Attitudes About Sibling Visitation in the Neonatal Intensive Care Unit
Attitudes About Sibling Visitation in the Neonatal Intensive Care Unit
复制标题
对新生儿重症监护病房探视兄弟姐妹的态度
DOI：
10.1001/archpedi.1996.02170350023003
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发表时间：
1996
期刊：
影响因子：
26.1
通讯作者：
W. Oh
中科院分区：
文献类型：
--
作者：
E. Meyer;K. Kennally;Effie Zika;W. Cashore;W. Oh
目的：探讨新生儿加护病房实施亲兄妹探视前后医护人员的态度与建议。设计：在1992年和1993年实施兄弟姐妹探视之前和之后进行工作人员调查。设置：围产期三级保健中心。参与者：工作人员，包括医生，护士，呼吸治疗师，社会工作者和单位办事员（1992年n=139; 1993年n=120）。测量和主要结果：为研究设计了7分Likert量表调查（1=强烈不同意; 7=强烈同意）。在1992年和1993年，工作人员最强烈地同意，探视需要特殊的监督，应该有指定的时间，增加兄弟姐妹的知识，增强兄弟姐妹对婴儿的依恋，并增加家庭满意度。Wilcoxon秩和检验比较的工作人员在2年内表明，大量的态度变化，有利于兄弟姐妹的探视，包括减少感知干扰护理和托儿所的常规（P P结论：工作人员担心兄弟姐妹探视，包括感染的风险增加，组织和监督。一个兄弟姐妹探视计划，解决这些问题，可以成功地实施和支持的工作人员，从而促进以家庭为中心的护理在新生儿重症监护病房。《儿科青少年医学文献》1996年;150：1021-1026
Objective: To survey the attitudes and recommendations of staff members before and after the implementation of sibling visitation in a neonatal intensive care unit. Design: Staff survey conducted before (1992) and after (1993) the implementation of sibling visitation. Setting: A perinatal tertiary care center. Participants: Staff members including physicians, nurses, respiratory therapists, social workers, and unit clerks (n=139 in 1992; n=120 in 1993). Measurements and Main Results: A 7-point Likert scale survey (1=strongly disagree; 7=strongly agree) was designed for the study. In both 1992 and 1993, the staff most strongly agreed that visitation requires special supervision, should have designated times, increases sibling knowledge, enhances sibling attachment to the baby, and increases family satisfaction. Wilcoxon rank sum tests comparing the staff across the 2 years indicated substantial attitudinal changes in favor of sibling visitation, including less perceived interference with nursing care and nursery routines ( P P Conclusions: Staff members have concerns about sibling visitation that include increased risk of infection, organization, and supervision. A sibling visitation program that addresses these concerns can be successfully implemented and supported by staff, thereby fostering family-centered care in the neonatal intensive care unit. Arch Pediatr Adolesc Med. 1996;150:1021-1026