Neuroscience of Emotion and Affective Dynamics Lab, Swiss Center for Affective Sciences and Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.
Division of Development and Growth, Department of Pediatrics, Geneva University Hospitals, Geneva, Switzerland.
Acta Paediatr. 2021 Sep;110(9):2509-2520. doi: 10.1111/apa.15961. Epub 2021 Jun 11.
This review identifies interventions involving the fathers of preterm infants that have been tested in neonatal intensive care units (NICU). It examines their effects on the fathers and infants and highlights any differences between fathers and mothers who took part in the same interventions.
A systematic search was performed in English from 1995 to 1 September 2020, using the CINAHL, Cochrane Central Register of Controlled Trials, Embase, PubMed and PsycINFO databases. We examined 14 peer-reviewed studies that investigated NICU interventions involving 478 fathers, whose 511 infants were born before 37 weeks of gestation. These included empirical studies with clinical outcomes.
Studies on fathers' interventions in NICUs were limited and mainly restricted to basic skin-to-skin contact or tactile interventions. The interventions had similar general positive effects on mothers and fathers when it came to infant physiological and behavioural reactions. There was also evidence of a positive effect on the fathers, including their mental health.
Including fathers as active partners in the care of their preterm newborn infants produced good outcomes for both of them. Further research is needed to develop new, multimodal and interactive interventions that provide fathers with positive contact with their preterm infants.
本综述旨在确定在新生儿重症监护病房（NICU）中针对早产儿父亲的干预措施，并评估这些干预措施对父亲和婴儿的影响，同时强调参与相同干预措施的父亲和母亲之间的任何差异。
我们在 1995 年至 2020 年 9 月 1 日期间，使用 CINAHL、Cochrane 对照试验中心注册库、Embase、PubMed 和 PsycINFO 数据库，以英文进行了系统性检索，共检索到 14 项针对 NICU 干预措施的同行评议研究，这些研究涉及 478 名父亲及其 511 名胎龄不足 37 周的婴儿。这些研究包括具有临床结局的实证研究。
NICU 中针对父亲的干预措施研究有限，主要局限于基本的皮肤接触或触觉干预。这些干预措施在婴儿生理和行为反应方面对母亲和父亲均产生了相似的积极效果。同时，也有证据表明这些干预措施对父亲的心理健康产生了积极影响。
让父亲作为早产儿护理的积极伙伴，可以为他们双方带来良好的结果。需要进一步研究以开发新的、多模式和互动式的干预措施，为父亲提供与早产儿积极接触的机会。
