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评估新生儿重症监护病房(NICU)中不同程度的父母参与对新生儿结局和父母心理健康的影响。

Assessing the Impact of Different Levels of Parental Involvement in the NICU on Neonatal Outcomes and Parental Mental Health.

作者信息

Singh Abhishek Kumar, Das Kiran Shankar, Ranjan Abhishek, Sahu Shyam Sundar, Lakra Priya Shalini, Kumar Abhijit

机构信息

Department of Paediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.

Department of Neonatology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2836-S2838. doi: 10.4103/jpbs.jpbs_350_24. Epub 2024 Jul 31.

Abstract

BACKGROUND

Parental involvement in the neonatal intensive care unit (NICU) has been recognized as crucial for neonatal outcomes and parental mental health.

MATERIALS AND METHODS

A retrospective cohort study was conducted, involving 300 neonates admitted to the NICU over 1 year. Parental involvement was categorized into three levels: high, moderate, and low, based on the frequency and intensity of parental participation in neonatal care. Neonatal outcomes including the length of hospital stay, incidence of complications, and parental mental health outcomes measured through standardized scales were compared among the three groups.

RESULTS

Neonates with high parental involvement had a significantly shorter length of hospital stay (mean difference = 5 days, < 0.001) compared to those with moderate or low involvement. Complication rates were also lower in the high involvement group (20%) compared to moderate (35%) and low (45%) involvement groups. Parental mental health scores were the highest in the high involvement group (mean score = 75), followed by moderate (mean score = 60) and low (mean score = 45) involvement groups.

CONCLUSION

Higher levels of parental involvement in the NICU are associated with improved neonatal outcomes and better parental mental health.

摘要

背景

父母参与新生儿重症监护病房(NICU)的护理被认为对新生儿预后和父母心理健康至关重要。

材料与方法

进行了一项回顾性队列研究,纳入了1年内入住NICU的300名新生儿。根据父母参与新生儿护理的频率和强度,将父母参与程度分为高、中、低三个水平。比较了三组新生儿的住院时间、并发症发生率等预后指标,以及通过标准化量表测量的父母心理健康指标。

结果

与父母参与程度为中等或低的新生儿相比,父母参与程度高的新生儿住院时间显著缩短(平均差异=5天,<0.001)。父母参与程度高的组并发症发生率(20%)也低于中等(35%)和低(45%)参与程度的组。父母心理健康得分在父母参与程度高的组中最高(平均得分=75),其次是中等(平均得分=60)和低(平均得分=45)参与程度的组。

结论

父母在NICU中更高程度的参与与改善新生儿预后和更好的父母心理健康相关。

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Closeness and separation in neonatal intensive care.新生儿重症监护中的亲近与分离。
Acta Paediatr. 2012 Oct;101(10):1032-7. doi: 10.1111/j.1651-2227.2012.02787.x. Epub 2012 Aug 2.
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The nature of attachment in a neonatal intensive care unit.新生儿重症监护病房中的依恋性质。
J Perinat Neonatal Nurs. 1999 Jun;13(1):66-77. doi: 10.1097/00005237-199906000-00007.

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