A Randomized Controlled Trial of Listening Visits for Mothers of Hospitalized Newborns.
A Randomized Controlled Trial of Listening Visits for Mothers of Hospitalized Newborns.
复制标题
对住院新生儿母亲进行倾听访问的随机对照试验。
DOI：
10.1097/nnr.0000000000000650
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发表时间：
2023
期刊：
影响因子：
2.5
通讯作者：
Arndt,Stephan
中科院分区：
文献类型：
--
作者：
Segre,LisaS;McCabe,JenniferE;Davila,RebeccaChuffo;Carter,Cheryl;O'Hara,MichaelW;Arndt,Stephan
研究背景新生儿在新生儿重症监护室（NICU）住院时，母亲经常会经历情绪困扰。在这些妇女中，有一个关键需要的情感支持方便地提供在新生儿的护理点由一个值得信赖的和医学知识渊博的专业：新生儿重症监护室护士。一种有希望的方法，以提高在现场交付的情绪护理是有一个新生儿重症监护室护士提供倾听访问（LV），ObjectiveThis trial assessed the可行性of having NICU nurses delivery LV to emotional distressed mother of hospitalizations nearly and compared depression outcomes in a small sample of participants randomized to LV or usual care（在这项初步随机对照试验中，住院新生儿的情绪困扰的母亲被随机分配到NICU护士或NICU社会工作者的UC接受多达6个LV。为了评估抑郁症状的变化，妇女被邀请完成抑郁症和焦虑症状的一般抑郁量表在登记和4周和8周后enrolling.ResultsDepression症状下降，随着时间的推移，两组之间没有差异。可靠的变化事后分析发现更高的改善率在4周的评估中接受LVs比UC.DiscussionNICU护士成功地实施LVs在本试验期间。两组治疗后或随访时抑郁症状评分无显著差异。尽管如此，事后分析表明，LV后立即出现的临床改善率相对较高，这表明干预可以在女性最痛苦的早期减少孕产妇抑郁症。
BackgroundEmotional distress is frequently experienced by mothers whose newborns are hospitalized in a neonatal intensive care unit (NICU). Among these women, there is a critical need for emotional support conveniently delivered at the newborn’s point of care by a trusted and medically knowledgeable professional: a NICU nurse. One promising way to enhance in situ delivery of emotional care is to have a NICU nurse provide Listening Visits (LVs), a brief support intervention developed expressly for delivery by nurses to depressed postpartum women.ObjectivesThis trial assessed the feasibility of having NICU nurses deliver LVs to emotionally distressed mothers of hospitalized newborns and compared depression outcomes in a small sample of participants randomized to LVs or usual care (UC).MethodsIn this pilot randomized controlled trial, emotionally distressed mothers of hospitalized newborns were randomized to receive up to six LVs from a NICU nurse or UC from a NICU social worker. To assess change in depression symptoms, women were invited to complete the Inventory of Depression and Anxiety Symptoms–General Depression Scale at enrollment and 4 and 8 weeks post-enrollment.ResultsDepression symptoms declined over time for both groups, with no difference between the two groups. A post hoc analysis of reliable change found higher rates of improvement at the 4-week assessment among recipients of LVs than UC.DiscussionNICU nurses successfully implemented LVs during this trial. Depression symptom scores did not significantly differ in the two groups posttreatment or at follow-up. Nevertheless, post hoc analyses indicated comparatively higher rates of clinical improvement immediately after LVs, suggesting the intervention can reduce maternal depression early on when women are most distressed.