Observed Progression of Parents' Understanding of Preterm Infants' Behavioral Signs at 33 to 35 Weeks Corrected Age

Observed Progression of Parents' Understanding of Preterm Infants' Behavioral Signs at 33 to 35 Weeks Corrected Age
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观察到父母对 33 至 35 周更正年龄的早产儿行为迹象的理解的进展

DOI:
10.1097/anc.0000000000000700
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发表时间:
2020
影响因子:
1.7
通讯作者:
Nakamura Nobue
Nakamura Nobue
中科院分区:
医学4区
文献类型:
--
作者:
Nakai Aya;Nakamura Nobue

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背景:近年来,旨在提高父母对早产儿行为体征了解的干预措施引起了越来越多的关注。目的:(1)描述父母对矫正年龄33~35周的婴儿在浅睡眠期间的行为感知;(2)确定父母对早产儿行为感知随时间的变化。方法:本研究采用定性的纵向设计,以观察和访谈为基础。对出生于胎龄29-30周的三对父母及其婴儿在矫正胎龄33-35周的轻度睡眠状态下进行了长达3次的观察。父母在观察时进行了一次关于婴儿行为/成长的看法的访谈,并在最终观察的两周内再次进行了访谈。结果:通过观察父母与婴儿之间的认知驱动互动,发现了四个主题,描述了父母认知的转变,通过反复互动来更好地理解婴儿的行为。实践的影响:本研究的结果为新生儿重症监护病房的照顾者提供了关于亲婴双亲独特体验的信息。这一知识有助于在新生儿重症监护病房促进以家庭为中心的发展护理工作。研究的意义:进一步的研究应侧重于研究更大的样本组以确认研究结果,并改进策略以纳入研究结果以加强新生儿重症监护病房的护理。
Background:Interventions aimed at improving parental understanding of preterm infants' behavioral signs have drawn increased attention in recent years. However, there are limited data regarding parents' actual perceptions of infants' behavior during parent–infant interactions while infants are in a light-sleep state.Purposes:(1) To describe parental perceptions of infants' behavior at 33 to 35 weeks' corrected age during light-sleep and (2) to identify changes in parental perceptions of preterm infants' behavior over time.Methods:This study used a qualitative, longitudinal design based on observations and interviews. Three sets of parents and their infants born between 29 and 30 weeks' gestational age were observed up to 3 times during light sleep states when the infants were 33 to 35 weeks' corrected age. Parents were interviewed regarding their perceptions of infant behavior/growth once at the time of observation and once more within 2 weeks of the final observation. The findings are based on the observation of parents' perception-driven interactions with infants.Results:Four themes emerged describing the transition of parental perception that progresses to gain a better understanding of their infant's behavior through repeated interaction.Implications for Practice:The findings of this study inform caregivers in neonatal intensive care units regarding the unique experience of parent–infant dyads. This knowledge can help promote family-centered developmental care efforts in neonatal intensive care units.Implications for Research:Further research should focus on studying a larger sample group to confirm the findings and refining strategies to incorporate the findings to enhance neonatal intensive care unit care.
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发表时间: 2017
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Stoll BJ;Hansen NI;Bell EF;Walsh MC;Carlo WA;Shankaran S;Laptook AR;Sánchez PJ;Van Meurs KP;Wyckoff M;Das A;Hale EC;Ball MB;Newman NS;Schibler K;Poindexter BB;Kennedy KA;Cotten CM;Watterberg KL;D'Angio CT;DeMauro SB;Truog WE;Devaskar U;Higgins RD;Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network
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