Wielenga J M, Pascual A, Ruhe K, Aarnoudse C, van Kaam A H
Department of Neonatology, Emma Children's Hospital, Amsterdam UMC, Amsterdam, the Netherlands.
Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam UMC, Amsterdam, the Netherlands.
Acta Paediatr. 2025 Sep;114(9):2306-2314. doi: 10.1111/apa.70108. Epub 2025 Apr 23.
To assess the impact of moving from open bay units (OBU) to single-family rooms (SFR) on parental closeness in the Neonatal Intensive Care Unit (NICU).
This observational longitudinal cohort study was conducted between February 2021 and January 2024, during which time the setting changed from OBU to SFR with a mixed phase in between. All parent-infant dyads were eligible for inclusion. The self-reported time present in the unit, lap holding, and skin-to-skin care (SSC) were used to measure parental closeness.
833 dyads of parents and infants were included (365 OBU, 140 mixed, 328 SFR phase). Parental presence increased for mothers from 210 min/day in the OBU to 420 min/day (p = 0.000) in the SFR, and for partners from 180 to 360 min/day (p < 0.001). Only for mothers, lap holding time increased from 100 min/day in the OBU to 120 min/day in the SFR phase (p = 0.046). SSC increased from 120 to 160 min/day (p = 0.002) for mothers and from 110 to 130 min/day (p = 0.004) for partners. These findings were independent of gestational age.
Moving from an OBU to SFR setting increased parental closeness in the NICU. However, more changes are needed to meet the EFCNI and WHO recommendations.
评估新生儿重症监护病房（NICU）从开放式病房（OBU）改为单人病房（SFR）对亲子亲密程度的影响。
本观察性纵向队列研究于2021年2月至2024年1月进行，在此期间环境从OBU转变为SFR，中间有一个混合阶段。所有母婴二元组均符合纳入条件。使用自我报告的在病房的时间、抱在腿上和皮肤接触护理（SSC）来衡量亲子亲密程度。
纳入了833对母婴二元组（365对在OBU阶段，140对在混合阶段，328对在SFR阶段）。母亲在病房的时间从OBU阶段的每天210分钟增加到SFR阶段的每天420分钟（p = 0.000），伴侣的时间从每天180分钟增加到360分钟（p < 0.001）。仅母亲的抱在腿上时间从OBU阶段的每天100分钟增加到SFR阶段的每天120分钟（p = 0.046）。母亲的SSC从每天120分钟增加到160分钟（p = 0.002），伴侣的从每天110分钟增加到130分钟（p = 0.004）。这些发现与胎龄无关。
从OBU环境转变为SFR环境增加了NICU中的亲子亲密程度。然而，需要更多改变以符合欧洲新生儿重症监护倡议组织（EFCNI）和世界卫生组织（WHO）的建议。
