Stovall Sydnee G, George Rylie G, Lara Madelyn T, Gainous Kyra O, Kitchens Riqiea F, Hilton Claudia L
The University of Texas Medical Branch, Galveston, USA.
OTJR (Thorofare N J). 2024 Aug 19:15394492241271220. doi: 10.1177/15394492241271220.
Co-occupations within the neonatal intensive care unit (NICU), which include parenting activities, such as bathing, feeding, diapering, comfort care, and bonding for attachment, are consequential for optimal infant development.
This thematic systematic review examines supports and barriers for facilitating co-occupations between parents and infants in the neonatal setting.
A search of four databases (MEDLINE, CINAHL, PsycINFO, and PubMed) resulted in 20 studies that met inclusion criteria for data extraction.
Family-centered NICU design, good communication between parents and NICU staff, increased physical contact, parent involvement in caregiving, psychological wellness, parent education, peer support, and established parental roles are identified as supports to co-occupational engagement. Identified barriers include physical separation, loss of parental role, restrictions of the NICU environment, medical technology, role strain, psychological burden, lack of knowledge, and poor communication.
Findings suggest that neonatal occupational therapy practitioners can facilitate parent-infant co-occupations by addressing barriers and augmenting existing supports.
新生儿重症监护病房（NICU）内的共同活动，包括诸如洗澡、喂食、换尿布、舒适护理以及建立情感联结等育儿活动，对婴儿的最佳发育至关重要。
本主题系统评价探讨了在新生儿环境中促进父母与婴儿共同活动的支持因素和障碍。
对四个数据库（MEDLINE、CINAHL、PsycINFO和PubMed）进行检索，结果有20项研究符合数据提取的纳入标准。
以家庭为中心的NICU设计、父母与NICU工作人员之间的良好沟通、增加身体接触、父母参与护理、心理健康、父母教育、同伴支持以及明确的父母角色被确定为共同活动参与的支持因素。已确定的障碍包括身体分离、父母角色丧失、NICU环境限制、医疗技术、角色压力、心理负担、知识缺乏和沟通不畅。
研究结果表明，新生儿职业治疗从业者可以通过消除障碍和增强现有支持来促进母婴共同活动。
