Parent visiting and participation in infant caregiving activities in a neonatal unit
Parent visiting and participation in infant caregiving activities in a neonatal unit
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DOI：
10.1046/j.1523-536x.2003.00214.x
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发表时间：
2003-03-01
影响因子：
2.5
通讯作者：
Spencer, C
中科院分区：
文献类型：
--
作者：
Franck, LS;Spencer, C
背景：在新生儿护理病房中，父母积极参与照顾婴儿被认为可以改善亲子依恋，缓解父母的心理压力，但最近很少有研究考察父母探视模式和参与婴儿照顾的情况。本研究的目的是描述父母探望和参与婴儿照料活动的频率和持续时间，并确定与父母参与相关的父母和婴儿因素。方法：在三级新生儿病房的3个月期间，记录父母探视的频度、持续时间、与婴儿的社交、清洁和喂养活动的参与度(n=110)。结果：与父亲相比，母亲探视的频率更高(85%比45%)，探视时间更长，如果婴儿有其他兄弟姐妹，如果婴儿超过1个月大，或者父亲探望的次数较少，母亲探视的频率就会降低。如果婴儿超过7天，父亲探视的频率较低，如果母亲探视的频率较高，则父亲探视的频率较高。所有的母亲和大多数(96%)的父亲在探视期间都会进行社交活动，如交谈、抚摸或抱抱。超过75%的母亲在探视期间参与婴儿清洁和喂养活动，而父亲的这一比例不到20%。母亲参与婴儿喂养的最好预测指标是她们探视的持续时间和参与婴儿清洁的情况。父亲参与婴幼儿喂养仅与其参与婴幼儿清洁有关。结论：在新生儿病房中，父母的探视方式和婴儿的照料方式有显著差异。新生儿病房的工作人员应该考虑可能影响父母探视的因素，并探索提高父母参与照看的策略。
Background: Active parent involvement in caring for their infants in the neonatal care unit is thought to improve parent-infant attachment and to moderate the psychological stress for parents, but few recent studies have examined parent visiting patterns and participation in infant caregiving. The study purposes were to describe the frequency and duration of parent visiting and participation in infant caregiving activities, and to identify parent and infant factors associated with parental participation. Methods: Parental visiting frequency, duration, and participation in social, cleaning, and feeding activities with their infant (n = 110) were recorded on 12 days during a 3-month period in a tertiary neonatal unit. Results: Mothers visited more frequently (85% vs 45% of possible days) and for longer than fathers, and visited less frequently if the infant had other siblings, if the infant was over age 1 month, or if fathers made fewer visits. Fathers visited less frequently if the infant was over age 7 days and more frequently if the mothers visited more frequently. All mothers and most (96%) fathers carried out social activities, such as talking, stroking or holding, during their visits. Over 75 percent of mothers engaged in infant cleaning and feeding activities during visits in contrast with less than 20 percent of fathers. Mothers' participation in infant feeding was best predicted by the duration of their visit and their participation in infant cleaning. Fathers' participation in infant feeding was only related to their participation in infant cleaning. Conclusions: Significant differences were found in this neonatal unit between mothers' and fathers' visiting patterns and infant caregiving activities. Neonatal unit staff should consider factors that may influence parental visiting and explore strategies to improve parental involvement in caregiving.