Symptoms of posttraumatic stress disorder among pediatric acute care nurses

In their work, pediatric acute care nurses may encounter traumatic events and be at risk for posttraumatic stress disorder (PTSD). This survey-based study examines the potential diagnosis of PTSD among nurses at a tertiary children's hospital with a Level 1 trauma center. Twenty-one percent of respondents had strong PTSD symptoms without significant difference between units. Nurses with potential PTSD had more comorbid symptoms of anxiety, depression, and burnout and were more often considering a career change. Furthermore, symptoms affected not only their work but also their personal lives. Future research should focus upon identifying pediatric nurses with PTSD to provide therapeutic interventions and reducing high-risk events and their potential impact.     

重力鼻饲喂养法在 NICU 早产儿的应用效果

目的：探讨传统鼻饲喂养与重力鼻饲喂养对新生儿重症监护室（ NICU）早产儿的应用效果。方法采用前瞻性随机对照研究方法,选取2012年8月-2013年6月新生儿科收治的胎龄＜34周、体质量＜2000 g、需鼻饲喂养的早产儿。根据住院号随机分为传统鼻饲喂养组（对照组）40例与重力鼻饲喂养（观察组）40例。比较两组患儿在达到全胃肠营养所需时间、住院时间、喂养耐受性及相关并发症方面的情况。结果观察组患儿在达到全胃肠营养所需时间、住院时间方面明显优于对照组（t分别为4．780,8．846;P＜0．05）,且观察组的喂养耐受性更高,发生呼吸暂停比例更低（χ2分别为3．19,9．69;P＜0．05）,而在腹胀、腹泻、坏死性小肠结肠炎方面差异无统计学意义（χ2分别为0．11,0．21;P＞0．05）。结论重力管饲喂养增强了早产儿的喂养耐受性,达到全胃肠营养所需时间和住院时间缩短,为生长发育奠定了良好的基础。     

Parental support in neonatal intensive care units: a cross-cultural comparison between New Zealand and Japan

This is a cross-cultural comparative study involving both quantitative and qualitative data analyses. This study examines sources of parental stress in the two neonatal intensive care units (NICUs) located in New Zealand and Japan and explores how cultural norms of NICU care environments influence parental stress-related experiences and nursing support. The three main sources of data collection were the following: a NICU staff interview, parental interview, and parental questionnaire survey, the PSS: NICU. Thirty-one pairs of parents in each NICU (N = 121) participated in this study. The differences between the two NICUs in terms of the NICU care environment and sources of parental stress within the NICU contexts were identified, highlighting NICU characteristics associated with the sources of stress in the two NICUs. Recognition of the norms of NICU care environments that may hinder parent-staff communication is an important element of NICU nursing practice.     

Association of perceived social support and maternal adaptation with postpartum depression in mothers of infants hospitalized in neonatal intensive care units

Literature has shown that mothers whose babies are in neonatal intensive care units (NICUs) are at risk of experiencing postpartum depression (PPD). This study explored the relationship between PPD and perceived social support and its impact on maternal adaptation in mothers of new-borns hospitalized in NICUs. Participants were 252 mothers of infants in the NICU. An Individual Form, the Edinburgh PD Scale, the Postpartum Self Evaluation Questionnaire, and the Multidimensional Scale of Perceived Social Support were used for data collection. Mann Whitney U test and Pearson Correlation were used for data analysis. Breastfeeding difficulty, inadequate information on postpartum, psychological disease history, C/S, low birth weight, prematurity, and long hospital stay was found to be predictors of PPD and poor maternal adaptation. As perception of social support and maternal adaptation decreased, PPD symptoms increased. Health providers should detect PPD symptoms of these mothers and have them referred early for counselling.     

Interventions to reduce parental stress and increase readiness of parents with preterm infants in the neonatal intensive care unit: A scoping review

ObjectiveTo identify interventions to reduce parental stress and increase readiness of parents to care for their preterm baby.MethodsThis scoping review was conducted according to the Joanna Briggs Institute Guidelines, using the following databases: Science Direct, Scopus, MEDLINE, and ProQuest.ResultsThirteen articles were found and selected for review. The main psychological problem of parents of preterm babies includes stress, anxiety, and depression. There were three types of interventions given to overcome parental stress and improve maternal competencies but the most used interventions were music therapy and parental involvement in preterm care while in the neonatal intensive care.ConclusionParental stress, mothers’ anxiety, and depression are the main problems of parents of a preterm neonate. To address these psychological problems and increase maternal competencies, it is necessary to combine several interventions.     

