The single-patient room in the NICU: maternal and family effects.

The single-patient room in the NICU: maternal and family effects.
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DOI:
10.1038/jp.2011.144
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发表时间:
2012-07
影响因子:
2.9
通讯作者:
Inder, T.
Inder, T.
中科院分区:
医学3区
文献类型:
--
作者:
Pineda, R. G.;Stransky, K. E.;Rogers, C.;Duncan, M. H.;Smith, G. C.;Neil, J.;Inder, T.

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探讨单人病房 (SPR) 与新生儿重症监护病房 (NICU) 开放式病房护理的早产儿在探视和抱抱等母亲因素方面的差异。根据每个区域的床位空间和人员配备情况,81 名早产儿在 NICU 入院后被分配到露天区域或 SPR 的床位。通过等效学期跟踪家长探视和拘留情况,家长在出院时填写一份全面的调查问卷来描述孕产妇健康状况。从病历中收集了其他母亲和医疗因素。使用线性回归研究结果变量的差异。不同房间类型的出生胎龄、初始医疗严重程度、插管时间或其他可能影响结果的因素没有显着差异。 SPR 中的婴儿在出生后的前两周 (p=.02) 以及第三周和第四周 (p=.02) 观察到的探视时间显着增加。在控制社会支持后,单人病房的母亲报告 NICU 压力更大 (p=.04)。增加父母探视是 SPR 的一个重要好处,但是,在 SPR 中带婴儿的母亲报告说压力更大。
To explore differences in maternal factors, including visitation and holding, among premature infants cared for in single patient rooms (SPR) compared to open-bay in the neonatal intensive care unit (NICU). Eighty-one premature infants were assigned to a bed space in either the open-bay area or in a SPR upon NICU admission, based on bed space and staffing availability in each area. Parent visitation and holding were tracked through term equivalent, and parents completed a comprehensive questionnaire at discharge to describe maternal health. Additional maternal and medical factors were collected from the medical record. Differences in outcome variables were investigated using linear regression. No significant differences in gestational age at birth, initial medical severity, hours of intubation, or other factors that could affect the outcome were observed across room type. Significantly more hours of visitation were observed in the first two weeks of life (p=.02) and in weeks three and four (p=.02) among infants in the SPR. More NICU stress was reported by mothers in the single patient room after controlling for social support (p=.04). Increased parent visitation is an important benefit of the SPR, however, mothers with infants in the SPR reported more stress.
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发表时间: 2010-05-01
影响因子: 2.9
作者:
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通讯作者: Davis, B. O., Jr.
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发表时间: 2010-05-01
影响因子: 2.9
作者:
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通讯作者: Smith, T. J.