N Siva, Binil Velayudhan, Baby S Nayak, Leslie Edward S Lewis, Faiza Iqbal, Judith Angelitta Noronha
{"title":"中低收入国家在新生儿入住重症监护病房期间减轻产妇压力和提高应对技能的干预策略:范围综述》。","authors":"N Siva, Binil Velayudhan, Baby S Nayak, Leslie Edward S Lewis, Faiza Iqbal, Judith Angelitta Noronha","doi":"10.1002/nop2.70071","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Mothers of high-risk neonates experience tremendous stress during neonatal intensive care unit (NICU) admission. This stress has a negative impact on mothers' participation in neonatal care activities, psychological health and coping skills in the NICU.</p><p><strong>Objective: </strong>To determine the impact of interventional strategies to reduce maternal stress and enhance coping skills during neonatal admission to the NICU.</p><p><strong>Design: </strong>A scoping review was carried out following the methodological framework outlined by Arksey and O'Malley.</p><p><strong>Methods: </strong>This scoping review was conducted as per the Joanna Briggs Institute guidelines, including a quality appraisal checklist for randomised and nonrandomised controlled trials. Patterns, advances, gaps, evidence for practice and research recommendations from the review (PAGER framework) were used to report the results. The following international databases were used to search for primary articles: Medline via PubMed, EBSCOhost via CINAHL, Scopus, Web of Science and the ProQuest Medical Library. Original studies published in English between January 2011 and January 2023 from low- and middle-income countries (LMICs) that assessed maternal stress and coping skills during neonatal NICU admission were included in the review.</p><p><strong>Results: </strong>The review included 15 articles from LMICs, of which 60% were from middle-income, 25% were from lower-middle-income and 15% were from low-income countries. Interventional strategies were described under five categories. Maternal stress decreased significantly across all three subscales of the PSPS: 'sight and sound', 'baby looks and behavior' and 'parental relationship with baby and role alteration' during neonatal NICU admission. Interventional strategies involving family-centred care and emotional and psychological supportive care have been reported to have a consistently positive impact on alleviating maternal stress and enhancing coping skills in the NICU.</p><p><strong>Conclusion: </strong>Healthcare professionals, especially nurses, are pivotal in promptly recognising maternal stress and NICU stressors. The participation of mothers in neonatal care, such as through family-centred care and emotional support interventions, significantly reduces maternal stress and enhances coping skills.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Interventional Strategies to Mitigate Maternal Stress and Enhance Coping Skills During Neonatal Admission Into Intensive Care Units in Low- and Middle-Income Countries: A Scoping Review.\",\"authors\":\"N Siva, Binil Velayudhan, Baby S Nayak, Leslie Edward S Lewis, Faiza Iqbal, Judith Angelitta Noronha\",\"doi\":\"10.1002/nop2.70071\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Mothers of high-risk neonates experience tremendous stress during neonatal intensive care unit (NICU) admission. This stress has a negative impact on mothers' participation in neonatal care activities, psychological health and coping skills in the NICU.</p><p><strong>Objective: </strong>To determine the impact of interventional strategies to reduce maternal stress and enhance coping skills during neonatal admission to the NICU.</p><p><strong>Design: </strong>A scoping review was carried out following the methodological framework outlined by Arksey and O'Malley.</p><p><strong>Methods: </strong>This scoping review was conducted as per the Joanna Briggs Institute guidelines, including a quality appraisal checklist for randomised and nonrandomised controlled trials. Patterns, advances, gaps, evidence for practice and research recommendations from the review (PAGER framework) were used to report the results. The following international databases were used to search for primary articles: Medline via PubMed, EBSCOhost via CINAHL, Scopus, Web of Science and the ProQuest Medical Library. Original studies published in English between January 2011 and January 2023 from low- and middle-income countries (LMICs) that assessed maternal stress and coping skills during neonatal NICU admission were included in the review.