护士与母亲的沟通及支持：新生儿病房中母亲的看法
Nurse-mother communication and support: Perceptions of mothers in neonatal units.
作者信息
Tajik Farnoosh, Mahmoodi Marzieh, Azodi Parviz, Jahanpour Faezeh
机构信息
Department of Pediatric and Neonatal nursing, School of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran.
MSc in Pediatric Nursing, Nursing and Midwifery Department, Member of Student Research Committee, Bushehr University of Medical Sciences, Bushehr, Iran.
出版信息
Heliyon. 2024 Apr 6;10(8):e29325. doi: 10.1016/j.heliyon.2024.e29325. eCollection 2024 Apr 30.
INTRODUCTION
Having a hospitalized neonate is a stressful experience for parents, especially mothers. Thus, in recent years, a paradigm shift occurred in the neonatal units, focusing on the needs of parents and supporting them in addition to caring for neonates. The aim of this study was to evaluate the nurse-mother communication and support in neonatal units in Bushehr, Iran.
METHOD
This descriptive cross-sectional study was performed in neonatal units of 6 hospitals in Bushehr, Iran, in 2022. Using the census method, all eligible mothers who met the inclusion criteria were included in this study. Data collection tools included demographic information form, nurse-parent support tool and nurse-parent communication questionnaire. The collected data were analyzed by SPSS version 24 using descriptive statistics, independent -test, one-way ANOVA and Pearson correlation test.
RESULTS
The total mean score of nurse-parent support tool was 3.72 ± 0.72 and the total mean score of nurse-parent communication questionnaire was 59/27 ± 12/82. Caregiving support had the highest mean score (4.07 ± 73 0.73) and emotional support had the lowest (3.42 ± 91 0.91). Also, a statistically significant difference was seen between the admitted unit variable and the mean score of nurse-mother communication and support. Additionally, there was a statistically significant difference between the mechanical ventilation status of the neonate and the mean score of nurse-mother support. A significant positive correlation was seen between the neonatal gestational age and the mean score of nurse-mother communication.
CONCLUSIONS
The total mean score of nurse-parent support and communication was moderate. Therefore, nursing support and communication need to be improved. Planning is needed to enhance the role of neonatal nurses and strengthen their support and communication skills in line with the family-centered care approach.
引言
新生儿住院对父母尤其是母亲来说是一段压力巨大的经历。因此，近年来新生儿病房发生了范式转变，除了照顾新生儿外，还关注父母的需求并为他们提供支持。本研究的目的是评估伊朗布什尔新生儿病房护士与母亲之间的沟通及支持情况。
方法
2022年，在伊朗布什尔的6家医院的新生儿病房进行了这项描述性横断面研究。采用普查法，将所有符合纳入标准的合格母亲纳入本研究。数据收集工具包括人口统计学信息表、护士-家长支持工具和护士-家长沟通问卷。使用SPSS 24版对收集到的数据进行描述性统计、独立样本t检验、单因素方差分析和Pearson相关检验。
结果
护士-家长支持工具的总平均分是3.72±0.72，护士-家长沟通问卷的总平均分是59.27±12.82。护理支持的平均分最高（4.07±0.73），情感支持的平均分最低（3.42±0.91）。此外，收治科室变量与护士-母亲沟通及支持的平均分之间存在统计学显著差异。此外，新生儿的机械通气状态与护士-母亲支持的平均分之间也存在统计学显著差异。新生儿胎龄与护士-母亲沟通的平均分之间存在显著正相关。
结论
护士-家长支持和沟通的总平均分中等。因此，护理支持和沟通需要改进。需要制定计划，以加强新生儿护士的作用，并根据以家庭为中心的护理方法加强他们的支持和沟通技能。
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