{"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}
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.
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.