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STEP项目——对支持性治疗性短途旅行项目及其对新生儿重症监护病房压力体验后提高父母自我效能感和亲子联结影响的定性研究

The STEP Program-A Qualitative Study of the Supportive Therapeutic Excursion Program and Its Effect on Enabling Parental Self-Efficacy and Connectedness after the Stress-Experience of the NICU.

作者信息

McGuire-Brown Makini, Banihani Rudaina, Watson Jo, Ng Eugene, Rocha Colleen, Borges Laura, Church Paige Terrien

机构信息

Schulich School of Business, York University, North York, ON M3J 1P3, Canada.

DAN Women and Babies Program, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

出版信息

Children (Basel). 2022 Apr 22;9(5):591. doi: 10.3390/children9050591.

DOI:10.3390/children9050591
PMID:35626768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9139833/
Abstract

As a child is born, so are the parents with new roles assumed. Attachment is secured, and parents quickly become the experts in their child. With preterm birth, however, this quiet and essential period of discovery is interrupted. It is described as a traumatic and stressful experience. Programs that aim to address this focus on education and support. This qualitative study explores the effect on parents and staff of a novel and simple intervention of parents walking their baby in a stroller (Supportive Therapeutic Excursion Program, STEP). This study used a qualitative methodology that included 20 semi-structured interviews for content saturation to explore the experiences of parents and staff participating in the STEP program. We found an overall positive experience reported by both parents and nursing staff with STEP. Analysis revealed that as autonomy is fostered with parent education around transition to home, STEP brought a normalcy that was reported to bolster participating parents' self-efficacy and connectedness, two important elements for recovery from stressful situations. The potential impact of STEP can be far reaching because, although future research is needed, these data suggest that inexpensive programs that promote normalcy may enable self-efficacy and connectedness prior to hospital discharge.

摘要

孩子出生时,父母也随之承担起新的角色。亲子依恋得以确立,父母很快就成为自己孩子的专家。然而,对于早产情况,这个安静且至关重要的探索阶段被打断了。这被描述为一种创伤性和压力巨大的经历。旨在解决这一问题的项目侧重于教育和支持。这项定性研究探讨了一项新颖且简单的干预措施——父母用婴儿车推着宝宝散步(支持性治疗远足项目,即STEP)——对父母和工作人员的影响。本研究采用定性方法,进行了20次半结构化访谈以达到内容饱和,从而探究参与STEP项目的父母和工作人员的经历。我们发现父母和护理人员对STEP总体上都有积极的体验。分析表明,随着围绕回家过渡阶段对父母进行教育,自主性得到培养,STEP带来了一种常态,据报告这种常态增强了参与项目的父母的自我效能感和联系感,这是从压力情境中恢复的两个重要因素。STEP的潜在影响可能非常深远,因为尽管还需要未来的研究,但这些数据表明,促进常态的低成本项目可能在出院前就能增强自我效能感和联系感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/514e/9139833/11b38e2f748d/children-09-00591-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/514e/9139833/5e2780f3bb26/children-09-00591-g0A1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/514e/9139833/8d86c457fc83/children-09-00591-g0A2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/514e/9139833/11b38e2f748d/children-09-00591-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/514e/9139833/5e2780f3bb26/children-09-00591-g0A1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/514e/9139833/8d86c457fc83/children-09-00591-g0A2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/514e/9139833/11b38e2f748d/children-09-00591-g001.jpg

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本文引用的文献

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Posttraumatic stress in NICU mothers: modeling the roles of childhood trauma and infant health.NICU 母亲的创伤后应激:儿童期创伤和婴儿健康的作用建模。
J Perinatol. 2021 Aug;41(8):2009-2018. doi: 10.1038/s41372-021-01103-9. Epub 2021 Jun 24.
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Parent mental health and neurodevelopmental outcomes of children hospitalized in the neonatal intensive care unit.
新生儿重症监护病房住院患儿父母的心理健康和神经发育结局。
Early Hum Dev. 2021 Mar;154:105278. doi: 10.1016/j.earlhumdev.2020.105278. Epub 2020 Nov 16.
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Fam Med Community Health. 2019 Mar 8;7(2):e000057. doi: 10.1136/fmch-2018-000057. eCollection 2019.
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Social Connectedness Moderates the Relationship Between Warfare Exposure, PTSD Symptoms, and Health Among Older Adults.社交联系调节了战争经历、创伤后应激障碍症状与老年人健康之间的关系。
Psychiatry. 2019 Summer;82(2):158-172. doi: 10.1080/00332747.2018.1534521. Epub 2018 Nov 7.
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Effectiveness of Family Integrated Care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trial.家庭综合护理在新生儿重症监护病房对婴儿和家长结局的有效性:一项多中心、多国、集群随机对照试验。
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