, Finland.
University of Turku, Turku, Finland.
BMC Pediatr. 2021 Jan 11;21(1):28. doi: 10.1186/s12887-020-02474-2.
Parent-infant closeness during hospital care of newborns has many benefits for both infants and parents. We developed an educational intervention for neonatal staff, Close Collaboration with Parents, to increase parent-infant closeness during hospital care. The aim of this study was to evaluate the effectiveness of the intervention on parent-infant closeness in nine hospitals in Finland.
Parents of hospitalized infants were recruited in the hospitals during 3-month periods before and after the Close Collaboration with Parents intervention. The data were collected using daily Closeness diaries. Mothers and fathers separately filled in the time they spent in the hospital and the time of skin-to-skin contact with their infant during each hospital care day until discharge. Statistical analyses were done using a linear model with covariates.
Diaries were kept before and after the intervention by a total of 170 and 129 mothers and 126 and 84 fathers, respectively. Either parent was present on average 453 min per day before the intervention and 620 min after the intervention in the neonatal unit. In the adjusted model, the increase was 99 min per day (p = 0.0007). The infants were in skin-to-skin contact on average 76 min per day before the intervention and 114 min after the intervention. In the adjusted model, skin-to-skin contact increased by 24 min per day (p = 0.0405).
The Close Collaboration with Parents intervention increased parents' presence and skin-to-skin contact in nine hospitals. This study suggests that parent-infant closeness may be one mediating factor explaining benefits of parenting interventions.
ClinicalTrials.gov NCT04635150 . Retrospectively registered.
新生儿在医院接受护理期间，父母与婴儿保持亲密关系对婴儿和父母都有很多好处。我们为新生儿医护人员开发了一种教育干预措施，即“与父母密切合作”，以增加医院护理期间的母婴亲密关系。本研究的目的是评估该干预措施在芬兰 9 家医院对母婴亲密关系的有效性。
在“与父母密切合作”干预措施实施前和实施后 3 个月内，在医院招募住院婴儿的父母。数据通过每日亲密关系日记收集。母亲和父亲分别在住院期间填写他们在医院的时间，以及每天在医院护理期间与婴儿进行皮肤接触的时间，直到出院。使用带有协变量的线性模型进行统计分析。
共有 170 名母亲和 126 名父亲在干预前，129 名母亲和 84 名父亲在干预后分别记录了日记。在新生儿病房，干预前父母平均每天在场 453 分钟，干预后增加到 620 分钟。在调整后的模型中，每天增加 99 分钟（p=0.0007）。婴儿在干预前平均每天进行皮肤接触 76 分钟，干预后增加到 114 分钟。在调整后的模型中，皮肤接触时间每天增加 24 分钟（p=0.0405）。
“与父母密切合作”干预措施增加了父母在 9 家医院的陪伴时间和皮肤接触时间。本研究表明，母婴亲密关系可能是解释亲职干预益处的一个中介因素。
ClinicalTrials.gov NCT04635150. 回顾性注册。
