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在新冠疫情期间改善新生儿重症监护病房(NICU)与家长的沟通:一项文献研究与综述

Improving Communication with Parents in the NICU during the COVID-19 Pandemic, a Study and Review of the Literature.

作者信息

Riskin Arieh, Shlezinger Shlomit, Yonai Lital, Mor Frida, Partom Limor, Monacis-Winkler Elinor, Odler Keren, Goroshko Maria, Gover Ayala

机构信息

Department of Neonatology, Bnai Zion Medical Center, 47 Golomb Street, P.O. Box 4940, Haifa 31048, Israel.

Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, P.O. Box 4940, Haifa 32000, Israel.

出版信息

Children (Basel). 2022 Nov 11;9(11):1739. doi: 10.3390/children9111739.

Abstract

BACKGROUND

Communication with parents of sick premature and term infants in the NICU is complicated and challenging. Multiple efforts have been made to improve it, including the introduction of new electronic-based measures.

AIM

We aimed to study the influence of implementation of a new communication technology on parents' satisfaction with care in the NICU during the COVID-19 pandemic.

METHODS

Infants were video-recorded in their incubators or cots without being disturbed. These short films, with voice updates on the infant's condition, were sent on a daily basis to their parents via a WhatsApp application.

RESULTS

Parents who chose to join the new communication project (study group) were older, and their infants were more premature. Parents were satisfied with this new communication modality. Satisfaction scores in both study and control groups were high, but not significantly different.

CONCLUSIONS

Although the implementation of the new communication project was successful, we could not demonstrate significant improvement in satisfaction scores that were high in study and control groups, reflecting baseline high satisfaction. Further studies are needed employing other assessment tools in order to evaluate other aspects of parents' satisfaction with new modalities of communication introduced to the NICU, and their effects on parents' bonding with their infants.

摘要

背景

在新生儿重症监护病房(NICU)与患病早产儿和足月儿的父母进行沟通复杂且具有挑战性。人们已做出多项努力来改善这种情况,包括引入新的电子措施。

目的

我们旨在研究一种新的通信技术的实施对新冠疫情期间父母对NICU护理满意度的影响。

方法

在婴儿不受干扰的情况下,对其在暖箱或婴儿床中的情况进行视频录制。这些带有婴儿病情语音更新的短片每天通过WhatsApp应用程序发送给他们的父母。

结果

选择加入新通信项目(研究组)的父母年龄较大,且他们的婴儿早产情况更严重。父母对这种新的通信方式感到满意。研究组和对照组的满意度得分都很高,但没有显著差异。

结论

尽管新通信项目的实施很成功,但我们无法证明在研究组和对照组中原本就很高的满意度得分有显著提高,这反映出基线满意度较高。需要采用其他评估工具进行进一步研究,以评估父母对引入NICU的新通信方式的其他方面的满意度,以及这些方式对父母与婴儿之间情感联系的影响。

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