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支持早产儿家庭在新生儿重症监护病房出院后的干预措施的范围综述。

Scoping review of interventions to support families with preterm infants post-NICU discharge.

机构信息

Department of Family and Community Health Nursing, Marcella Niehoff School of Nursing, Loyola University Chicago, Maywood, IL, USA.

Department of Family and Community Health Nursing, Marcella Niehoff School of Nursing, Loyola University Chicago, Maywood, IL, USA.

出版信息

J Pediatr Nurs. 2022 Nov-Dec;67:e135-e149. doi: 10.1016/j.pedn.2022.08.014. Epub 2022 Aug 28.

Abstract

BACKGROUND

A successful transition from the NICU to home is fundamental for the long-term health and well-being of preterm infants. Post-NICU discharge, parents may experience a lack of support and resources during the transition to home. The purpose of this scoping review was to identify post-NICU discharge interventions that may reduce parental stress and provide support to families with preterm infants.

METHOD

Systematic searches of databases, i.e., PubMed, Web of Science, and CINAHL. Inclusion criteria were data-based articles: 1) published in English between 2011 and 2021, 2) published in peer-reviewed journals, (3) focused on families with preterm infants, and (4) focused on interventions to reduce parental stress and provide support to families with preterm infants post-NICU discharge.

RESULTS

26 articles were included and synthesized. We identified the following face-to-face and remote communication interventions: in-person home visits, phone/video calls, text messages, periodic email questionnaires, mobile/website apps, and online social networking sites.

DISCUSSION

Families may highly benefit from a comprehensive family-focused post-NICU discharge follow-up intervention that includes face-to-face and remote communication and support. Post-NICU discharge interventions are imperative to provide education related to infant care and health, increase parental confidence and competency, increase parent-infant relationship, promote emotional and social support, reduce unplanned hospital visits, parental stress, and maternal post-partum depression.

摘要

背景

早产儿从新生儿重症监护病房(NICU)顺利过渡到家庭环境对其长期健康和幸福至关重要。NICU 出院后,父母在过渡到家庭环境的过程中可能会面临缺乏支持和资源的情况。本综述的目的是确定 NICU 出院后可能减轻父母压力并为早产儿家庭提供支持的干预措施。

方法

系统检索了数据库,包括 PubMed、Web of Science 和 CINAHL。纳入标准为基于数据的文章:1)发表时间在 2011 年至 2021 年之间,2)发表在同行评议期刊上,3)关注早产儿家庭,4)关注 NICU 出院后减轻父母压力和为早产儿家庭提供支持的干预措施。

结果

共纳入 26 篇文章并进行了综合分析。我们确定了以下面对面和远程沟通干预措施:家访、电话/视频通话、短信、定期电子邮件问卷调查、移动/网站应用程序和在线社交网络。

讨论

综合性的以家庭为中心的 NICU 出院后随访干预措施,包括面对面和远程沟通及支持,可能会使家庭受益匪浅。NICU 出院后的干预措施对于提供与婴儿护理和健康相关的教育、增强父母的信心和能力、增进亲子关系、促进情感和社会支持、减少非计划性医院就诊、父母压力和产妇产后抑郁至关重要。

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