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[Integrated psychological parental assistance in the neonatal intensive care unit: concepts and first experiences]
A Panagl1, C Kohlhauser, A Pollak
1Abteilung für Neonatologie, angeborene Störungen und Intensivmedizin, Univ. Klinik für Kinder- und Jugendheilkunde, Wien.
Insights
A standardized psychological support program for parents with newborns in the neonatal intensive care unit (NICU) was developed. This integrated approach aims to prevent long-term psychosocial issues for families during critical infant care.
Area of Science:
- Neonatal care
- Psychology
- Parental support
Background:
- Neonatal intensive care units (NICUs) place a significant burden on parents.
- Limited resources necessitate targeted preventive psychosocial programs for at-risk parents.
- A standardized concept for integrated psychological support was developed at University Children's Hospital Vienna.
Purpose of the Study:
- To present a standardized psychological support program for parents of newborns in the NICU.
- To evaluate the initial outcomes of this integrated support model.
- To reduce the incidence of later psychosocial problems for both the child and parents.
Main Methods:
- Psychological support offered to parents of newborns admitted to the NICU.
- Interdisciplinary collaboration involving psychologists to facilitate bonding, family development, and coping.
- Standardized support includes initial and final consultations, with optional basic or intensive assistance.
Main Results:
- 152 parents received standardized basic psychological support.
- Most parents utilized additional optional assistance.
- Only 39.5% of parents were supported until discharge due to external transfers (42.1%) or infant death (18.4%).
Conclusions:
- A standardized psychological model is a vital component of comprehensive neonatal care.
- Medical and nursing staff awareness of psychological factors was enhanced.
- Psychological support is essential for effective psychosocial prevention in neonatal intensive care.
Background And Hypothesis:
Psychosocial support programs have been established in view of the burden caused to parents having their newborn admitted to the neonatal intensive care unit (NICU). Due to limited resources, preventive programs can only be offered to parents who are identified by the staff to be at risk. Based on the results of a parent questionnaire, the University Children's Hospital Vienna has developed a standardized concept of integrated psychological support. The program and first results are presented.
Patients And Methods:
The psychological support is offered to parents of newborns admitted to the neonatal intensive care unit. The aim of the support is to avoid later psychosocial problems for child and parents. In an interdisciplinary collaboration, the psychologist facilitates parent-child bonding, family development and coping with the baby's illness. The standardized psychological support consists of a consultation at the beginning and end of the hospital stay. Parents are offered optional psychological support or intensive assistance.
Results:
Parents from 152 patients received the standardized basic psychological support. The majority of the parents took advantage of the additional optional assistance. Because of external transfers (42.1 %) or infant death (18.4 %), only 39.5 % of the parents could be accompanied until discharge.
Conclusions:
A standardized psychological model provides parents with the psychological support as one important part of the overall concept of neonatal treatment. Additionally, the medical and nursing staff were sensitized to psychological factors. An effective psychosocial prevention requires psychological support as an essential part of intensive neonatal care.
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