Wang Ling-Ying, Wu Tai-Jing, Lu Tsai-Lin, Lin Kai-Hui
BSN, RN, Department of Nursing, Linkou Chang Gung Memorial Hospital, Taiwan, ROC.
MS, RN, Head Nurse, Neonatal Intensive Care Units, Linkou Chang Gung Memorial Hospital; Adjunct Instructor, Department of Respiratory Therapy, Chang Gung University, and Department of Nursing, Hsin Sheng Junior College of Medical Care and Management, Taiwan, ROC.
Hu Li Za Zhi. 2021 Dec;68(6):73-82. doi: 10.6224/JN.202112_68(6).10.
BACKGROUND & PROBLEMS: Parent-infant attachment is affected by parent-infant interaction. The limitations on related visitations during the COVID-19 pandemic suspended the opportunity to engage in kangaroo care (skin-to-skin contact) activities. These changes impacted parent-infant attachment in the neonatal intensive care unit. After investigation, the score of premature infant-parent attachment was found to be only 64.6 points during the period in which visitation limitations were in effect.
To enhance maternal-premature infant attachment during the pandemic period by 10% (from an average score of 64.6 to 71.1).
This project involved nurses playing audio files provided by mothers to their premature infants, and recording a video and taking pictures of the infants during this process. This project used a cloud platform as bidirectional pipelines. Furthermore, emotional support and caring information were provided to the mothers via expressive arts therapy and phone interviews.
After the intervention, the premature infant-parent attachment score rose to 74.4 from the pre-intervention score of 64.6.
During pandemic control periods, traditional modes of care aimed at building infant-parent attachment are not applicable. The intervention project used was found to be an effective alternative approach to increasing maternal-premature infant attachment. Breaking the restrictions of time and place, this project applies family-centered care, and may provide a reference for developing software, hardware, and communication equipment for other care units related to newborns.
母婴依恋受母婴互动影响。新冠疫情期间相关探视限制暂停了袋鼠式护理（皮肤接触）活动的机会。这些变化影响了新生儿重症监护病房中的母婴依恋。调查发现，在探视受限期间，早产儿与父母的依恋得分仅为64.6分。
在疫情期间将母婴依恋提升10%（从平均得分64.6分提高到71.1分）。
该项目让护士播放母亲为早产儿提供的音频文件，并在此过程中录制视频和拍摄婴儿照片。该项目使用云平台作为双向管道。此外，通过表达性艺术疗法和电话访谈为母亲们提供情感支持和关怀信息。
干预后，早产儿与父母的依恋得分从干预前的64.6分升至74.4分。
在疫情管控期间，旨在建立母婴依恋的传统护理模式不适用。所采用的干预项目被证明是增加母婴依恋的有效替代方法。该项目打破了时间和地点的限制，应用了以家庭为中心的护理模式，可为其他新生儿相关护理单元开发软件、硬件和通信设备提供参考。
