互联网微信支持对NICU出院早产儿父母焦虑、抑郁情绪的影响

[目的]探讨互联网微信支持对儿童重症监护室(NICU)出院早产儿父母焦虑、抑郁情绪的影响。[方法]将2015年1月—2015年6月于我院NICU病房出院的94例早产儿及其父母,依据随机数字表法将患儿及其父母分为两组。观察组94人,采用常规护理结合互联网微信支持干预,通过利用互联网微信平台实现资料共享,建立"同伴支持"群和建立微信咨询热线,为病人提供互联网微信支持;对照组94人,采用常规护理干预,分别在出院时、出院3周和3个月时采用状态-特质焦虑量表、爱丁堡产后抑郁量表评价早产儿父母焦虑抑郁情绪,比较两组早产儿父母焦虑抑郁情绪变化。[结果]两组早产儿的父母、父亲和母亲出院后的焦虑评分明显下降(P0.05);两组早产儿的父母、父亲和母亲出院后的抑郁发生率明显下降(P0.05),且观察组出院3个月时父母抑郁发生率显著低于对照组,差异有统计学意义(P0.05);观察组91人(96.8%)对互联网微信支持满意,认为互联网微信支持能够提供所需要帮助,不再感到孤独,67人(71.4%)会选择推荐给其他人。[结论]互联网微信支持能够有效减轻儿童重症监护室出院早产儿父母焦虑抑郁情绪,提高其心理健康水平。     

同伴支持在糖尿病视网膜病变病人中的应用进展

对同伴支持的研究现状及在糖尿病视网膜病变病人中的应用研究进行综述,阐述同伴支持模式对糖尿病视网膜病变病人心理负担及生活质量的影响,并对我国护理领域开展糖尿病视网膜病变病人同伴支持提供建议,为制定更科学、合理的同伴支持方案提供参考依据。     

NICU早产儿父母不同阶段护理需求调查

目的:调查新生儿重症监护室(NICU)早产儿父母不同阶段的需求情况,为制定早产儿家庭个性化护理措施提供依据。方法:选取NICU早产儿父母110名,在早产儿住院24 h内和72 h后,采用中文版NICU患儿家长需求量表,调查早产儿父母不同阶段的需求情况。结果:住院24 h内,早产儿父母在保证早产儿安全、获取信息、获得支持及自身舒适方面的需求评分均高于住院72 h后的评分(P0.05,P0.01),但是接近早产儿的需求评分低于住院72 h后的评分(P0.01)。结论:住院24 h内,早产儿父母处于应激状态,对保证早产儿安全、获取信息、获得支持及自身舒适方面的需求均较高;住院72 h后,接近早产儿的需求更加强烈。提示早产儿住院早期是护理干预关键期,医护人员要为早产儿父母提供全方位的支持,满足父母的各项需求,协助早产儿家庭成功渡过急性应激期。待早产儿病情稳定后,适当增加探视机会,拉近亲子距离。同时,医护人员需始终重视满足早产儿父母关于早产儿病情有关的需求。     

糖尿病同伴支持组长的选拔、培训与考核现状

目前,同伴支持在世界各地被积极地应用于糖尿病的自我管理中。鉴于组长在同伴支持中的核心作用,组长的选拔、培训与考核显得尤为重要。本文从PubMed、万方数据库收集了2007-2013年的相关文献,对糖尿病同伴支持组长的选拔、培训与考核等情况进行综述,以期为同伴支持的进一步开展提供参考。     

同伴支持提升HIV/AIDS患者抗病毒治疗依从性的系统评价

目的对同伴支持在提升HIV/AIDS患者抗病毒治疗依从性研究中的开展形式、内容和效果进行系统评价。方法全面检索中英文数据库,经过双人独立筛选和质量评价,采用描述性分析的方法,对文章信息进行描述、综合和分析。结果共纳入10篇文献,综合文献的信息,同伴支持的内容包括:提供艾滋病和抗病毒治疗相关的知识;协助就医、直接督导服药和帮助取药寄药;传递正向信息,降低歧视和羞辱感,协助建立社会网络;鼓励患者增强其信心;开展形式包括小组活动、"一对一"面谈、家庭访视、电话访问、互联网论坛和聊天软件随访。另外,文献结果表明患者实际参与到同伴支持中的程度与同伴支持提升服药依从性的效果相关。结论在HIV/AIDS患者充分参与到干预当中时,同伴支持可有效提升其服药依从性。同时,建议后续的同伴支持加强对同伴的能力培训和医护人员的协助,使患者充分参与;同时探讨影响患者参与到同伴支持的原因以及同伴支持对服药依从性的长期效果,为同伴支持干预方案的改善和效果提升提供依据。     

