新生儿重症监护室出院后未满足的健康和儿童护理需求
Tamiko Younge1, Marni Jacobs2, Lamia Soghier3
1Neonatal-Perinatal Medicine Fellow, Division of Neonatology, Children's National Hospital, Washington, District of Columbia.
American journal of perinatology
|May 21, 2025
概括
从新生儿重症监护室 (NICU) 出院的家庭面临着未得到满足的健康和儿童护理需求,观察到种族差异. 家长的自我效能可能有助于减少这些未满足的需求.
科学领域:
- 新生儿护理 新生儿护理
- 医疗服务研究 医疗服务研究
- 卫生公平性健康公平性
背景情况:
- 从新生儿重症监护室 (NICU) 出院的婴儿需要持续的健康和儿童护理支持.
- 在NICU退院后,未满足的需求可能会影响婴儿的结果和家庭的福祉.
- 父母的自我效能在导航医疗保健系统和获取资源方面发挥着重要作用.
研究的目的:
- 在NICU退院12个月后,确定家庭未满足的健康和儿童护理需求.
- 检查未满足需求与婴儿特征,父母特征和父母自我效能之间的关联.
- 探索种族差异在未满足的需求和自我效能的潜在调节作用.
主要方法:
- 使用混合方法的随机对照试验的二次分析.
- 家长报告说,在出院12个月后,他们收到了7个健康和儿童保育服务.
- 使用了逻辑回归和对开放式响应的专题分析.
主要成果:
- 14%的家庭报告至少有一个未满足的需求.
- 较大的婴儿疾病严重程度和较长的新生儿重症监护室停留时间与未满足需求的增加有关.
- 与白人父母相比,黑人父母的未满足需求的几率明显更高,可能会通过自我效能来调节.
结论:
- 在NICU退院后存在重大未满足的健康和儿童护理需求,种族差异显著.
- 父母更高的自我效能与更少的未满足需求有关,并可能减轻种族差异.
- 婴儿重症监护室的后续计划应该积极选和解决高风险人群中未满足的需求.
更多相关视频
相关概念视频
01:30Specialized Care Centers and Settings-II
690
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
690
01:21Planning Nursing Care I
4.2K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.2K
01:30Specialized Care Centers and Settings-I
906
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
906
01:25Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
01:31Discharge Summary Forms
741
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
741
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K