Development of a long-term social work program for families with babies in a neonatal intensive care unit

为制定新生儿重症监护病房(NICU)婴儿家庭社会工作计划，对3种不同的跟踪社会工作支持方法--定性分析、个案分析和扎根理论分析--在这类家庭中的有效性进行了分析。结果表明，适当的后续评估时间是：在NICU入院后；确诊时；症状变化(加重)时；不再需要保温箱时；确定出院日期时；出院后一个月；出院后六个月；大约一岁；大约两岁；大约四岁；在孩子开始上学前一年的春天；孩子开始上学后的六个月；以及小学二年级晚些时候。评估的项目应包括：(I)可能影响患者及其家属生活的因素，包括身体状况、现有材料和资源、患者、母亲和其他人的生活的生理、医疗、心理、行为和社会方面的个人状况及其之间的关系；(Ii)这些方面之间目前的任何联系；(Iii)这些方面在他们生活中的重要意义；(Iv)生活中任何问题和障碍的性质；以及(V)任何可能的改善措施。我们打算建立和评估这样一个包皮程序。

In order to develop a social work program for families with babies in the neonatal intensive care unit(NICU), the effectiveness of three different approaches of follow-up social work support qualitative analysis, case analysis and grounded theory analysis-for such families was analyzed. Results indicated that appropriate timings of follow-up assessment are : immediately after admission to the NICU ; upon diagnosis ; at times of change(aggravation) of symptoms ; when the incubator was no longer required ; when the date of discharge was determined ; one month after discharge ; 6 months after discharge ; at approximately one year of age ; at approximately two years of age ; at approximately 4 years of age ; in the spring one year before the child starts school ; 6 months after the child starts school ; and late in the second year of primary school_. Items to be assessed should include : (i)factors that may affect the life of the patient and family members including physical conditions, available materials and resources, individual status of and relationship between physiological, medical, psychological, behavioral and social aspects of the patient's, mother's and other peoples' lives ; (ii)any current association between these aspects ; (iii)significance of these aspects in their life ; (iv)nature of any problem and obstacles in life ; and (v)any potential improvements that can be made. We intend to establishand evaluate such a purogram.