新生儿重症监护室中的兄弟姐妹经历：综合回顾

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2025-02-01 DOI:10.1016/j.jnn.2024.07.021

Suza Trajkovski, Mehrnoush Bonakdar Tehrani

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引用次数: 0

摘要

目的识别和综合新生儿重症监护室或特殊护理室兄弟姐妹经历的现有证据。目的：对新生儿重症监护室或特殊护理室的兄弟姐妹经历的初步研究进行综合回顾。数据来源检索cinahl、MEDLINE、Scopus、Cochrane和APA PsycInfo电子数据库，包括人工检索相关研究中的参考文献列表。对出版日期没有限制。本综述纳入了以英文发表的原始同行评议研究。方法采用Whittemore和Knafl的五步框架进行综合评价。文献检索采用PRISMA指南，质量评价采用混合方法评价工具（MMAT）。五篇文章报道了新生儿重症监护病房或特殊护理托儿所的婴儿兄弟姐妹的经历。数据的综合采用了专题分析。结果共有5项研究符合纳入标准，包括2项定性研究和3项定量研究。文献中确定的关于新生儿重症监护室或特殊护理托儿所婴儿兄弟姐妹经历的三个主题如下：兄弟姐妹的行为改变，兄弟姐妹的知识和感受，以及兄弟姐妹的满意度。结论本综述整合了前期研究，阐明了新生儿重症监护病房患儿兄弟姐妹的需求。必须考虑到有可能遭受急性应激或创伤后应激障碍的父母的需要，使健康的兄弟姐妹积极适应其患病婴儿的情况。此外，在考虑兄弟姐妹到新生儿重症监护室或特殊护理托儿所就诊时，有必要制定明确的以家庭为中心的护理准则。

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Sibling experiences in the neonatal intensive care unit: An integrative review

Aim

To identify and synthesise available evidence of sibling experiences in the neonatal intensive care unit or special care nursery.

Design

An integrative review of primary research on siblings’ experiences in the neonatal intensive care unit or special care nursery.

Data sources

CINAHL, MEDLINE, Scopus, Cochrane and APA PsycInfo electronic databases were searched including a manual search of reference lists within the relevant studies. No limitations are placed on dates of publication. Original peer-reviewed studies published in English were included in this review.

Methods

This integrative review was guided by Whittemore and Knafl's five step framework. The literature search used PRISMA guidelines and quality appraisal using the Mixed Methods Appraisal Tool (MMAT). Five articles reporting the experiences of siblings of infants in the neonatal intensive care unit or special care nursery were included. Thematic analysis was applied to synthesis of the data.

Results

A total of five studies, comprising two qualitative and three quantitative studies met the inclusion criteria. The three themes regarding siblings' experiences of infants in the neonatal intensive care unit or special care nursery identified in the literature are as follows: siblings' behavioural change, siblings' knowledge and feelings, and siblings’ satisfaction.

Conclusion

This review integrates the primary research to elucidate the needs of siblings of sick infants in the neonatal intensive care unit. It is imperative to maintain healthy siblings' positive adaptation to their sick infants' situation by considering their parents’ needs who are at risk of suffering from acute stress or post-traumatic stress disorders. Furthermore, clear guidelines in family centred care are necessary for considering siblings visits in the neonatal intensive care unit or special care nursery.

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来源期刊

Journal of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.