新生儿重症监护室以客户为中心的书面和视觉报告对婴儿心脏手术后产妇压力和依恋的影响

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2025-02-01 DOI:10.1016/j.jnn.2024.10.001

Monavvar Jokar , Jila Mirlashari , Jamalodin Begjani , Hadi Ranjbar , Leila Taheri

{"title":"新生儿重症监护室以客户为中心的书面和视觉报告对婴儿心脏手术后产妇压力和依恋的影响","authors":"Monavvar Jokar , Jila Mirlashari , Jamalodin Begjani , Hadi Ranjbar , Leila Taheri","doi":"10.1016/j.jnn.2024.10.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>In this study, we explored the impact of client-centered, written and visual reporting based on the Newborn Individualized Care and Assessment Program (NIDCAP) approach on stress levels and attachment among mothers with neonates hospitalized in Neonatal Intensive Care Unit following open heart surgery.</div></div><div><h3>Methods</h3><div>The clinical trial involved 70 mothers with an infant in the neonatal intensive care unit following heart surgery at Children's Medical Center in Tehran. Eligible participants were randomly assigned to either the control group (35 mothers) or the intervention group (35 mothers). While the control group adhered to regular daily visits to their sick infant as part of the hospital routine, the intervention group in addition to these visits, received daily written and visual reports, based on the NIDCAP approach standards for a week through WhatsApp messenger. Maternal Stress levels and attachment were assessed on the 7th day and again two weeks post-intervention. Data analysis was conducted using SPSS software.</div></div><div><h3>Results</h3><div>The intervention group experienced a significant reduction in stress levels. Mean stress levels decreased from 102.57 ± 30.8 to 72.25 ± 15.81 on the day 7th. Two weeks post-intervention, the average stress level further decreased to 62.08 ± 15.00(p < 0.05). Interestingly there was a slight increase in attachment score in the intervention group after one week. However, at the end of the study, there was no significant difference between the intervention and control groups.</div></div><div><h3>Conclusion</h3><div>Client-centered reporting based on the NIDCAP approach could substantially reduce stress levels among mothers with hospitalized newborns in neonatal cardiac surgery units. Especially when the constant presence of parents at the newborn's bedside is not possible, this approach could be considered a practical, innovative, and effective method to reduce maternal stress levels in the NICUs after heart surgery.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 308-313"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The impact of NICU client-centered, written, and visual reporting on maternal stress and attachment post-infant heart surgery\",\"authors\":\"Monavvar Jokar , Jila Mirlashari , Jamalodin Begjani , Hadi Ranjbar , Leila Taheri\",\"doi\":\"10.1016/j.jnn.2024.10.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>In this study, we explored the impact of client-centered, written and visual reporting based on the Newborn Individualized Care and Assessment Program (NIDCAP) approach on stress levels and attachment among mothers with neonates hospitalized in Neonatal Intensive Care Unit following open heart surgery.</div></div><div><h3>Methods</h3><div>The clinical trial involved 70 mothers with an infant in the neonatal intensive care unit following heart surgery at Children's Medical Center in Tehran. Eligible participants were randomly assigned to either the control group (35 mothers) or the intervention group (35 mothers). While the control group adhered to regular daily visits to their sick infant as part of the hospital routine, the intervention group in addition to these visits, received daily written and visual reports, based on the NIDCAP approach standards for a week through WhatsApp messenger. Maternal Stress levels and attachment were assessed on the 7th day and again two weeks post-intervention. Data analysis was conducted using SPSS software.</div></div><div><h3>Results</h3><div>The intervention group experienced a significant reduction in stress levels. Mean stress levels decreased from 102.57 ± 30.8 to 72.25 ± 15.81 on the day 7th. Two weeks post-intervention, the average stress level further decreased to 62.08 ± 15.00(p < 0.05). Interestingly there was a slight increase in attachment score in the intervention group after one week. However, at the end of the study, there was no significant difference between the intervention and control groups.</div></div><div><h3>Conclusion</h3><div>Client-centered reporting based on the NIDCAP approach could substantially reduce stress levels among mothers with hospitalized newborns in neonatal cardiac surgery units. Especially when the constant presence of parents at the newborn's bedside is not possible, this approach could be considered a practical, innovative, and effective method to reduce maternal stress levels in the NICUs after heart surgery.</div></div>\",\"PeriodicalId\":35482,\"journal\":{\"name\":\"Journal of Neonatal Nursing\",\"volume\":\"31 1\",\"pages\":\"Pages 308-313\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Neonatal Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1355184124002175\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Neonatal Nursing","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1355184124002175","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}

引用次数: 0

摘要

在本研究中，我们探讨了以客户为中心的、基于新生儿个性化护理和评估计划（NIDCAP）方法的书面和视觉报告对心脏直视手术后新生儿住院的新生儿母亲的压力水平和依恋的影响。方法临床试验涉及德黑兰儿童医疗中心心脏手术后新生儿重症监护病房的70名母亲和一名婴儿。符合条件的参与者被随机分配到对照组（35名母亲）或干预组（35名母亲）。对照组坚持每天定期探望生病的婴儿，作为医院日常工作的一部分，干预组除了这些探望外，还通过WhatsApp messenger根据NIDCAP方法标准每天收到书面和视觉报告，为期一周。在干预后第7天和两周再次评估母亲的压力水平和依恋。数据分析采用SPSS软件。结果干预组压力水平明显降低。第7天平均应激水平由102.57±30.8降至72.25±15.81。干预后2周，平均应激水平进一步下降至62.08±15.00(p <；0.05)。有趣的是，干预组的依恋得分在一周后略有上升。然而，在研究结束时，干预组和对照组之间没有显著差异。结论基于NIDCAP方法的以客户为中心的报告可以显著降低新生儿住院母亲的压力水平。特别是当父母不能一直陪伴在新生儿床边时，这种方法可以被认为是一种实用、创新和有效的方法，可以降低心脏手术后新生儿重症监护病房中母亲的压力水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The impact of NICU client-centered, written, and visual reporting on maternal stress and attachment post-infant heart surgery

Background

In this study, we explored the impact of client-centered, written and visual reporting based on the Newborn Individualized Care and Assessment Program (NIDCAP) approach on stress levels and attachment among mothers with neonates hospitalized in Neonatal Intensive Care Unit following open heart surgery.

Methods

The clinical trial involved 70 mothers with an infant in the neonatal intensive care unit following heart surgery at Children's Medical Center in Tehran. Eligible participants were randomly assigned to either the control group (35 mothers) or the intervention group (35 mothers). While the control group adhered to regular daily visits to their sick infant as part of the hospital routine, the intervention group in addition to these visits, received daily written and visual reports, based on the NIDCAP approach standards for a week through WhatsApp messenger. Maternal Stress levels and attachment were assessed on the 7th day and again two weeks post-intervention. Data analysis was conducted using SPSS software.

Results

The intervention group experienced a significant reduction in stress levels. Mean stress levels decreased from 102.57 ± 30.8 to 72.25 ± 15.81 on the day 7th. Two weeks post-intervention, the average stress level further decreased to 62.08 ± 15.00(p < 0.05). Interestingly there was a slight increase in attachment score in the intervention group after one week. However, at the end of the study, there was no significant difference between the intervention and control groups.

Conclusion

Client-centered reporting based on the NIDCAP approach could substantially reduce stress levels among mothers with hospitalized newborns in neonatal cardiac surgery units. Especially when the constant presence of parents at the newborn's bedside is not possible, this approach could be considered a practical, innovative, and effective method to reduce maternal stress levels in the NICUs after heart surgery.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

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.