</p><p><strong>Results: </strong>The review included 15 articles from LMICs, of which 60% were from middle-income, 25% were from lower-middle-income and 15% were from low-income countries. Interventional strategies were described under five categories. Maternal stress decreased significantly across all three subscales of the PSPS: 'sight and sound', 'baby looks and behavior' and 'parental relationship with baby and role alteration' during neonatal NICU admission. Interventional strategies involving family-centred care and emotional and psychological supportive care have been reported to have a consistently positive impact on alleviating maternal stress and enhancing coping skills in the NICU.</p><p><strong>Conclusion: </strong>Healthcare professionals, especially nurses, are pivotal in promptly recognising maternal stress and NICU stressors. The participation of mothers in neonatal care, such as through family-centred care and emotional support interventions, significantly reduces maternal stress and enhances coping skills.</p>\",\"PeriodicalId\":48570,\"journal\":{\"name\":\"Nursing Open\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing Open\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/nop2.70071\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/nop2.70071","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景:高危新生儿的母亲在入住新生儿重症监护病房(NICU)期间会承受巨大的压力。这种压力对母亲参与新生儿护理活动、心理健康和在新生儿重症监护室的应对技能都有负面影响:目的:确定在新生儿入住新生儿重症监护室期间减少产妇压力和提高应对技能的干预策略的影响:设计:按照Arksey和O'Malley概述的方法框架进行了范围综述:本次范围界定综述按照乔安娜-布里格斯研究所(Joanna Briggs Institute)的指导方针进行,包括随机和非随机对照试验的质量评估清单。在报告结果时,采用了综述的模式、进展、差距、实践证据和研究建议(PAGER 框架)。使用以下国际数据库搜索主要文章:Medline via PubMed、EBSCOhost via CINAHL、Scopus、Web of Science 和 ProQuest Medical Library。综述纳入了 2011 年 1 月至 2023 年 1 月期间在中低收入国家(LMICs)发表的、评估新生儿入住新生儿重症监护室期间产妇压力和应对技能的英文原创研究:综述包括 15 篇来自低收入和中等收入国家的文章,其中 60% 来自中等收入国家,25% 来自中低收入国家,15% 来自低收入国家。干预策略分为五类。在新生儿入住新生儿重症监护室期间,产妇在 PSPS 的所有三个分量表:"视觉和听觉"、"婴儿的长相和行为 "以及 "父母与婴儿的关系和角色改变 "中的压力都明显下降。据报道,以家庭为中心的护理以及情感和心理支持性护理等干预策略对减轻新生儿重症监护室中产妇的压力和提高应对技能具有持续的积极影响:结论:医护人员,尤其是护士,在及时识别产妇压力和新生儿重症监护室压力因素方面起着关键作用。母亲参与新生儿护理,如通过以家庭为中心的护理和情感支持干预,可显著减轻产妇的压力并提高应对技能。
Interventional Strategies to Mitigate Maternal Stress and Enhance Coping Skills During Neonatal Admission Into Intensive Care Units in Low- and Middle-Income Countries: A Scoping Review.
Background: Mothers of high-risk neonates experience tremendous stress during neonatal intensive care unit (NICU) admission. This stress has a negative impact on mothers' participation in neonatal care activities, psychological health and coping skills in the NICU.
Objective: To determine the impact of interventional strategies to reduce maternal stress and enhance coping skills during neonatal admission to the NICU.
Design: A scoping review was carried out following the methodological framework outlined by Arksey and O'Malley.
Methods: This scoping review was conducted as per the Joanna Briggs Institute guidelines, including a quality appraisal checklist for randomised and nonrandomised controlled trials. Patterns, advances, gaps, evidence for practice and research recommendations from the review (PAGER framework) were used to report the results. The following international databases were used to search for primary articles: Medline via PubMed, EBSCOhost via CINAHL, Scopus, Web of Science and the ProQuest Medical Library. Original studies published in English between January 2011 and January 2023 from low- and middle-income countries (LMICs) that assessed maternal stress and coping skills during neonatal NICU admission were included in the review.
Results: The review included 15 articles from LMICs, of which 60% were from middle-income, 25% were from lower-middle-income and 15% were from low-income countries. Interventional strategies were described under five categories. Maternal stress decreased significantly across all three subscales of the PSPS: 'sight and sound', 'baby looks and behavior' and 'parental relationship with baby and role alteration' during neonatal NICU admission. Interventional strategies involving family-centred care and emotional and psychological supportive care have been reported to have a consistently positive impact on alleviating maternal stress and enhancing coping skills in the NICU.
Conclusion: Healthcare professionals, especially nurses, are pivotal in promptly recognising maternal stress and NICU stressors. The participation of mothers in neonatal care, such as through family-centred care and emotional support interventions, significantly reduces maternal stress and enhances coping skills.
期刊介绍:
Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally