Hans Christian Andersen Children's Hospital, Odense University Hospital, Denmark; Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Denmark.
Lovisenberg Diaconale University College, Oslo, Norway.
J Pediatr Nurs. 2022 Nov-Dec;67:e38-e47. doi: 10.1016/j.pedn.2022.10.001. Epub 2022 Nov 2.
Preterm birth is a stressful event. Paternal experiences of having a preterm infant indicate a need for tailored support. However, it is unclear which interventions work best. This review presents the evidence on existing healthcare interventions to support fathers of preterm infants in early parenthood, how effective they are and paternal experiences with the interventions.
The integrative review process of Whittemore and Knafl was used to guide the study. A structured and comprehensive literature search was conducted in PubMed (MEDLINE), Embase, CINAHL, PsycInfo, Cochrane, Scopus, Web of Science, SweMed+, and Proquest Dissertation & Thesis Global.
A total of 18 qualitative and quantitative studies were included in the review. The Mixed Methods Appraisal Tool was used to assess quality.
Three overall themes were identified in the analysis: 1) Skin-to-skin contact supported interaction between infant and father, 2) information impacted paternal experiences of stress, anxiety, and development of fatherhood, 3) fathers' relationships with the nurses oscillated between conflict and assistance.
Our findings show that targeted interventions could support father-infant interaction and reduce stress among fathers of preterm infants.
Fathers of preterm infants rely on nurses to support their engagement in early parenthood, while nurses facilitate the interventions that engage the fathers. It is also essential to develop a culture within the neonatal intensive care unit that encourages the presence of fathers and enhances educational nursing strategies for supporting fathers of preterm infants during early parenthood.
早产是一件应激事件。早产儿父亲的经历表明他们需要有针对性的支持。然而，目前尚不清楚哪些干预措施最有效。本综述介绍了支持早产儿父亲在早期育儿阶段的现有医疗保健干预措施的证据、它们的有效性以及父亲对这些干预措施的体验。
采用 Whittemore 和 Knafl 的综合审查过程来指导研究。在 PubMed（医学文献在线数据库）、Embase、CINAHL、PsycInfo、Cochrane、Scopus、Web of Science、SweMed+ 和 Proquest Dissertation & Thesis Global 中进行了结构化和全面的文献检索。
共有 18 项定性和定量研究纳入了综述。使用混合方法评估工具评估质量。
在分析中确定了三个总体主题：1）皮肤接触支持婴儿和父亲之间的互动，2）信息影响父亲的压力、焦虑和父亲角色发展的体验，3）父亲与护士的关系在冲突和协助之间波动。
我们的研究结果表明，有针对性的干预措施可以支持早产儿父亲与婴儿的互动，并减轻早产儿父亲的压力。
早产儿的父亲依赖护士来支持他们参与早期育儿，而护士则促进了那些让父亲参与的干预措施。在新生儿重症监护病房内建立鼓励父亲参与的文化，并增强支持早产儿父亲在早期育儿阶段的教育护理策略也很重要。
