Lee Jiyeon, Choi Sunyeob
College of Nursing, Catholic University of Pusan, 57 Oryundae-ro, Geumjung-gu, Busan 46252, Republic of Korea.
Ewha Womans University, College of Nursing, 52 Ewhayeodae-gil, Seodamaemun-gu, Seoul 03760, Republic of Korea.
J Pediatr Nurs. 2023 Sep-Oct;72:36-44. doi: 10.1016/j.pedn.2023.03.015. Epub 2023 Apr 8.
The purpose of this scoping review was to map and organize the previous studies conducted among fathers whose infants experienced admission to neonatal intensive care units (NICUs) in South Korea.
A scoping review was conducted based on Arksey and O'Malley using the JBI template. The review was described by PRISMA-ScR. The studies were reviewed through five electronic databases (PubMed, CINAHL, Web of Science, RISS and KMbase) since 1996. Each study was analyzed, extracted, and summarized into the following domains: general characteristics (language, design, data collection methods, intervention, data collection site, and time) and fathers' characteristics (types of fathers, mean age, variables related to the fathers, and measurements).
A total of 290 studies were identified after screening titles and abstracts, and 32 full-text articles were retrieved for eligibility. Finally, 15 articles were included in the review.
Four themes were derived after review: paternal stress, paternal attachment, fathers' adaptation, and fathers' support needs.
Infants' hospitalization in NICUs causes stress for fathers but they overcome difficulties and play multiple roles as guardians, caregivers, and decision-makers of their spouses and infants over time. Paternal attachment increases significantly after participating in tactile and educational interventions. Fathers rely on nurses and they want to receive support from nurses.
It is necessary for NICU nurses to understand and support fathers whose infants are hospitalized in NICUs. Medical institutions should provide nursing interventions and education for fathers to relieve their stress, help their adaptation, and improve attachment.
本范围综述的目的是梳理和整理此前在韩国针对其婴儿入住新生儿重症监护病房(NICU)的父亲开展的研究。
基于阿克西和奥马利的方法并使用JBI模板进行范围综述。该综述由PRISMA-ScR描述。自1996年以来,通过五个电子数据库(PubMed、CINAHL、科学网、韩国研究信息服务系统和韩国知识数据库)对研究进行了检索。每项研究都被分析、提取并归纳为以下领域:一般特征(语言、设计、数据收集方法、干预措施、数据收集地点和时间)以及父亲的特征(父亲类型、平均年龄、与父亲相关的变量和测量指标)。
在筛选标题和摘要后共识别出290项研究,并检索了32篇全文文章以确定是否符合纳入标准。最后,15篇文章被纳入综述。
综述后得出四个主题:父亲压力、父亲依恋、父亲适应以及父亲的支持需求。
婴儿在NICU住院给父亲带来压力,但随着时间推移,他们克服困难,同时扮演多种角色,如配偶和婴儿的监护人、照顾者和决策者。参与触觉和教育干预后,父亲依恋显著增加。父亲依赖护士,并且希望得到护士的支持。
NICU护士有必要理解并支持其婴儿在NICU住院的父亲。医疗机构应为父亲提供护理干预和教育,以缓解他们的压力,帮助他们适应并改善依恋关系。