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远程临场感结合实时视频和音频通信对新生儿重症监护病房中亲子互动及医护人员体验的影响。

The effects of telepresence with real-time video and audio communication on parent-infant interaction and staff experience in neonatal intensive care unit.

作者信息

Saito Tomoko, Shimokaze Tomoyuki, Niizuma Miku, Suzuki Masako, Toyoshima Makiko, Toyoshima Katsuaki

机构信息

Department of Neonatology, Kanagawa Children's Medical Center, Yokohama, Kanagawa, Japan.

Department of Nursing, Kanagawa Children's Medical Center, Yokohama, Kanagawa, Japan.

出版信息

PEC Innov. 2024 Jul 5;5:100315. doi: 10.1016/j.pecinn.2024.100315. eCollection 2024 Dec 15.

DOI:10.1016/j.pecinn.2024.100315
PMID:39101054
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11296235/
Abstract

OBJECTIVE

We implemented an online visitation system named "telepresence" in the neonatal intensive care unit (NICU) for family members at home to communicate with their babies in real-time using video and audio. This study evaluated the impact of this system on families and medical staff.

METHODS

Nineteen families of babies admitted to the NICU between 2022 and 2023 and 65 medical staff participated. Each family experienced two weeks of virtual visits. Changes in parental depression and attachment were assessed.

RESULT

Before and after telepresence, the median Edinburgh Postnatal Depression Scale score reduced from 6 to 4 ( = 0.026), and the Mother-to-Infant Bonding Scale score showed a decreasing trend, with both medians at 2 ( = 0.057). Eighty-nine percent of the parents and 97% of staff reported that telepresence did not increase parental stress, and 88% of parents felt positive changes in their baby's siblings. All parents wanted to visit their babies in person after seeing them on camera.

CONCLUSION

Telepresence improved parental mental health, reduced family distress, and supported connection with their infants, making them eager to visit in person.

INNOVATIONS

This technology potentially make parents want to visit more by helping them feel more connected to their infants.

摘要

目的

我们在新生儿重症监护病房(NICU)实施了一个名为“远程临场感”的在线探视系统,让在家的家庭成员能够通过视频和音频与他们的宝宝实时交流。本研究评估了该系统对家庭和医护人员的影响。

方法

2022年至2023年期间入住NICU的19个婴儿家庭和65名医护人员参与了研究。每个家庭体验了两周的虚拟探视。评估了父母抑郁和依恋关系的变化。

结果

在使用远程临场感系统前后,爱丁堡产后抑郁量表评分中位数从6降至4(P = 0.026),母婴联结量表评分呈下降趋势,中位数均为2(P = 0.057)。89%的父母和97%的工作人员表示,远程临场感系统没有增加父母的压力,88%的父母感觉宝宝的兄弟姐妹有积极变化。所有父母在通过摄像头看到宝宝后都希望亲自去探视。

结论

远程临场感改善了父母的心理健康,减轻了家庭困扰,支持了他们与婴儿的联系,使他们渴望亲自探视。

创新点

这项技术通过帮助父母感觉与婴儿的联系更紧密,可能会让父母更想探视。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f33/11296235/fa22287be661/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f33/11296235/fa22287be661/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f33/11296235/fa22287be661/gr1.jpg

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