"All these people saved her life, but she needs me too": Understanding and responding to parental mental health in the NICU.

"All these people saved her life, but she needs me too": Understanding and responding to parental mental health in the NICU.
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DOI:
10.1038/s41372-022-01426-1
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发表时间:
2022-11
影响因子:
2.9
通讯作者:
Nicolaidis, Christina
Nicolaidis, Christina
中科院分区:
医学3区
文献类型:
--
作者:
Klawetter, Susanne;Cetin, Nazan;Ilea, Passion;McEvoy, Cindy;Dukhovny, Dmitry;Saxton, Sage N.;Rincon, Monica;Rodriguez-JenKins, Jessica;Nicolaidis, Christina

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探讨新生儿重症监护病房(NICU)婴儿父母的心理健康需求,以及满足这些需求的障碍和解决方案。 对美国西北部一家四级NICU的父母和工作人员(n = 15)进行了定性访谈。采用归纳法在语义层面完成主题分析。 (1)信息和心理健康需求随时间变化;(2)工作人员与父母的关系缓解创伤和痛苦;(3)护理缺乏连续性影响对心理健康问题的应对;(4)NICU在解决父母心理健康问题方面起着关键作用。 心理健康支持应嵌入并适应NICU的发展轨迹,特别关注出院过渡、农村地区的父母以及非英语母语的父母。研究应解决可能影响心理健康的结构性因素,如综合服务的整合、语言障碍和工作人员能力。
To explore the mental health needs of parents of infants in a neonatal intensive care unit (NICU), as well as barriers and solutions to meeting these needs. Qualitative interviews conducted with parents and staff (n = 15) from a level IV NICU in the Northwestern United States. Thematic analysis completed using an inductive approach, at a semantic level. (1) Information and mental health needs change over time, (2) Staff-parent relationships buffer trauma and distress, (3) Lack of continuity of care impacts response to mental health concerns, (4) NICU has a critical role in addressing parental mental health. Mental health support should be embedded and tailored to the NICU trajectory, with special attention to the discharge transition, parents living in rural areas, and non-English-speaking parents. Research should address structural factors that may impact mental health such as integration of wholistic services, language barriers, and staff capacity.
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