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[高危新生儿父母所感知的父母压力与护士沟通之间的关系]

[The Relationship between Parental Stress and Nurses' Communication as Perceived by Parents of High-risk Newborns].

作者信息

Lee Chang Hee, Jang Mi Heui, Choi Yong Sung, Shin Hyunsook

出版信息

Child Health Nurs Res. 2019 Apr;25(2):184-195. doi: 10.4094/chnr.2019.25.2.184. Epub 2019 Apr 30.

Abstract

PURPOSE

This study aimed to characterize the relationship between parental stress and nurses' communication as perceived by parents of high-risk newborns in a neonatal intensive care unit (NICU).

METHODS

The participants were 54 parents of high-risk newborns in a NICU. Data were collected from January to March 2018. Parental stress and parents' perceptions of nurses' communication ability and styles were measured using a questionnaire.

RESULTS

The average scores for parental stress and nurses' communication ability were 3.39 and 4.38 respectively, on a 5-point scale. Parents most commonly reported that nurses showed a friendly communication style, followed by informative and authoritative styles. Mothers and fathers reported significantly different levels of parental stress. Parental stress showed a negative correlation with nurses' perceived verbal communication ability. Higher scores for nurses' verbal communication ability and for friendly and informative communication styles were associated with lower parental stress induced by the environment, the baby's appearance and behaviors, and treatments in the NICU.

CONCLUSION

The findings of this study suggest that nurses need to offer proper information for parents and to support parents by encouraging them to express their emotions of stress and by providing parents with therapeutic communication and opportunities to participate in care.

摘要

目的

本研究旨在描述新生儿重症监护病房(NICU)中高危新生儿家长所感知到的父母压力与护士沟通之间的关系。

方法

研究对象为54名NICU中高危新生儿的家长。数据收集于2018年1月至3月。采用问卷调查法测量父母压力以及家长对护士沟通能力和沟通方式的认知。

结果

在5分制量表上,父母压力和护士沟通能力的平均得分分别为3.39和4.38。家长最常报告护士表现出友好的沟通方式,其次是提供信息型和权威型沟通方式。母亲和父亲报告的父母压力水平存在显著差异。父母压力与护士的言语沟通能力呈负相关。护士言语沟通能力得分较高以及友好和提供信息型沟通方式得分较高,与NICU环境、婴儿外貌和行为以及治疗所引发的较低父母压力相关。

结论

本研究结果表明,护士需要为家长提供适当信息,并通过鼓励家长表达压力情绪、为家长提供治疗性沟通以及参与护理的机会来支持家长。

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