Arya Shreyas, Zutshi Ankita
Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, USA.
Division of Neonatal-Perinatal Medicine, Dayton Children's Hospital, Dayton, USA.
Cureus. 2022 Oct 14;14(10):e30307. doi: 10.7759/cureus.30307. eCollection 2022 Oct.
Trauma is rooted in an individual's experience of an event that leads to physical or mental harm and can have a long-lasting, unfavorable effect on their well-being and functioning. Being aware of the effects of trauma, recognizing its signs, understanding how it informs individual responses, and actively trying to prevent re-traumatization are the tenets of trauma-informed care. Admission to the neonatal intensive care unit (NICU) is widely considered to be an extremely stressful time for parents and infants alike. With the emergence of the coronavirus disease 2019 (COVID-19) pandemic, there were significant changes in healthcare delivery. Widespread closures, restrictions due to infection control measures, the spread of misinformation, increased psychosocial hardships, and amplification of cultural, gender, and racial biases intensified NICU-related stressors. Adoption of the principles of trauma-informed care, as defined by the Substance Abuse Mental Health Services Administration, to the NICU can help buffer some of these stressors. We present a review of these principles viewed through the lens of the COVID-19 pandemic. The lessons learned will help inform practices and policies and allow us to navigate similar challenges more effectively in the future.
创伤源于个体经历的导致身体或精神伤害的事件，并且可能对其幸福和功能产生长期的不利影响。了解创伤的影响、识别其迹象、理解其如何影响个体反应以及积极预防再次创伤是创伤知情护理的原则。新生儿重症监护病房（NICU）的入院被广泛认为对父母和婴儿来说都是极其紧张的时期。随着2019冠状病毒病（COVID-19）大流行的出现，医疗服务发生了重大变化。广泛的关闭、因感染控制措施而产生的限制、错误信息的传播、心理社会困难的增加以及文化、性别和种族偏见的加剧，都加剧了与NICU相关的压力源。将物质滥用和心理健康服务管理局定义的创伤知情护理原则应用于NICU有助于缓冲其中一些压力源。我们通过COVID-19大流行的视角对这些原则进行了综述。吸取的经验教训将有助于为实践和政策提供信息，并使我们能够在未来更有效地应对类似挑战。
