Hodgson Christine R, Mehra Renee, Franck Linda S
Family Health Care Nursing, School of Nursing, University of California, San Francisco, CA 94143, USA.
Children (Basel). 2025 Feb 26;12(3):290. doi: 10.3390/children12030290.
BACKGROUND/OBJECTIVES: Family-centered care (FCC) has been promoted as a model of care in neonatal intensive care units (NICU) for decades. We aimed to synthesize recent evidence about infant and parent outcomes and experiences of FCC interventions in the NICU.
Studies were identified through searches of PubMed, CINAHL, Embase, PsycInfo, and Web of Science (2019-2024). We systematically reviewed English language research from peer-reviewed journals. We excluded studies about Family-Integrated Care and Close Collaboration with Parents to avoid redundancy with other recent reviews.
Twenty studies evaluated 19 FCC interventions compared with regular NICU care for a total of 3502 parents/primary caregivers of infants in NICUs in 11 countries. The designs were quantitative (n = 16), qualitative (n = 3), and mixed methods (n = 1). Significant improvements in infant outcomes included feeding (n = 3), weight (n = 1), and length of stay (n = 1). There were no worsened infant outcomes. Significant improvements in parent outcomes included participation, experience, satisfaction, and parent mental health. Two studies had mixed results for parent outcomes, with minimal worsened outcomes. Qualitative findings were also mostly positive.
Recent research shows positive infant and family outcomes with a range of FCC interventions in the NICU. However, more RCTs comparing interventions and using similar validated outcome measures are needed.
背景/目的：几十年来，以家庭为中心的护理（FCC）已被推广为新生儿重症监护病房（NICU）的一种护理模式。我们旨在综合近期关于NICU中FCC干预措施对婴儿及家长结局和体验的证据。
通过检索PubMed、CINAHL、Embase、PsycInfo和Web of Science（2019 - 2024年）来确定研究。我们系统回顾了同行评审期刊上的英文研究。我们排除了关于家庭整合护理和与家长密切合作的研究，以避免与其他近期综述重复。
20项研究评估了19种FCC干预措施，并与常规NICU护理进行比较，涉及11个国家NICU中总共3502名婴儿的家长/主要照顾者。研究设计包括定量研究（n = 16）、定性研究（n = 3）和混合方法研究（n = 1）。婴儿结局的显著改善包括喂养（n = 3）、体重（n = 1）和住院时间（n = 1）。没有婴儿结局恶化的情况。家长结局的显著改善包括参与度、体验、满意度和家长心理健康。两项研究的家长结局结果不一，只有极少恶化的情况。定性研究结果大多也是积极的。
近期研究表明，NICU中一系列FCC干预措施对婴儿和家庭有积极结局。然而，需要更多比较干预措施并使用类似有效结局指标的随机对照试验。
