Department of Nursing Science, University of Turku, Turku, Finland.
Department of Women's and Children's Health, University of Uppsala, Uppsala, Sweden.
J Adv Nurs. 2022 Jun;78(6):1676-1687. doi: 10.1111/jan.15128. Epub 2021 Dec 13.
The aim of this study was to examine the potential association of family-centred care as perceived by parents during a NICU stay with parents' depressive symptoms at discharge and at 4 months corrected for infant age.
A longitudinal, multicentre cohort study was conducted from 2018 to 2020 in 23 NICUs across 15 countries.
Parents (n = 635 mothers, n = 466, fathers) of infants (n = 739) born before 35 weeks of gestation and admitted to the participating NICUs were enrolled to the study during the first weeks of their infants' hospitalizations. They responded to Digi-FCC daily text messages inquiring about their perception of family-centred care provided by NICU staff. In addition, they completed a questionnaire assessing their overall perception of family-centred care at discharge. Parents' depressive symptoms were measured by the Edinburgh Postnatal Depression Scale at discharge and again after discharge when their infants were at 4 months corrected for age.
The mothers' and the fathers' perceptions of family-centred care were associated with their depressive symptoms at discharge and at 4 months corrected age, controlling for gestational age, multiple birth, parent education and relationship status. Parents' participation in infant care, care-related decisions and emotional support provided to parents by staff explained the variation in the parents' perceptions of family-centred care. The factors facilitating the implementation of family-centred care included unlimited access to the unit for the parents and for their significant others, as well as amenities for parents.
Our study shows that family-centred NICU care associates with parents' depressive symptoms after a NICU stay.
Depression is common in parents of preterm infants. The provision of family-centred care may protect the mental well-being of parents of preterm infants.
本研究旨在探讨父母在新生儿重症监护病房（NICU）住院期间感知到的以家庭为中心的护理与父母出院时和婴儿矫正 4 月龄时的抑郁症状之间的潜在关联。
这是一项从 2018 年至 2020 年在 15 个国家的 23 家 NICU 进行的纵向、多中心队列研究。
在婴儿（胎龄<35 周）住院的最初几周，招募了 739 名婴儿的父母（母亲 635 名，父亲 466 名）参与本研究。他们每天都会收到关于 NICU 工作人员提供的以家庭为中心的护理的感知情况的 Digi-FCC 短信问询。此外，他们还完成了一份问卷，评估他们对出院时以家庭为中心的护理的整体感知。父母的抑郁症状在出院时和婴儿矫正 4 月龄时通过爱丁堡产后抑郁量表进行测量。
母亲和父亲对以家庭为中心的护理的感知与他们的抑郁症状有关，包括出院时和婴儿矫正 4 月龄时的抑郁症状，控制了胎龄、多胎、父母教育程度和关系状况。父母参与婴儿护理、与护理相关的决策以及工作人员向父母提供的情感支持解释了父母对以家庭为中心的护理的感知差异。促进以家庭为中心的护理实施的因素包括父母及其重要他人对单位的无限制访问，以及为父母提供的便利设施。
我们的研究表明，NICU 以家庭为中心的护理与 NICU 住院后父母的抑郁症状有关。
抑郁在早产儿父母中很常见。提供以家庭为中心的护理可能有助于保护早产儿父母的心理健康。
