Impact of Palliative Care on Psychosocial and Spiritual Outcomes in the Neonatal Intensive Care Unit

IF 3.5 2区医学 Q2 CLINICAL NEUROLOGY

Journal of pain and symptom management Pub Date : 2025-08-05 DOI:10.1016/j.jpainsymman.2025.07.028

Matthew Lin MD , Clara Horner MD , Kaytlin Butler MDiv, BCC , Olivia Bosworth BA , Taylor Kiernan BA , Jordan Nelson MD , Kristyn Pierce MPH , Deborah Dore LCSW , Daniel Eison MD , Sadaf Kazmi MD , Christine Zawistowski MD

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引用次数: 0

Abstract

Context

Pediatric palliative care (PPC) consultation for infants with life-limiting conditions provides parents and caregivers with opportunities to participate in advance care planning, shared decision-making, and to receive appropriate psychosocial and spiritual supports.

Objectives

To evaluate the impact of PPC consultation on spiritual, psychosocial, and communication outcomes for infants that died in the NICU.

Methods

Retrospective chart review of infants who died in a level IV NICU over a 10-year period (2014–2024). Mann-Whitney U and Chi-square or Fisher’s exact tests were used to evaluate demographic and medical differences between infants with and without PPC consultation. Regression analyses were used to evaluate the impact of PPC on psychosocial, spiritual, and communication outcomes after adjusting for relevant covariates.

Results

There were significant medical and demographic differences between infants with PPC and no PPC consultation. Infants with PPC consultation had significantly higher odds of referral to child life, participation in memory making activities, documentation of family meetings and advance care planning discussions, and a higher incidence rate ratio of NICU social work visits and family meetings during their admission after adjusting for potential confounders.

Conclusion

PPC consultation is associated with improved psychosocial, spiritual, and communication support utilization for seriously ill NICU infants and their families.

查看原文本刊更多论文

姑息治疗对新生儿重症监护室心理社会和精神结果的影响。

背景：对生命受限的婴儿进行儿科姑息治疗（PPC）咨询，为父母和照顾者提供了参与预先护理计划、共同决策并获得适当的社会心理和精神支持的机会。目的：评估PPC咨询对新生儿重症监护病房死亡婴儿的精神、社会心理和沟通结果的影响。方法：回顾性分析2014-2024年10年间死于IV级NICU的婴儿。使用Mann-Whitney U和卡方或Fisher精确检验来评估有和没有PPC咨询的婴儿之间的人口统计学和医学差异。在调整相关协变量后，使用回归分析来评估PPC对心理社会、精神和沟通结果的影响。结果：PPC患儿与未PPC患儿在医学和人口统计学上存在显著差异。在调整潜在混杂因素后，接受PPC咨询的婴儿在儿童生活、参与记忆制作活动、记录家庭会议和提前护理计划讨论方面的转诊率显著更高，入院期间新生儿重症监护病房社会工作访问和家庭会议的发生率也更高。结论：PPC咨询可提高重症新生儿重症监护病房患儿及其家属的心理社会、精神和沟通支持利用率。

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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来源期刊

Journal of pain and symptom management 医学-临床神经学

CiteScore

8.90

自引率

6.40%

发文量

821

审稿时长

26 days

期刊介绍： The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.