Parent-infant closeness and care practices during therapeutic hypothermia in Swedish neonatal intensive care units

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare Pub Date : 2024-07-18 DOI:10.1016/j.srhc.2024.101010

Pyrola Bäcke , Anna Axelin , Johan Ågren , Ylva Thernström Blomqvist

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Abstract

Objectives

The aim of this study was to investigate care practices among Neonatal Intensive Care Units (NICU) providing Therapeutic hypothermia (TH), and more specific to investigate staff’s experiences of parental participation, presence, and possibilities of being close with their infant during TH.

Methods

A descriptive, qualitative, and quantitative study. All Swedish NICUs providing TH (n = 10) participated. Data were collected during January–April 2021 via a questionnaire followed by a semi-structured interview with the registered nurse and the neonatologist responsible for TH at each unit. Descriptive statistics were calculated, and a qualitative content analysis was performed.

Results

All NICUs allowed parents unlimited stay with their infants and were keen to support parental presence, which was a prerequisite for promoting parent-infant closeness. Standardized routines regarding the infants’ care space and course of action were described as time-efficient and staff-saving, which freed up time to focus on the families.

Conclusion

Standardized routines regarding the care space setup and the medical and caring approach, as well as the NICU environment and practices around the families, can promote or curb the possibilities of parent-infant closeness. Well-established care practices and good environmental conditions with flexibility regarding the family’s needs are therefore required.

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瑞典新生儿重症监护病房治疗性低温期间父母与婴儿的亲密程度和护理方法

本研究旨在调查提供治疗性低温疗法（Therapeutic hypothermia，TH）的新生儿重症监护病房（NICU）的护理实践，更具体地说，是调查工作人员对父母参与、在场以及在治疗性低温疗法期间与婴儿亲近的可能性的体验。所有提供热疗的瑞典新生儿重症监护病房（n = 10）都参与了这项研究。在 2021 年 1 月至 4 月期间，通过问卷调查收集数据，然后对每个病房负责 TH 的注册护士和新生儿科医生进行半结构化访谈。结果所有新生儿重症监护病房都允许父母无限制地陪伴婴儿，并热衷于支持父母陪伴婴儿，这是促进父母与婴儿亲密关系的先决条件。结论有关婴儿护理空间设置和医疗护理方法的标准化常规，以及新生儿重症监护病房的环境和围绕家属的惯例，可以促进或抑制父母与婴儿亲近的可能性。因此，需要有完善的护理措施和良好的环境条件，并能灵活地满足家庭的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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