目的:以家庭为中心的护理(FCC)是儿科住院护理的推荐模式。我们的总体目标是对当代已发表的关于FCC干预对儿科住院患者的有效性的研究进行叙述性综合。我们的具体目标是批评评估儿童或父母结局的住院儿科FCC干预措施的研究。
方法:我们搜索了五个数据库(Pubmed,CINAHL,Embase,PsychInfo,和WebofScience),用于2017年1月1日至2024年2月6日发表的同行评审研究。独立审核员根据预先指定的纳入和排除标准对每项研究进行评估。然后提取并叙述合成数据。
结果:我们发现了在六个国家进行的15项干预措施的16项研究。这些研究是定量的(n=11),定性(n=3),和混合方法(n=2),大多数设计都是基于改进的混合方法评估工具的低到中等质量。干预措施包括以家庭为中心的回合,以父母为中心的健康信息技术,教育,病人导航,父对等支持,伙伴关系,和父母参与护理。大多数研究发现父母的幸福感有了显著改善,知识,和参与,与常规护理相比,FCC干预措施还能减少压力和焦虑。一项研究发现儿童结局没有差异(婴儿喂养,住院时间)在常规护理和父母参与干预之间。
结论:尽管FCC干预为父母带来了许多改善的结果,使用经过验证的工具和明确定义的干预措施的精心设计的比较研究很少.需要更高质量的研究来促进全球范围内FCC干预措施的更大吸收和可持续性。
OBJECTIVE: Family-centered care (FCC) is the recommended model for pediatric inpatient care. Our overall aim was to conduct a narrative synthesis of the contemporary published research on the effectiveness of FCC interventions for pediatric inpatients. Our specific objective was to critique studies of inpatient pediatric FCC interventions that evaluated child or
parent outcomes.
METHODS: We searched five databases (Pubmed, CINAHL, Embase, PsychInfo, and Web of Science) for peer-reviewed research published from 1 January 2017 to 6 February 2024. Independent reviewers evaluated each study based on pre-specified inclusion and exclusion criteria, then extracted and narratively synthesized the data.
RESULTS: We found 16 studies of 15 interventions conducted in six countries. The studies were quantitative (n = 11), qualitative (n = 3), and mixed methods (n = 2), with most designs being of low to moderate quality based on a modified Mixed-Methods Appraisal Tool. Interventions included family-centered rounds,
parent-focused health information technology, education, patient navigation,
parent-peer support, partnership, and
parent participation in caregiving. Most studies found significant improvements in parents\' well-being, knowledge, and participation, as well as decreased stress and anxiety with the FCC interventions compared to usual care. One study found no differences in child outcomes (infant feeding, length of stay) between usual care and a
parent-participation intervention.
CONCLUSIONS: Although FCC interventions led to many improved outcomes for parents, there were few well-designed comparison studies using validated tools and well-defined interventions. Higher quality research is needed to promote greater uptake and sustainability of FCC interventions globally.