Osborne Ashley D, Yasova Barbeau Daphna, Gladdis Tiffany, Hansen Kara, Branche Tonia, Miller Emily R, Pazandak Christine C, Hoge Margaret K, Spencer Michelle, Montoya-Williams Diana, Barbeau Ryan, Padratzik Heather, Lassen Stephen
Division of Neonatal-Perinatal Medicine, Shawn Jenkins Children's Hospital, Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
Envision Physician Services, Davie, FL, USA.
J Perinatol. 2024 Dec 7. doi: 10.1038/s41372-024-02187-9.
This article reviews the psychological distress experienced by NICU families, including anxiety, postpartum depression (PPD), and post-traumatic stress disorder (PTSD), in addition to providing recommendations for clinicians at the individual, institutional, and national level. Currently, mental health screenings, specialized evaluations, and treatment options are not routinely offered to NICU families and are frequently under-utilized when offered. Here we provide expert opinion recommendations to address challenges in supporting universal screening, offering bedside interventions, including trained mental health professionals in care plans, updating neonatology training competencies, and advocating for policies that support the mental health of NICU families. We advocate that mental health of NICU families be incorporated into the standard of care.
本文回顾了新生儿重症监护病房（NICU）患儿家庭所经历的心理困扰，包括焦虑、产后抑郁症（PPD）和创伤后应激障碍（PTSD），此外还为个体、机构和国家层面的临床医生提供了建议。目前，心理健康筛查、专业评估和治疗方案并未常规提供给NICU患儿家庭，即便提供了也常常未得到充分利用。在此，我们提供专家意见建议，以应对在支持普遍筛查、提供床边干预（包括在护理计划中配备训练有素的心理健康专业人员）、更新新生儿学培训能力以及倡导支持NICU患儿家庭心理健康的政策等方面所面临的挑战。我们主张将NICU患儿家庭的心理健康纳入护理标准。
