父母的观点:第1部分 - - 改变NICU文化方面的考虑
Jessica N DiBari1, LaToshia Rouse2
1U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Rockville, MD 20857, USA.
Children (Basel, Switzerland)
|November 25, 2023
概括
父母在新生儿重症监护室 (NICU) 的经历对于儿童健康结果至关重要. 实施以家庭为中心的护理模式可以改善NICU体验和出院后的成功.
科学领域:
- 新生儿重症监护室 (NICU) 的护理.
- 父母的心理健康和福祉.
- 生命历程健康发展框架
背景情况:
- 尽管父母的观点很重要,但在医学文献中代表性不足.
- 新生儿重症监护室 (NICU) 的住宿往往涉及到父母的严重心理痛苦,创伤和悲伤.
- 家庭的健康和福祉与孩子的成长能力密切相关,这种联系在临床实践中经常被忽视.
研究的目的:
- 突出父母生活经验在改善新生儿重症监护室 (NICU) 结果中的重要作用.
- 倡导将终身健康发展框架纳入新生儿重症监护室 (NICU) 护理.
- 提出可行的建议,以加强新生儿重症监护室 (NICU) 环境中的以家庭为中心的护理.
主要方法:
- 利用终身健康发展框架来分析新生儿重症监护室 (NICU) 的家庭经历.
- 利用新生儿重症监护室 (NICU) 背景的母亲的生活和职业经验.
- 基于家庭福利和儿童发展的原则,综合实践变革的建议.
主要成果:
- 在新生儿重症监护室 (NICU) 家庭中,心理困扰和创伤很常见,如果不加以解决,可能会阻碍父母和孩子之间的联系.
- 当前的临床实践往往忽视了家庭福祉和儿童健康轨迹之间的关键联系.
- 建议侧重于创造积极,培养环境,解决健康的社会决定因素,促进乐观的沟通.
结论:
- 新生儿重症监护室 (NICU) 的环境必须优化,以全面支持家庭,认识到他们对儿童健康的重要作用.
- 公平,协作式的护理模式,包括同行支持和社区卫生工作者参与,对于建立信任和促进家庭治愈至关重要.
- 将实践转向以生命过程视角为导向的以家庭为中心的方法,可以显著改善儿童和家庭在新生儿重症监护室 (NICU) 旅程及以后的结果.
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