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新生儿重症监护病房中父母对早产儿疼痛的认知:一项定性研究。

Parental perception of pain in premature babies in neonatal intensive care unit: a qualitative study.

作者信息

Wong Su Ren, Wilson Ingrid M, Jones Lester E, Teo Eunice Jun Lu, Chong Sing Ting Joy, Chia Jasmine Ling Xuan, Sin Gregory, Amin Zubair

机构信息

Department of Rehabilitation, National University Hospital, Singapore, Singapore.

Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.

出版信息

J Perinatol. 2025 Jul 28. doi: 10.1038/s41372-025-02341-x.

DOI:10.1038/s41372-025-02341-x
PMID:40721653
Abstract

OBJECTIVE

To examine parents' awareness and perceptions of their premature baby's experience of pain, due to invasive procedures performed during admission to the Neonatal Intensive Care Unit (NICU).

STUDY DESIGN

Parents of premature babies, who had been admitted to NICU, were recruited from a tertiary hospital in Singapore. Fifteen semi-structured interviews, with individual parents, were conducted. Data were analyzed using a Constructivist Grounded Theory approach including constant comparison and iterative coding. and theoretical sampling.

RESULTS

Eleven mothers and four fathers were interviewed. A central theme of 'Adjustment' was identified with four key aspects: (1) Acknowledging the pain, (2) Seeking assurance, (3) Parental presence, and (4) Learning entrustment.

CONCLUSION

Attention to parent's needs associated with their perception of neonatal pain, will facilitate the transition to parenthood and support development of parental identity and competence in those with premature infants in NICU.

摘要

目的

探讨父母对其早产婴儿在新生儿重症监护病房(NICU)住院期间因侵入性操作而经历疼痛的认知和看法。

研究设计

从新加坡一家三级医院招募入住NICU的早产婴儿的父母。对每位父母进行了15次半结构化访谈。采用建构主义扎根理论方法对数据进行分析,包括持续比较、迭代编码和理论抽样。

结果

采访了11位母亲和4位父亲。确定了一个核心主题“调整”,包括四个关键方面:(1)承认疼痛,(2)寻求保证,(3)父母陪伴,(4)学会托付。

结论

关注父母与他们对新生儿疼痛的认知相关的需求,将有助于向为人父母的角色转变,并支持NICU中早产婴儿父母身份认同和能力的发展。

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本文引用的文献

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Nurses' experiences of caring for preterm infants in pain: A meta-ethnography.护士照顾疼痛早产儿的经历:一项元民族志研究。
Int J Nurs Sci. 2022 Sep 16;9(4):533-541. doi: 10.1016/j.ijnss.2022.09.003. eCollection 2022 Oct.
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Assessment and Management of Pain in Preterm Infants: A Practice Update.早产儿疼痛的评估与管理:实践更新
Children (Basel). 2022 Feb 11;9(2):244. doi: 10.3390/children9020244.
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The Impact of Parental Presence on Their Children During Painful Medical Procedures: A Systematic Review.医疗痛苦操作期间父母陪伴对其子女的影响:一项系统综述
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The Relationship Between the Physician-Patient Relationship, Physician Empathy, and Patient Trust.医患关系、医生共情与患者信任的关系。
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Interprofessional Collaboration and Involvement of Parents in the Management of Painful Procedures in Newborns.跨专业协作与家长参与新生儿疼痛性操作的管理
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Early Neonatal Pain-A Review of Clinical and Experimental Implications on Painful Conditions Later in Life.早期新生儿疼痛——关于对生命后期疼痛状况的临床及实验影响的综述
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Chinese Parents' Lived Experiences of having Preterm Infants in NICU: A Qualitative Study.中国父母在新生儿重症监护病房(NICU)中照顾早产儿的体验:一项定性研究。
J Pediatr Nurs. 2020 Jan-Feb;50:e48-e54. doi: 10.1016/j.pedn.2019.11.002. Epub 2019 Nov 29.
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Mothers' Experiences in the NICU Before Family-Centered Care and in NICUs Where It Is the Standard of Care.在实施以家庭为中心的护理之前,母亲们在新生儿重症监护病房的经历,以及在将其作为护理标准的新生儿重症监护病房中的经历。
Adv Neonatal Care. 2020 Feb;20(1):68-79. doi: 10.1097/ANC.0000000000000671.
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A Systematic Review of Behavioral and Environmental Interventions for Procedural Pain Management in Preterm Infants.对早产儿程序性疼痛管理的行为和环境干预措施的系统评价
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