Huang Huamin, Tao Jingyun, Lei Ying, Chen Rui, Fang Haixia
Pediatric Department, the Second People's Hospital of Jingdezhen, Jingdezhen, Jiangxi, China.
Emergency Department, the Second People's Hospital of Jingdezhen, Jingdezhen, Jiangxi, China.
Front Psychol. 2024 Nov 19;15:1433391. doi: 10.3389/fpsyg.2024.1433391. eCollection 2024.
Globally, there is an increasing trend in the incidence of premature births and low birth weight. Neonatal intensive care unit (NICU) care has become indispensable for these newborns. Nevertheless, this mode of care poses substantial economic, psychological, and health challenges to the families of preterm infants. Despite abundant evidence concerning the parents' needs in the NICU, the needs of grandparents-vital family members-are frequently disregarded. This exploratory study aimed to assess the grandparents' needs of preterm infants in the NICU, exploring the impact of demographic elements on these needs to offer guidance for clinical care practices.
This study employed a cross-sectional design and the Chinese version of the NICU Family Needs Inventory (NICU-FNI) to investigate the needs of grandparents. A total of 280 grandparents participated in the study, providing data by completing structured questionnaires related to their demographic profiles and needs. Statistical analyses were utilized to analyze the data, including descriptive statistics, chi-square tests, Pearson's correlation, and multiple linear regression.
Six items about Assurance emerged as significant among the top 10 important needs, with two items for Information, one for Proximity, and one for Support; among the least important needs, nine items related to Comfort and Support were identified. The subscale "Assurance" achieved the highest mean score of 4.07 ± 0.49, followed by the subscales of "Information" and "Proximity," registering mean scores of 3.50 ± 0.47 and 3.50 ± 0.46, respectively. This explorative study identified a correlation between the needs for Assurance and employment status, place of residence, gestational age, and birth weight ( < 0.05). Employment status, place of residence, and gestational age were identified as significant correlates for Assurance ( < 0.05).
The foremost need identified by grandparents is Assurance of quality care for preterm infants, closely followed by the demand for thorough Information and the ability to be in Proximity to the infant. This exploratory study highlights that mitigating the strain on families with preterm infants, as well as recognizing and meeting the needs of grandparents, is of paramount importance.
在全球范围内，早产和低出生体重的发生率呈上升趋势。新生儿重症监护病房（NICU）护理对于这些新生儿来说已变得不可或缺。然而，这种护理模式给早产儿家庭带来了巨大的经济、心理和健康挑战。尽管有大量关于父母在NICU中的需求的证据，但祖父母——重要的家庭成员——的需求却常常被忽视。这项探索性研究旨在评估NICU中早产儿祖父母的需求，探讨人口统计学因素对这些需求的影响，为临床护理实践提供指导。
本研究采用横断面设计，并使用中文版的NICU家庭需求问卷（NICU-FNI）来调查祖父母的需求。共有280名祖父母参与了研究，他们通过填写与人口统计学特征和需求相关的结构化问卷来提供数据。利用统计分析对数据进行分析，包括描述性统计、卡方检验、皮尔逊相关性分析和多元线性回归分析。
在前10项重要需求中，有6项关于“安心”的需求显著，2项关于“信息”，1项关于“接近”，1项关于“支持”；在最不重要的需求中，确定了9项与“舒适”和“支持”相关的需求。“安心”子量表的平均得分最高，为4.07±0.49，其次是“信息”和“接近”子量表，平均得分分别为3.50±0.47和3.50±0.46。这项探索性研究确定了“安心”需求与就业状况、居住地点、胎龄和出生体重之间的相关性（P<0.05）。就业状况、居住地点和胎龄被确定为与“安心”需求显著相关（P<0.05）。
祖父母确定的首要需求是对早产儿优质护理的安心，其次是对全面信息的需求以及接近婴儿的能力。这项探索性研究强调，减轻早产儿家庭的压力，以及认识并满足祖父母的需求至关重要。
