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父母对一家关爱父亲的新生儿重症监护病房中工作人员支持的认知

Parents' Perception of Staff Support in a Father-Friendly Neonatal Intensive Care Unit.

作者信息

Risanger Linn Iren, Kofoed Poul-Erik, Noergaard Betty, Vahlkvist Signe

机构信息

Department of Paediatrics and Adolescent Medicine, Lillebaelt Hospital, University Hospital of Southern Denmark, Sygehusvej 24, 6000 Kolding, Denmark.

H.C. Andersens Children's Hospital, Odense University Hospital, 5000 Odense, Denmark.

出版信息

Children (Basel). 2023 Mar 31;10(4):673. doi: 10.3390/children10040673.

Abstract

Healthcare professionals, especially nurses, play a central role in supporting parents during their stay in neonatal intensive care units (NICUs). Fathers often have their own support needs; however, studies have shown that these needs are rarely met to the same degree as those of the mothers. We developed a "father-friendly NICU" with the aim of providing good-quality care to the entire family. To evaluate the impact of this concept, we adopted a quasi-experimental design; using the Nurse Parent Support Tool (NPST), we investigated the differences in the fathers' ( = 497) and mothers' (n = 562) perception of the nursing support received on admission and discharge between before and after the intervention. In the historical control and intervention groups, the fathers' median NPST scores at admission were 4.3 (range, 1.9-5.0) and 4.0 (range, 2.5-4.8), respectively ( < 0.0001); at discharge, these scores were 4.3 (range, 1.6-5.0) and 4.4 (range, 2.3-5.0), respectively (difference not significant). In the historical control and intervention groups, the mothers median NPST scores at admission were 4.5 (range, 1.9-5.0) and 4.1 (range, 1.0-4.8), respectively ( < 0.001); at discharge, these scores were 4.4 (range, 2.7-5.0) and 4.4 (range, 2.6-5), respectively (difference not significant). The parental perception of support did not increase after the intervention; however, the parents reported a high level of staff support both before and after the intervention. Further studies should focus on parental support needs during the different phases of hospitalization (i.e., admission, stabilization, and discharge).

摘要

医护专业人员,尤其是护士,在新生儿重症监护病房(NICU)中陪伴父母期间发挥着核心作用。父亲们通常也有自己的支持需求;然而,研究表明,这些需求很少能像母亲的需求那样得到同等程度的满足。我们开发了一个“对父亲友好的NICU”,旨在为整个家庭提供高质量的护理。为了评估这一理念的影响,我们采用了准实验设计;使用护士家长支持工具(NPST),我们调查了干预前后父亲(n = 497)和母亲(n = 562)对入院和出院时所接受护理支持的感知差异。在历史对照组和干预组中,父亲在入院时的NPST中位数得分分别为4.3(范围1.9 - 5.0)和4.0(范围2.5 - 4.8)(P < 0.0001);出院时,这些得分分别为4.3(范围1.6 - 5.0)和4.4(范围2.3 - 5.0)(差异不显著)。在历史对照组和干预组中,母亲在入院时的NPST中位数得分分别为4.5(范围1.9 - 5.0)和4.1(范围1.0 - 4.8)(P < 0.001);出院时,这些得分分别为4.4(范围2.7 - 5.0)和4.4(范围2.6 - 5)(差异不显著)。干预后父母对支持的感知没有增加;然而,父母在干预前后都报告了高水平的工作人员支持。进一步的研究应关注住院不同阶段(即入院、病情稳定和出院)的父母支持需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ae6/10136709/4b023268a8c8/children-10-00673-g001.jpg

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