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韩国早产后期父母健康担忧的变化:一项横断面研究。

Changes in parents' health concerns by post-preterm birth period in South Korea: a cross-sectional study.

作者信息

Jung Yu Jin, Cho Hun Ha

机构信息

Associate Professor, Department of Pediatrics, Kosin University College of Medicine, Busan, Korea.

Associate Professor, College of Nursing, Kosin University, Busan, Korea.

出版信息

Child Health Nurs Res. 2024 Apr;30(2):118-128. doi: 10.4094/chnr.2024.007. Epub 2024 Apr 30.

DOI:10.4094/chnr.2024.007
PMID:38712461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11082501/
Abstract

PURPOSE

This study aimed to examine the health concerns of parents regarding their premature infants and to identify changes in these concerns during perinatal period and after discharge.

METHODS

This was a retrospective study performed at a single tertiary center that enrolled 119 premature infants who were discharged from the neonatal intensive care unit (NICU) and visited the outpatient pediatrics department between December 2018 and October 2021. Data on the concerns of 176 parents regarding enrolled premature infants' health from before birth to 1 week after NICU discharge were obtained from outpatient records. The t test and with the chi-squared test were used to analyze the data for this study.

RESULTS

The consistently greatest focus of parents' health concerns was the respiratory system. The second focus of parents' health concerns before discharge was the central nervous system. However, during the first week after NICU discharge, the gastrointestinal system was the second-most frequent focus of parents' health concerns among parents of infants without diseases related to prematurity and infants with older gestational ages.

CONCLUSION

The results of this study offer insights into the health concerns among parents of premature infants. Parental health concerns about premature infants vary over time, from before birth to post-discharge, necessitating supportive interventions to enhance parental understanding of their child's health status.

摘要

目的

本研究旨在调查父母对其早产儿健康问题的担忧,并确定围产期及出院后这些担忧的变化情况。

方法

这是一项在单一三级中心进行的回顾性研究,纳入了119名从新生儿重症监护病房(NICU)出院并于2018年12月至2021年10月期间到门诊儿科就诊的早产儿。从门诊记录中获取了176名父母对所纳入早产儿从出生前到NICU出院后1周健康问题的担忧数据。本研究采用t检验和卡方检验对数据进行分析。

结果

父母健康担忧一直最关注的是呼吸系统。出院前父母健康担忧的第二个关注点是中枢神经系统。然而,在NICU出院后的第一周,对于没有早产相关疾病且胎龄较大的婴儿的父母来说,胃肠系统是他们健康担忧中第二常见的关注点。

结论

本研究结果为了解早产儿父母的健康担忧提供了见解。父母对早产儿的健康担忧会随着时间变化,从出生前到出院后,因此需要支持性干预措施来增强父母对其孩子健康状况的了解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad03/11082501/1d802b29efad/chnr-2024-007f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad03/11082501/1d802b29efad/chnr-2024-007f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad03/11082501/1d802b29efad/chnr-2024-007f1.jpg

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本文引用的文献

1
Preparing Parents for Discharge from the Neonatal Unit, the Transition, and Care of Their Preterm Children at Home.为父母准备从新生儿病房出院、过渡到在家照顾早产儿。
Invest Educ Enferm. 2023 Feb;41(1). doi: 10.17533/udea.iee.v41n1e04.
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Analysis of the supportive care needs of the parents of preterm children in South Korea using big data text-mining: Topic modeling.利用大数据文本挖掘对韩国早产儿父母的支持性护理需求进行分析:主题建模
Child Health Nurs Res. 2021 Jan;27(1):34-42. doi: 10.4094/chnr.2021.27.1.34. Epub 2021 Jan 31.
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Long-term consequences of prematurity.
早产儿的长期后果。
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Stress and feelings in mothers and fathers in NICU: identifying risk factors for early interventions.新生儿重症监护室中父母的压力与情绪:确定早期干预的风险因素
Prim Health Care Res Dev. 2019 Jun 7;20:e81. doi: 10.1017/S1463423619000021.
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Elective Cesarean Section on Term Pregnancies Has a High Risk for Neonatal Respiratory Morbidity in Developed Countries: A Systematic Review and Meta-Analysis.发达国家足月妊娠择期剖宫产新生儿呼吸疾病风险高:一项系统评价与荟萃分析
Front Pediatr. 2020 Jun 25;8:286. doi: 10.3389/fped.2020.00286. eCollection 2020.
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Global burden of preterm birth.全球早产儿负担。
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The experiences of mothers with preterm infants within the first-year post discharge from NICU: social support, attachment and level of depressive symptoms.母亲在早产儿离开 NICU 后的第一年的经历:社会支持、依恋和抑郁症状水平。
BMC Pregnancy Childbirth. 2020 Apr 29;20(1):260. doi: 10.1186/s12884-020-02956-2.
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Parental anxiety regarding premature infants and factors affecting parental concern.父母对早产儿的焦虑及影响父母担忧的因素。
J Spec Pediatr Nurs. 2019 Oct;24(4):e12266. doi: 10.1111/jspn.12266. Epub 2019 Sep 12.
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Neurodevelopmental outcome and adaptive behaviour in extremely low birth weight infants at 2 years of corrected age.矫正年龄2岁的极低出生体重儿的神经发育结局及适应性行为
Early Hum Dev. 2019 Jan;128:81-85. doi: 10.1016/j.earlhumdev.2018.12.013. Epub 2018 Dec 22.
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Parenting very preterm infants and stress in Neonatal Intensive Care Units.照顾极早产儿与新生儿重症监护病房中的压力
Early Hum Dev. 2016 Oct;101:3-9. doi: 10.1016/j.earlhumdev.2016.04.001. Epub 2016 Jul 6.