Lebel Valérie, Argiropoulos Nikolas, Robins Stephanie, Charbonneau Lyne, Feeley Nancy
Nursing Department, Université du Québec en Outaouais, Saint-Jérôme, Québec, Canada.
Centre for Nursing Research, Jewish General Hospital, Montreal, Québec, Canada.
Acta Paediatr. 2022 Dec;111(12):2299-2306. doi: 10.1111/apa.16538. Epub 2022 Sep 11.
We examined if a range of factors were associated with how ready mothers were for their infants to be discharged from a neonatal intensive care unit (NICU).
This was a secondary analysis of a study on the well-being of mothers whose infants were hospitalised in the level 3 NICU at the Jewish General Hospital in Canada. We studied 132 mother-infant dyads: 70 from an open ward NICU and 62 from the purpose-built NICU with pods or single-family rooms that replaced it in 2016. The mothers completed a questionnaire on NICU stress and their perceptions of family-centred care on enrolment and another on breastfeeding self-efficacy and readiness to go home a week before discharge. The infants' characteristics were retrieved from the medical files.
The infants were born at a mean age of 29.8 ± 3.1 weeks. Greater family-centred care during early hospitalisation (p = 0.01) and greater breastfeeding self-efficacy in the period before discharge (p = 0.04) were significantly associated with higher readiness for discharge. The unit design was not significantly associated with readiness for discharge.
The quality of early family-centred care and breastfeeding self-efficacy were significantly associated with how ready mothers were for their preterm infant to be discharged from the NICU.
我们研究了一系列因素是否与母亲对于婴儿从新生儿重症监护病房（NICU）出院的准备程度相关。
这是一项对在加拿大犹太总医院三级新生儿重症监护病房住院婴儿的母亲的幸福感研究的二次分析。我们研究了132对母婴二元组：70对来自开放式病房新生儿重症监护病房，62对来自2016年取代它的设有分隔间或单人间的专用新生儿重症监护病房。母亲们在入院时完成了一份关于新生儿重症监护病房压力及她们对以家庭为中心护理的看法的问卷，以及在出院前一周完成了一份关于母乳喂养自我效能感和回家准备情况的问卷。婴儿的特征从医疗档案中获取。
婴儿的平均出生孕周为29.8±3.1周。住院早期更高的以家庭为中心护理（p = 0.01）以及出院前更高的母乳喂养自我效能感（p = 0.04）与更高的出院准备程度显著相关。病房设计与出院准备程度无显著关联。
早期以家庭为中心护理的质量和母乳喂养自我效能感与母亲对于早产儿从新生儿重症监护病房出院的准备程度显著相关。
