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Promoting Emotional Well-Being in Distressed NICU Mothers: A Phase 2 Evaluation of a Nurse-Delivered Approach

促进 NICU 母亲的情绪健康：护士实施方法的第二阶段评估

基本信息

批准号：
9764491
负责人：
LISA Sharon SEGRE
金额：
$ 19.06万
依托单位：
UNIVERSITY OF IOWA
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-15 至 2022-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9764491
关键词：
Address Admission activity Adopted Anxiety Arts British Caring Client satisfaction Clinical Clinical Trials Communication Control Groups Data Depressed mood Depression screen Discipline of Nursing Distress Educational Status Emotional Enrollment Ensure Equipment and supply inventories Evaluation Family Friends Funding Health Health Professional Health Services Accessibility Health Status Healthcare Home visitation Hospitalization Infant Intervention Iowa Length of Stay Maternal Health Measures Medical Medical Care Team Mental Depression Mental Health Modeling Moods Mothers Neonatal Intensive Care Units Newborn Infant Nurse Practitioners Nurses Outcome Parents Perception Phase Philosophy Population Positioning Attribute Postpartum Period Postpartum Women Press Releases Psyche structure Public Health Publishing Quality of Care Randomized Reaction Readiness Research Resources Safety Services Social Work Stress Stressful Event Testing Time Trust Twin Multiple Birth Visit Visiting Nurse Well in self anxiety symptoms clinical practice clinically significant comparison group coping cost effective depressive symptoms emotional distress experience feasibility trial improved innovation novel phase 2 testing point of care prevent programs relative effectiveness satisfaction secondary analysis standard of care support tools treatment as usual

项目摘要

PROJECT SUMMARY/ABSTRACT Infant admission to the neonatal intensive care unit (NICU) is an extremely stressful postpartum outcome, as evidenced by data showing significant depressive symptoms in some 63% of new NICU mothers. Thus, as part of a Family-Centered Care philosophy, focus on the emotional well-being of the mother (and indeed the entire family) should be widely adopted by NICU nursing units. In current clinical practice, however, the emotional well-being of NICU mothers is often ignored. At best, NICU mothers are screened for depression and if indicated, referred to a mental health professional. We posit that the extremes of no treatment and full- on mental healthcare comprise an inadequate approach for treating mothers dealing with a normative reaction to a stressful event. In alignment with the Nurse Parent Support Model, we propose implementation of Listening Visits—a cost-effective nurse-delivered supportive approach, proven to relieve moderately severe depressive symptoms in mothers of term infants. In the NICU setting, Listening Visits were first implemented in a phase-1 feasibility trial conducted by PI Segre and her team. In that first trial, Listening Visits were delivered by a doctoral level nurse practitioner and showed promise as means to reduce distress in NICU mothers. A Listening Visit program for emotionally distressed NICU mothers is innovative because it is a cost-effective approach that uses resources that are largely in place, to serve a persistent unmet need in a vulnerable postpartum population. By having nurses provides support, the concept of emotional distress in NICU mothers is normalized. This new application of Listening Visits also directly aligns with the NINR emphasis on promoting coping to prevent compromising mood states. The promising results of the feasibility trial now must be challenged with a control group comparison to definitively attribute maternal improvements to Listening Visits. Thus the objective of the proposed research is to conduct a Phase 2 pilot RCT to evaluate Listening Visits provided by bachelor's-level NICU nurses as compared with the care currently provided by the NICU social work team. In three specific aims we will assess the relative effectiveness of Listening Visits on depression symptoms, perception of nurse support, and infant's length of stay. 0

项目总结/摘要婴儿进入新生儿重症监护室（NICU）是一个非常紧张的产后结果，数据显示，约63%的新生儿重症监护室新生儿母亲有明显的抑郁症状。因此如作为以家庭为中心的护理理念的一部分，关注母亲的情感健康（实际上也是母亲的情感健康）。整个家庭）应被NICU护理单位广泛采用。然而，在目前的临床实践中，新生儿重症监护室母亲的情感健康往往被忽视。在最好的情况下，新生儿重症监护室的母亲会接受抑郁症筛查如果有需要，请咨询心理健康专家。我们认为没有治疗和完全- 精神卫生保健包括治疗母亲处理正常反应的方法不足，一个压力很大的事件为了配合护士家长支援模式，我们建议实施倾听访问-一种具有成本效益的护士提供的支持方法，被证明可以缓解中度严重的足月儿母亲的抑郁症状。在新生儿重症监护病房的设置，听力访问首次实施，由PI塞格雷和她的团队进行的一期可行性试验。在第一次审判中，由一位博士水平的护士执业，并显示出作为减少新生儿重症监护室母亲痛苦的手段的希望。一为情绪困扰的NICU母亲提供的倾听访问计划是创新的，因为它是一种具有成本效益的一种利用大部分已到位的资源来满足脆弱国家持续未得到满足的需求的方法，产后人口通过让护士提供支持，NICU母亲的情绪困扰概念是正常的。这种新的倾听访问的应用也直接与NINR强调的促进应对，以防止妥协的情绪状态。现在可行性试验的可喜结果必须与对照组进行比较，以明确地将产妇的改善归因于倾听访问。因此，拟议研究的目的是进行2期试点RCT，以评估与目前由本科水平的NICU护士提供的护理相比， NICU社工团队在三个具体目标中，我们将评估听力访问的相对有效性，抑郁症状、对护士支持的感知和婴儿的住院时间。 0

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A Randomized Controlled Trial of Listening Visits for Mothers of Hospitalized Newborns.

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
发表时间：
2023
期刊：
Nursing research
影响因子：
2.5
作者：
Segre,LisaS;McCabe,JenniferE;Davila,RebeccaChuffo;Carter,Cheryl;O'Hara,MichaelW;Arndt,Stephan
通讯作者：
Arndt,Stephan

Race/ethnicity matching boosts enrollment of black participants in clinical trials.

种族/族裔匹配提高了临床试验中黑人参与者的入学率。