早产儿父母及祖父母在新生儿重症监护病房的探视。
Parent and grandparent neonatal intensive care unit visitation for preterm infants.
作者信息
Harris Leslie M, Shabanova Veronika, Martinez-Brockman Josefa L, Leverette Desiree, Dioneda Brittney, Parker Margaret G, Taylor Sarah N
机构信息
Yale School of Medicine, Department of Pediatrics, New Haven, CT, USA.
Yale School of Medicine, Department of General Internal Medicine, New Haven, CT, USA.
出版信息
J Perinatol. 2024 Mar;44(3):419-427. doi: 10.1038/s41372-023-01745-x. Epub 2023 Aug 12.
OBJECTIVE
Characterize family NICU visitation and examine associations with maternal health and social factors and infant health outcomes.
STUDY DESIGN
Retrospective cohort study of 167 infants born ≤32 weeks at two urban NICUs 01/2019-03/2020. Average nurse-documented family member visitation and associations of visitation with maternal and infant factors and outcomes were compared.
RESULTS
Mothers visited 4.4 days/week, fathers 2.6 days/week, and grandparents 0.4 days/week. Older maternal age, nulliparity, and non-English primary language were associated with more frequent family visitation. Mothers with depression or anxiety history visited less. Maternal depression and public insurance were associated with fewer father visits. Low parental visitation was associated with lower odds of feeding any maternal milk at discharge and low maternal visitation with 11.5% fewer completed infant subspecialty appointments in the year following discharge (95% CI -20.0%, -3.0%).
CONCLUSION
Families with social disadvantage visited less often. Parental visitation was associated with infant feeding and follow-up.
目的
描述新生儿重症监护病房（NICU）的家庭探视情况，并研究其与产妇健康、社会因素及婴儿健康结局之间的关联。
研究设计
对2019年1月至2020年3月期间在两家城市NICU出生的167名孕周≤32周的婴儿进行回顾性队列研究。比较护士记录的家庭成员平均探视次数，以及探视与母婴因素及结局之间的关联。
结果
母亲每周探视4.4天，父亲每周探视2.6天，祖父母每周探视0.4天。产妇年龄较大、初产妇以及母语非英语与更频繁的家庭探视相关。有抑郁或焦虑病史的母亲探视较少。产妇抑郁和公共保险与父亲探视次数较少相关。父母探视率低与出院时喂任何母乳的几率较低相关，而产妇探视率低与出院后一年内婴儿专科复诊完成率低11.5%相关（95%可信区间为-20.0%，-3.0%）。
结论
社会经济地位不利的家庭探视频率较低。父母探视与婴儿喂养及随访相关。
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