Family-based intervention to enhance infant-parent relationships in the neonatal intensive care unit
Family-based intervention to enhance infant-parent relationships in the neonatal intensive care unit
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DOI：
10.1093/jpepsy/jsi053
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发表时间：
2005-12-01
影响因子：
3.6
通讯作者：
Talmi, A
中科院分区：
文献类型：
--
作者：
Browne, JV;Talmi, A
目的 研究新生儿重症监护病房（NICU）基于家庭的干预措施如何改变父母的知识和行为并减轻压力。方法 将84对高危母婴随机分配到两个干预组和一个对照组。第1组（n = 28）参与婴儿反射、注意力、运动技能以及睡眠 - 觉醒状态的演示。第2组（n = 31）观看教育材料。第3组（n = 25，对照组）参与非正式讨论。对亲子互动（护理儿童评估喂养量表）进行录像。母亲完成压力测量（育儿压力指数）和婴儿行为线索知识测量（早产儿行为知识量表）。结果 两个干预组的母亲相较于对照组，在知识方面表现更优，与婴儿的互动更具关联性和敏感性。不同组之间的压力也存在差异，且所有母亲报告的分数均高于常模。结论 在高危样本中，短期的、基于家庭的NICU干预措施可能会提高母亲的知识水平、敏感性、关联性以及减轻压力。
Objective To examine how family-based interventions in the neonatal intensive care unit (NICU) may change parental knowledge and behaviors and decrease stress. Methods Eighty-four high-risk mother-infant dyads were randomly assigned to two intervention and one control groups. Group 1 (n = 28) participated in a demonstration of infant reflexes, attention, motor skills, and sleep-wake states. Group 2 (n = 31) viewed educational materials. Group 3 (n = 25), controls, participated in an informal discussion. Parent-infant interactions (Nursing Child Assessment Feeding Scale) were videotaped. Mothers completed measures of stress (Parenting Stress Index) and knowledge of infant cues (Knowledge of Preterm Infant Behavior Scale). Results Mothers in both intervention groups evidenced greater knowledge and more contingent and sensitive interactions with their infants than did the control group. Stress also differed across groups, and all mothers reported scores above norms. Conclusions In a high-risk sample, short-term, family-based NICU interventions may enhance mothers' knowledge, sensitivity, contingency, and stress.