Shannon Jaylene, Blythe Stacy, Peters Kath
Generalist Community Nursing, Mid North Coast Local Health District, Wauchope, NSW 2446, Australia.
School of Nursing and Midwifery, Western Sydney University, Penrith, NSW 2751, Australia.
Children (Basel). 2021 Feb 17;8(2):152. doi: 10.3390/children8020152.
The global incidence of Neonatal Abstinence Syndrome (NAS) has increased significantly in the last decade. Symptoms of NAS manifest from the central and autonomic nervous systems as well as the gastrointestinal system and vary in severity and duration. The clinical management of infants experiencing NAS is dependent on symptoms and may include both pharmacological and non-pharmacological measures. In cases where symptoms are severe, infants may be admitted to special care nurseries or neonatal intensive care units. Existing research on nurses' involvement in caring for infants with NAS focuses on pharmacological and non-pharmacological interventions to treat physical symptoms associated with NAS. This research sought to add to the body of knowledge around NAS and conveys nurses' and midwives' experiences of delivering care for infants with NAS. Semi-structured interviews were held with nine nurses/midwives. Interviews were audio-recorded, transcribed verbatim and thematically analysed. Five themes emerged from the data. These themes are: Complex care needs; Prioritising physiological care; Experiencing compassion fatigue; Lacking continuity of care; and Stigma. The findings demonstrated the complex nature of care provision for infants with NAS. Competing priorities and the stigmatising nature of NAS threaten optimal care being delivered to these vulnerable infants and their parents.
在过去十年中，全球新生儿戒断综合征（NAS）的发病率显著上升。NAS的症状表现在中枢神经系统、自主神经系统以及胃肠道系统，严重程度和持续时间各不相同。患有NAS的婴儿的临床管理取决于症状，可能包括药物和非药物措施。在症状严重的情况下，婴儿可能会被收治到特殊护理病房或新生儿重症监护病房。现有关于护士参与照顾NAS婴儿的研究主要集中在治疗与NAS相关的身体症状的药物和非药物干预措施上。本研究旨在补充有关NAS的知识体系，并传达护士和助产士为NAS婴儿提供护理的经验。对九名护士/助产士进行了半结构化访谈。访谈进行了录音，逐字转录并进行了主题分析。数据中出现了五个主题。这些主题是：复杂的护理需求；优先考虑生理护理；经历同情疲劳；缺乏护理连续性；以及耻辱感。研究结果表明了为NAS婴儿提供护理的复杂性。相互竞争的优先事项以及NAS的耻辱性特征威胁到为这些脆弱婴儿及其父母提供最佳护理。