家庭赋权护理在早产儿父母中应用的研究进展

检索相关文献，基于持续发展的观点，综述家庭赋权护理在早产儿父母中应用的基本要素、实施步骤、实施效果、不足与展望，以满足父母与早产儿间的双向需求，为早产儿家庭开展家庭赋权护理研究及实践提供借鉴。     

家庭支持护理模式对NICU早产儿父母心理状况的影响

目的 探讨家庭支持护理模式对入住新生儿重症监护室(neonatal intensive care unit,NICU)的早产儿父母焦虑、抑郁情绪的影响。 方法 采用自身前后对照研究,选取我院NICU的192例早产儿及其父母,对其实施家庭支持护理模式。在早产儿父母参与家庭支持护理前和完成护理支持后的出院日采用焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)对其进行调查。 结果 接受家庭支持护理后,早产儿父母的焦虑、抑郁评分均低于实施家庭支持护理前(P<0.05)。 结论 家庭支持护理模式可以有效改善NICU早产儿父母的焦虑和抑郁心理状况,应将早产儿父母纳入NICU整体护理的关注范围。     

同伴支持在烧伤患者康复中的应用进展

总结了同伴支持的内涵及其在烧伤患者康复过程中的应用研究,并对烧伤患者同伴支持者的选择、培训流程、干预模式、干预效果评价、同伴支持对象的选择和干预介入时机等要素进行阐述,以期更好地为烧伤患者制订支持方案提供依据。     

HIV感染者/AIDS患者参与同伴支持体验质性研究的Meta整合

目的 系统评价和整合HIV感染者/AIDS患者参与同伴支持的体验,为完善对HIV感染者/AIDS患者的同伴支持提供参考和建议。方法 计算机检索PubMed、CINAHL、Web of Science Core Collection、ProQuest、中国知网、万方数据库等中英文数据库,搜集有关HIV感染者/AIDS患者参与同伴支持体验的质性研究,检索时限为1996年1月—2022年9月。采用澳大利亚乔安娜布里格斯研究所质性研究质量评价标准（2020版）对纳入文献进行方法学质量评价,采用汇集性整合方法对原始研究结果进行整合,按照提高定性研究合成报告透明度的指南撰写论文。结果共纳入7篇质性研究,提取出26个原始研究结果,归纳为12个类别,综合为4个整合结果,分别是同伴支持为患者提供信息支持,帮助患者建立和维持健康生活方式;患者在同伴支持中获得心理和情感支持;患者在同伴支持中获得社会支持;开展同伴支持的客观要求及情景。结论 同伴支持对AIDS防治工作有积极作用,对解决HIV感染者/AIDS患者实际需求具有重要意义。AIDS同伴支持的实践需要进一步的理论支持及科学指导,构建AIDS同伴支持模式...     

住院早产儿父母的心理需求及其影响因素研究

目的描述早产儿父母的需求状况和最为重要的需求内容;比较早产儿父亲和母亲需求情况的异同;探讨早产儿父母需求的影响因素.方法采用非实验设计的描述性研究方法,应用CCFNI需求量表调查早产儿父母的需求状况.结果早产儿父母总的需求程度较高;早产儿母亲的需求程度高于父亲,母亲更需要获得支持和可信赖的信息,更希望接近子女;早产儿父母的需求与父母的性别、母亲的分娩次数和早产儿入院体重呈正相关.结论临床工作者应以家庭为单位对早产儿进行护理.     

Parent decision making for life support for extremely premature infants: from the prenatal through end-of-life period

Most deaths of extremely premature infants occur in the perinatal period. Yet, little is known about how parents make life support decisions in such a short period of time. In the paper, how parents make life support decisions for extremely premature infants from the prenatal period through death from the perspectives of parents, nurses, and physicians is described. Five cases, comprised of five mothers, four neonatologists, three nurses, and one neonatal nurse practitioner, are drawn from a larger collective case study. Prenatal, postnatal and end-of-life interviews were conducted, and medical record data were obtained. In an analysis by two research team members, mothers were found to exhibit these characteristics: desire for and actual involvement in life support decisions, weighing pain, suffering and hope in decision making, and wanting everything done for their infants. All mothers received decision making help and support from partners and family, but relationships with providers were also important. Finally, external resources impacted parental decision making in several of the cases. By understanding what factors contribute to parents' decision making, providers may be better equipped to prepare and assist parents when making life support decisions for their extremely premature infants.     

