Author Affiliations: Penn State Harrisburg, Middletown, Pennsylvania (Dr Brelsford); Penn State College of Medicine, Hershey, Pennsylvania (Dr Doheny); and Penn State Children's Hospital, Hershey, Pennsylvania (Ms Stoner).
Adv Neonatal Care. 2024 Apr 1;24(2):141-150. doi: 10.1097/ANC.0000000000001160. Epub 2024 Mar 28.
The presence of psychospiritual supports and interventions for neonatal intensive care unit (NICU) parents is unclear.
This systematic review examines the psychological and medical literature for psychospiritual interventions designed to support parents' mental health and psychological well-being during or after the NICU experience.
Data sources include PubMed, PsycINFO, and Cochrane Library (Cochrane Database of Systemic Reviews, Cochrane Central Register of Controlled Trials) with peer-reviewed studies published between 2013 and 2023.
Peer-reviewed studies that included spiritual and psychological intervention components focused on supporting parents during or after the NICU were included for this systematic review. There were 42 records located in 3 databases ultimately yielding 4 peer-reviewed studies that met inclusion criteria. Articles must have been written in English and evaluate parents'/caregivers' mental health/psychological well-being in relation to a psychospiritual intervention.
Because of the small number of studies, article summaries are provided within the results section and were written by the first author with approval by the second and third authors.
Results indicated that when psychological (focus on coping) and spiritual components were included psychological and well-being outcomes were better for NICU parents.
The inclusion of psychological and spiritual aspects of coping and supportive care is necessary for the best family-centered NICU care. More work needs to be done to develop psychospiritual supports and include fathers in these endeavors as most work occurs with mothers. Nurses need support and training to facilitate family-centered care with a focus on parents' psychospiritual needs.
新生儿重症监护病房（NICU）父母的心理精神支持和干预措施尚不清楚。
本系统评价旨在检查心理和医学文献中，旨在支持 NICU 经历期间或之后父母心理健康和心理幸福感的心理精神干预措施。
数据来源包括 PubMed、PsycINFO 和 Cochrane Library（Cochrane 系统评价数据库、Cochrane 中心对照试验注册），其中包括 2013 年至 2023 年发表的同行评审研究。
纳入了包括精神和心理干预内容的同行评审研究，重点是在 NICU 期间或之后支持父母。从 3 个数据库中找到了 42 条记录，最终有 4 篇符合纳入标准的同行评审研究。文章必须用英文书写，并评估父母/照顾者的心理健康/心理幸福感与心理精神干预的关系。
由于研究数量较少，结果部分提供了文章摘要，由第一作者编写，并经第二和第三作者批准。
结果表明，当包括心理（关注应对）和精神成分时，NICU 父母的心理和幸福感结果更好。
应对和支持性护理的心理和精神方面的纳入对于最佳以家庭为中心的 NICU 护理是必要的。需要做更多的工作来开发心理精神支持，并将父亲纳入这些努力中，因为大多数工作都是与母亲一起进行的。护士需要支持和培训，以专注于父母的心理精神需求，促进以家庭为中心的护理。
