Department of Pediatrics, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.
Department of Pediatrics, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, New York; and.
Hosp Pediatr. 2021 Apr;11(4):358-365. doi: 10.1542/hpeds.2020-002139. Epub 2021 Mar 3.
At our institution, the treatment of infants with neonatal abstinence syndrome (NAS) is guided by a function-based assessment called the Eat, Sleep, Console (ESC) approach. Infants room in with their parent(s) on the inpatient units, and most infants are treated exclusively with nonpharmacologic interventions. The experience of parents of infants with NAS treated with the ESC approach is unknown.
We chose a deductive, hypothesis-driven approach to perform a content analysis of transcripts from in-depth, semistructured interviews of parents of infants with NAS in our institution. Responses were audiotaped, transcribed, and reviewed by at least 3 members of the research team.
We interviewed 18 parents of infants with NAS. Most participants were ≥30 years, were white, and had a high school or equivalent level of education. Four major themes emerged: (1) parents were supportive of fewer interventions and normalizing of newborn care in the ESC approach; (2) parents felt encouraged to lead their infant's NAS care; (3) parents perceived gaps in communication about what to expect in the hospital immediately after delivery and during their infant's hospital stay; and (4) parents experienced feelings of guilt, fear, and stress and expressed the need for increased support.
Parents in our study had an overall positive experience with the ESC approach. This engagement probably contributes to the success of the ESC approach in our institution. Future opportunities include better preparation of expectant mothers and continued emotional support after delivery.
在我们的机构中，对患有新生儿戒断综合征（NAS）的婴儿的治疗是通过一种称为“吃、睡、安抚（ESC）”的基于功能的评估方法来指导的。婴儿与他们的父母一起住在住院病房，大多数婴儿仅接受非药物干预治疗。接受 ESC 方法治疗的 NAS 婴儿的父母的体验尚不清楚。
我们选择了一种演绎的、假设驱动的方法，对我们机构中患有 NAS 的婴儿的父母进行深入的半结构化访谈的转录本进行内容分析。受访者的回答进行了录音、转录，并由研究团队的至少 3 名成员进行了审查。
我们采访了 18 名患有 NAS 的婴儿的父母。大多数参与者年龄≥30 岁，是白人，且受过高中或同等水平的教育。出现了四个主要主题：（1）父母支持 ESC 方法中减少干预和使新生儿护理正常化；（2）父母感到鼓励可以主导婴儿的 NAS 护理；（3）父母认为在分娩后和婴儿住院期间，他们对医院的期望方面存在沟通差距；（4）父母感到内疚、恐惧和压力，并表示需要更多的支持。
我们研究中的父母对 ESC 方法总体上有积极的体验。这种参与可能有助于 ESC 方法在我们机构中的成功。未来的机会包括更好地为孕妇做准备，并在分娩后继续提供情感支持。