重症监护室早产儿出院后父母需求的质性研究

目的 了解重症监护室早产儿出院后父母的需求,旨在为重症监护室早产儿出院后延续性护理服务提供理论依据.方法 采用目的抽样法,选取2018年12月—2019年4月深圳市某妇幼保健院新生儿重症监护室(neonatal intensive care unit,NICU)15名已出院1周的早产儿的父母,对其进行半结构式深度访谈,...     

Application of massage therapy in premature infant nursing care

Massage therapy has been used in the care of premature infants for many years in western countries, and a significant body of research has already shown the effectiveness of massage therapy in significantly increasing body weight, decreasing infant hospital durations, enhancing bone formation, and improving behavior. Key considerations when applying massage therapy on premature infants include gestational age, bodyweight, and physical condition. Nurses can teach parents to administer massage therapy on their premature infants to enhance parent-child attachment and interaction. This article introduces massage therapy principles and methods, the effectiveness of massage therapy in premature infant care, and an approach to teaching parents how to apply massage therapy on their premature infants. Massage therapy can be included in premature infant care programs in the future.     

Applying research in practice: parenting the premature infant

As the survival rate for premature infants increases, studies examining the interaction of parents with their premature infants have begun to appear in the literature. This review of the research can guide nurses in a variety of settings in clinical intervention strategies with these families.     

以家庭为中心的护理模式在早产儿中的应用

目的探讨以家庭为中心的护理模式对早产儿体格发育、喂养状态的影响。方法便利抽样选取2017年1月—2019年10月河北省秦皇岛市第一医院新生儿科收治的201例早产儿及其父母为研究对象,采用随机数字表法分为干预组和对照组,其中干预组99例,对照组102例。对照组早产儿出生后接受常规护理,指导父母亲常规喂养方法和育儿方法;干预组在此基础上实施以家庭为中心的护理模式,随访1年。比较两组早产儿出生时、出院时及1、6、12月龄时的体格检查指标以及喂养状态、母亲产后抑郁率、护理满意率。结果出生时、出院时、1月龄时,干预组与对照组早产儿的身长、体重、头围比较,差异无统计学意义(P>0.05);6、12月龄时,干预组早产儿身长、体重、头围均高于对照组,差异有统计学意义(P<0.05)。1、6、12月龄时,干预组的母乳喂养率均高于对照组(P<0.05)。干预组母亲在产后1、2个月的产后抑郁率均低于对照组,护理满意率高于对照组,差异有统计学意义(P<0.05)。结论以家庭为中心的护理模式能够为早产儿父母亲提供有效支持,有利于促进早产儿体格发育,改善其喂养状态。     

Peer support. An under-recognized resource in cardiac recovery.

BACKGROUND: Cardiovascular disease remains the leading cause of mortality and premature death in western societies. Thus, rates of interventions such as coronary artery bypass surgery are continuing to grow. Health care reform and initiatives to reduce health care expenditures have resulted in early patient discharge from hospital following cardiac surgery. With subsequent cutbacks in nursing support and community-based care, patients are leaving hospital less prepared and supported to deal with the changes that occur during the first weeks of recovery. AIMS: To examine the theoretical assumptions that support the contention that peer support is an under-utilized resource for patients who are recovering from cardiac surgery and the challenges to evaluating peer support interventions. METHODS: A review of current literature, which focuses on cardiac surgery recovery, transitions, social support, and peer support interventions. RESULTS: Peer support (lay assistance from individuals who possess experiential knowledge and similar characteristics), a form of social support, is a viable and potentially sustainable mechanism to put in place during transitional life events such as recovery from cardiac surgery. CONCLUSIONS: Further investigation is needed of peer support interventions for cardiac surgery patients. Specifically, investigations of the influence of peer support interventions on recovery and health outcomes are necessary in this patient population. Yet, challenges exist to undertaking well-designed investigations of social interventions such as peer support.     

A Review of Research on Premature Infant-Mother Interaction

Premature infants do not often provide clear behavioral cues, making them difficult social partners. Mothers of premature infants have reported that interacting with their infant is frustrating and not very rewarding. Higher numbers of premature infants are currently surviving at younger gestational ages, but the number of premature infants that have developmental delays is not decreasing. These infants and their mothers need guidance and support for their early efforts to communicate with one another. Social interactions are considered to be important for many aspects of development. This article will review the literature on infant-mother interactions, explain the more recent findings, and provide recommendations for neonatal nurses working with premature infants and their families.