袋鼠式护理对新生儿重症监护室早产儿操作性疼痛的影响

目的:探讨新生儿重症监护室(NICU)早产儿执行疼痛性操作时应用袋鼠式护理对改善操作性疼痛的效果.方法:将本院N IC U收治的90例早产儿按入科顺序分为对照组和观察组.对照组45例早产儿接受N IC U常规护理,观察组45例早产儿接受常规护理和袋鼠式护理.比较两组早产儿操作性疼痛评分及血氧饱和度(SPO2)、心率(H...     

The effectiveness of neonatal early supported transfer to home interventions for parents and preterm infants in neonatal intensive care units: A systematic review and meta-analysis

BackgroundPreterm infants often need admission to a neonatal unit causing prolonged stress for parents. Evidence has shown that neonatal early supported transfer to home interventions may reduce stress levels. This systematic review investigates effectiveness of neonatal early supported transfer to home interventions for parents and preterm infants in neonatal intensive care units.MethodsSix databases and two trials registries were searched from inception to February 2022. Risk of bias was assessed using the RoB2 and ROBINS I tool.ResultsTen studies were included. Neonatal early supported transfer to home interventions reduced duration of hospital stay by up to 11 days compared to usual care, without significantly increasing hospital re-admission rates (p= >0.05). Studies were judged to have moderate to serious risk of bias.ConclusionsThe findings indicate that early supported transfer to home interventions may reduce hospital stay with no evidence of difference in hospital admission rates, infants weight gain or breastfeeding rates (compared to standard care). However, due to the dearth of high-quality evidence it is not possible to make recommendations for implementation.     

强化镇痛对急性创伤患者创伤后应激障碍发病的影响

目的:探讨强化镇痛对急性创伤患者创伤后应激障碍（post-traumatic stress disorder,PTSD）发病的影响,为PTSD的防治拓展思路。方法:采用前瞻性观察性研究方法,以2018年1月至2019年11月就诊于徐州医科大学附属医院急救中心且符合纳入排除标准的创伤患者为研究对象。根据伤后30 d内平均...     

The development of a digital educational program with parents of preterm infants and neonatal nurses to meet parents educational needs

The aim of this research project is to explore parents and staff opinion about the development of a digital educational program to meet parent's educational needs in neonatology. For this qualitative study, one-on-one and group interviews were conducted in person or via a web platform with 15 mothers, 5 fathers and 9 neonatal nurses. Participants considered the digital educational program presented relevant and complete. They believed the digital educational program should be available as soon as possible for parents, at admission or even before. More than half thought it was better to have the information presented on a website, while an equal number of participants considered an application to be optimal. In addition, participants proposed several additional topics to add, such as information about discharge, resources available in the NICU or after discharge, and breastfeeding complications, among others. In conclusion, a digital educational program addressing topics such as parenting, infants' behaviour and appearance, and the care environment is appropriate to meet the needs of premature infants' parents.     

The use of comforting touch and massage to reduce stress for preterm infants in the neonatal intensive care unit

Preterm infants receive little comforting touch in the neonatal intensive care unit (NICU). Most of the touch they receive is associated with medical or nursing procedures. This report reviews research related to the use of comforting touch and massage as an intervention to reduce stress in preterm infants in the NICU. Findings from these studies suggest that gentle touch may be soothing for infants who are physiologically fragile and may result in decreased motor activity and behavioral distress. Stroking and massage interventions may have benefits for infants who are physiologically stable. Caregivers can be advised to provide gentle touch when infants are physiologically fragile, and progress to gentle stroking and massage as the infants mature. The research findings to date suggest that when infants are physiologically fragile they may respond best to still, gentle touch. As they mature and become more stable, caregivers can begin to provide gentle stroking and massage, observing the infants' responses and modifying their tactile stimulation accordingly. Copyright © 2001 by W.B. Saunders Company