Parental participation during therapeutic hypothermia for neonatal hypoxicischemic encephalopathy
Parental participation during therapeutic hypothermia for neonatal hypoxicischemic encephalopathy
复制标题
DOI：
10.1016/j.srhc.2019.03.004
复制
发表时间：
2019-06-01
影响因子：
1.8
通讯作者：
Blomqvist, Ylva Thernstrom
中科院分区：
文献类型：
--
作者：
Biskop, Emilia;Paulsdotter, Therese;Blomqvist, Ylva Thernstrom
目的：考察父母对接受治疗性低体温新生儿护理的参与程度，并探讨出生与出生状态以及医院住宿位置的可能影响。研究设计：回顾、定量和描述性设计。主要观察指标：回顾婴儿医疗图表，了解父母参与的明确方面(婴儿抱抱、管喂、换尿布)，以及与出生与出生状态有关的情况，以及父母是否住在NICU或其他地方。所有婴儿都在大学医院新生儿重症监护病房接受护理，该病房是地区低温治疗转诊中心。本研究是2007-2015年间接受治疗性低温治疗的窒息新生儿(n=112)区域队列的一部分。结果：父母采用抱(60/112，54%)或管喂养(59/112，53%)的方式喂养婴儿。出生婴儿的父母(24/112，21%)比出生婴儿的父母(88/112，79%)更有可能检查(11/24，46%比15/88，17%；P<0.01)和更换尿布(9/24，38%比14/88，16%；P<0.05)。与其他地方相比，留在新生儿重症监护室的父母都观察到了类似的更广泛的参与模式(P<；0.05)。结论：即使在治疗性低体温期间，NICU的父母积极参与也是可行的。父母在出生后及时转移或运送，以及提供现场住宿，可能会影响父母参与的质量。
Objectives: To examine parental participation in the care of newborn infants receiving therapeutic hypothermia, and to explore the possible impact of in-born vs out-born status, and location of hospital accommodation.Study design: Retrospective, quantitative and descriptive design.Main outcome measures: Infants medical charts were reviewed for defined aspects of parental participation (infant holding, tube feeding, and diaper change), and related to their in-born vs out-born status, and whether the parents were accommodated in the NICU or elsewhere. All infants have been cared for at the University Hospital Neonatal Intensive Care Unit, serving as a regional referral center for hypothermia treatment. This study is a part of a population-based regional cohort of asphyxiated newborn infants (n = 112) that received therapeutic hypothermia in 2007-2015.Results: Parents engaged in holding (60/112, 54%) or tube feeding (59/112, 53%) their infant. Parents of inborn infants (24/112, 21%) were more likely to check the placement of the feeding tube (11/24, 46% vs 15/88, 17%; p < 0.01) and change diapers (9/24, 38% vs 14/88, 16%; p < 0.05) than parents of out-born infants (88/112, 79%). A similar pattern of more extensive involvement was observed for both mothers and fathers who stayed at the neonatal intensive care compared to those accommodated elsewhere (p < 0.05).Conclusions: Active parental participation is feasible at the NICU even during therapeutic hypothermia. Timely postnatal transfer of parents of out-born/transported infants, and the provision of on-site accommodation may influence the quality of parental involvement.