Department of Pediatrics/Neonatology, OLVG, Amsterdam, The Netherlands.
Department of Pediatrics, Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit, University of Amsterdam, Amsterdam, The Netherlands.
Acta Paediatr. 2021 Jul;110(7):2008-2022. doi: 10.1111/apa.15857. Epub 2021 May 27.
To review the evidence on safety of maintaining family integrated care practices and the effects of restricting parental participation in neonatal care during the SARS-CoV-2 pandemic.
MEDLINE, EMBASE, PsycINFO and CINAHL databases were searched from inception to the 14th of October 2020. Records were included if they reported scientific, empirical research (qualitative, quantitative or mixed methods) on the effects of restricting or promoting family integrated care practices for parents of hospitalised neonates during the SARS-CoV-2 pandemic. Two authors independently screened abstracts, appraised study quality and extracted study and outcome data.
We retrieved 803 publications and assessed 75 full-text articles. Seven studies were included, reporting data on 854 healthcare professionals, 442 parents, 364 neonates and 26 other family members, within 286 neonatal units globally. The pandemic response resulted in significant changes in neonatal unit policies and restricting parents' access and participation in neonatal care. Breastfeeding, parental bonding, participation in caregiving, parental mental health and staff stress were negatively impacted.
This review highlights that SARS-CoV-2 pandemic-related hospital restrictions had adverse effects on care delivery and outcomes for neonates, families and staff. Recommendations for restoring essential family integrated care practices are discussed.
回顾在 SARS-CoV-2 大流行期间维持家庭综合护理实践的安全性证据，以及限制父母参与新生儿护理的影响。
从建库到 2020 年 10 月 14 日，我们在 MEDLINE、EMBASE、PsycINFO 和 CINAHL 数据库中进行了检索。如果研究报告了 SARS-CoV-2 大流行期间限制或促进住院新生儿父母家庭综合护理实践的效果的科学、实证研究（定性、定量或混合方法），则将其纳入。两位作者独立筛选摘要、评估研究质量并提取研究和结果数据。
我们检索到 803 篇出版物，并评估了 75 篇全文文章。7 项研究纳入其中，报告了全球 286 个新生儿单位内 854 名医护人员、442 名父母、364 名新生儿和 26 名其他家庭成员的数据。大流行应对措施导致新生儿单位政策发生重大变化，限制了父母对新生儿护理的访问和参与。母乳喂养、父母依恋、参与护理、父母心理健康和员工压力受到负面影响。
本综述强调了 SARS-CoV-2 大流行相关的医院限制对新生儿、家庭和员工的护理提供和结果产生了不利影响。讨论了恢复基本家庭综合护理实践的建议。
