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患有神经发育障碍风险的极早产儿父母的经历:一项定性研究。

Experiences of parents with very premature-born children at risk of neurodevelopmental disorders: A qualitative study.

作者信息

Ropero-Padilla Carmen, Rodriguez-Arrastia Miguel, Bernabé-Zuñiga José Enrique, Alias Castillo Antonio Javier, Rueda-Ruzafa Lola, Del Mar Sánchez-Joya María

机构信息

Department of Nursing Science, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almeria, Almeria, Spain.

Research Group CTS-1114 Advances and Innovation in Health, University of Almeria, Almeria, Spain.

出版信息

Nurs Crit Care. 2025 May;30(3):e13182. doi: 10.1111/nicc.13182. Epub 2024 Oct 9.

Abstract

BACKGROUND

Premature birth is a traumatic and stressful situation for parents who are immediately separated from their infant because of the newborn's need for specialized care. The staff of these units are in charge of following the principles of family-centred care and practices for neonates at risk of neurodevelopmental disorders, including providing training to the family during their hospital stay and after being discharged.

AIM

The aim of this study is to explore the perceptions of parents of premature children at risk of neurodevelopmental disorders in regard to care, interventions and assistance provided during the first months of their child's life.

STUDY DESIGN

A qualitative descriptive study was carried out through individual interviews. The data analysis was conducted through a thematic analysis. The methodology and results were reported following the standards for preparing qualitative research reports and recommendations.

RESULTS

Twenty-one parents of premature children were interviewed. From these interviews, three main themes emerged: (i) parents' perspectives on preterm birth risk communication, (ii) navigating parental support and early interventions in preterm birth and (iii) perceptions of preterm birth protective and challenging factors.

CONCLUSIONS

The parents of premature children need to receive better communication about the care and interventions for their child, and it is necessary that health personnel are better trained in terms of management and administration of public resources. Strategies must be implemented that continuously guide parents on the follow-up and care of their premature child not only during their first moments of life but also after being discharged from the hospital.

RELEVANCE TO CLINICAL PRACTICE

This study highlights the need to improve care for parents with premature infants at risk, emphasizing the necessity for health care system reforms and support structures, allowing health care professionals to enhance attention and care.

摘要

背景

早产对于父母来说是一种痛苦且压力巨大的情况,因为新生儿需要特殊护理,父母会立即与婴儿分离。这些科室的工作人员负责遵循以家庭为中心的护理原则以及针对有神经发育障碍风险的新生儿的护理方法,包括在家庭住院期间及出院后为其提供培训。

目的

本研究的目的是探讨有神经发育障碍风险的早产儿父母对其孩子出生后头几个月所接受的护理、干预措施及援助的看法。

研究设计

通过个人访谈开展了一项定性描述性研究。数据分析采用主题分析法。按照定性研究报告和建议的编写标准报告了研究方法和结果。

结果

对21位早产儿父母进行了访谈。从这些访谈中出现了三个主要主题:(i)父母对早产风险沟通的看法,(ii)在早产情况下寻求父母支持及早期干预,以及(iii)对早产保护因素和挑战因素的看法。

结论

早产儿父母需要在其孩子的护理和干预方面得到更好的沟通,卫生人员有必要在公共资源管理和行政方面接受更好的培训。必须实施相关策略,不仅在早产儿生命的最初阶段,而且在出院后,持续指导父母对其早产孩子进行随访和护理。

与临床实践的相关性

本研究强调了改善对有风险的早产儿父母护理的必要性,强调了医疗保健系统改革和支持结构的必要性,使医疗保健专业人员能够加强关注和护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e0a/12051089/0494fcd50000/NICC-30-0-g001.jpg

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