IWK Health Centre, Nova Scotia, Canada.
IWK Health Centre, Nova Scotia, Canada; Faculty of Health, School of Nursing, Dalhousie University, Nova Scotia, Canada; Faculty of Medicine, Department of Pediatrics, Dalhousie University, Nova Scotia, Canada.
J Pediatr Nurs. 2021 Sep-Oct;60:123-129. doi: 10.1016/j.pedn.2021.04.023. Epub 2021 May 1.
Presence in the neonatal intensive care unit (NICU) is a vital step for caregivers initiating involvement, such as skin-to-skin contact, holding or singing/reading to their newborn. Little is known about caregiver presence and involvement in Canadian NICU's context by caregiver type (mother, father, other), and the association between maternal presence and key maternal and newborn characteristics.
The primary objective was to examine the presence and involvement of family caregivers in the NICU. The secondary objective was to examine the relationship between maternal presence and maternal and newborn characteristics.
A prospective observational cohort study in an open bay setting of an Eastern Canadian NICU. Presence (physically present at the newborn's bedside) and involvement (e.g., skin-to-skin, singing/reading) were tracked daily by families in the NICU until discharge. Demographic information was also collected.
Participants included 142 mothers and their newborns. Mothers were present 8.7 h/day, fathers were present 4.1 h/day, and other caregivers were present 1.8 h/day in the NICU in the first 34 days. Mothers were involved in care activities 50% of the time they were present in the NICU, whereas fathers and other caregivers were spending 20% and 6% of their time respectively. Regression identified maternal age, distance to home, parity, birthweight, and length of stay to be statistically significant variables related to maternal presence.
There is variation in presence and involvement by caregiver type. Targeted interventions to maintain and increase mothers, fathers and other caregivers' presence and involvement in care throughout their stay in the NICU are recommended.
在新生儿重症监护病房（NICU）中，护理人员的存在是其开始参与护理的重要步骤，例如与新生儿进行皮肤接触、抱着新生儿或为其唱歌/阅读。然而，对于加拿大 NICU 中不同类型的护理人员（母亲、父亲、其他）的存在和参与情况，以及母亲的存在与母婴关键特征之间的关联，我们知之甚少。
本研究的主要目的是检查家庭护理人员在 NICU 中的存在和参与情况。次要目的是研究母亲存在与母婴特征之间的关系。
这是一项在加拿大东部一家开放型 NICU 中进行的前瞻性观察队列研究。在新生儿住院的前 34 天，由家庭护理人员每天记录他们在 NICU 中的存在（新生儿床边的实际存在）和参与情况（例如，皮肤接触、唱歌/阅读）。还收集了人口统计学信息。
参与者包括 142 名母亲及其新生儿。母亲在 NICU 中每天存在 8.7 小时，父亲存在 4.1 小时，其他护理人员存在 1.8 小时。母亲在 NICU 中存在的 50%时间内参与护理活动，而父亲和其他护理人员分别花费 20%和 6%的时间参与护理活动。回归分析确定了母亲年龄、与家的距离、产次、出生体重和住院时间是与母亲存在相关的统计学显著变量。
不同类型的护理人员在存在和参与方面存在差异。建议针对母亲、父亲和其他护理人员在 NICU 期间的存在和参与情况，采取有针对性的干预措施，以维持和增加他们的存在和参与。
