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与基于新生儿重症监护病房的共同职业参与相关的婴儿及家长结局

Infant and Parent Outcomes Related to NICU-Based Co-occupational Engagement.

作者信息

Richter M, Angell A, Kellner P, Smith J, Pineda R

机构信息

University of Southern California, Los Angeles, CA, USA.

St. Louis Children's Hospital, St. Louis, MO, USA.

出版信息

OTJR (Thorofare N J). 2024 Jan;44(1):3-12. doi: 10.1177/15394492231160690. Epub 2023 Mar 21.

Abstract

Neonatal intensive care unit (NICU) co-occupations may impact parent-infant outcomes. The main objective of this study was to explore relationships between parent and infant outcomes based on whether sensory-based interventions (co-occupations) occurred most often between parent-infant dyads or provider/volunteer-infant dyads. Thirty-five families received the Supporting and Enhancing NICU Sensory Experiences (SENSE) program, which includes education defining specific amounts of sensory exposures for infants to receive each day of NICU hospitalization (with a preference for parent delivery). Infant sensory experiences in the NICU were logged, and dyads were grouped based on who conducted most of the sensory interventions with the infant in the NICU into a Parent-Infant Co-occupation group or Other Administered group. The Parent-Infant Co-occupation group had infants with less lethargy on the NICU Network Neurobehavioral Scale ( = .04), and parents with lower scores on the Parental Stress Scale ( = .003) and State-Trait Anxiety Inventory-state ( = .047). Parent-infant engagement in co-occupations was related to parental mental health and infant neurobehavior.

摘要

新生儿重症监护病房(NICU)中的共同活动可能会影响母婴结局。本研究的主要目的是基于感觉干预(共同活动)在母婴二元组还是医护人员/志愿者-婴儿二元组中最常发生,来探讨父母与婴儿结局之间的关系。35个家庭接受了支持和增强NICU感觉体验(SENSE)项目,该项目包括教育内容,明确了婴儿在NICU住院期间每天应接受的特定感觉刺激量(优先由父母进行)。记录了婴儿在NICU的感觉体验,并根据在NICU中对婴儿进行大部分感觉干预的人员,将二元组分为母婴共同活动组或其他实施组。母婴共同活动组的婴儿在NICU网络神经行为量表上的嗜睡程度较低( = 0.04),父母在父母压力量表上的得分较低( = 0.003),在状态-特质焦虑量表-状态上的得分也较低( = 0.047)。母婴共同活动中的亲子互动与父母心理健康和婴儿神经行为有关。

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