关键词: Caregiver Intensive care unit Pediatric nursing Premature infant Preparation for discharge Qualitative research

来  源:   DOI:10.1016/j.pedn.2024.05.027

Abstract:
OBJECTIVE: This study aimed to explore the real experiences and needs of neonatal intensive care unit (NICU) preterm intergenerational caregivers for discharge preparation and provide a basis for nursing staff to formulate systemic and personalized health education plans and continuous nursing plans for preterm discharge.
METHODS: This was a descriptive qualitative study. An objective sampling method was used to select 16 intergenerational caregivers of preterm infants admitted to the NICU of tertiary obstetrics and gynecology hospitals in Zhejiang and Jilin provinces from December 2023 to February 2024. Semi-structured interviews were conducted on the day of discharge of the preterm infants and six weeks after discharge. Colaizzi\'s seven-step analysis method was used to analyze the interview data.
RESULTS: Based on the existence, relatedness, and growth (ERG) theory, the discharge preparation experiences and needs of neonatal intergenerational caregivers in the NICU were summarized into three themes: psychological condition, care capacity condition, and multi-party support needs.
CONCLUSIONS: In the process of hospital discharge preparation, intergenerational caregivers of premature infants in NICU have multiple needs, including enhancing nursing ability and obtaining psychological and multi-party support. It is helpful to take effective interventions to improve their readiness for discharge.
CONCLUSIONS: The nursing staff should develop personalized discharge health education plans and continuous nursing plans to improve the level of discharge preparation.
UNASSIGNED: There were no patient or public contributions.
摘要:
目的:本研究旨在探讨新生儿重症监护病房(NICU)早产代际照顾者出院准备的真实体验和需求,为护理人员制定系统性、个性化的早产健康教育计划和延续护理计划提供依据。
方法:这是一项描述性的定性研究。采用客观抽样法,选取2023年12月至2024年2月浙江、吉林两省三级妇产科医院NICU收治的16名早产儿代际照顾者。在早产儿出院当天和出院后六周进行半结构化访谈。采用Colaizzi的七步分析方法对访谈数据进行分析。
结果:基于存在,亲缘关系,和增长(ERG)理论,NICU新生儿代际照顾者的出院准备经验和需求被总结为三个主题:心理状况,护理能力状况,需要多方支持。
结论:在出院准备过程中,NICU中早产儿的代际照顾者有多种需求,包括提高护理能力,获得心理和多方支持。采取有效的干预措施有助于提高他们的出院准备。
结论:护理人员应制定个性化出院健康教育计划和延续护理计划,提高出院准备水平。
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