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Types, Evidence, and Resources of Interventions Focused on Improving the Psychosocial Well-being of Parents of Premature/Sick Infants: A Scoping Review
Advances in Neonatal Care ( IF 1.7 ) Pub Date : 2022-10-01 , DOI: 10.1097/anc.0000000000000913
Gill Thomson 1 , Claire Feeley
Affiliation  

Background: 

Parents of infants born premature and/or sick and who require neonatal care are at risk of poor mental health. Currently, there is no comprehensive knowledge about interventions (ie, types, evidence, resources) that have been exclusively designed to improve the psychosocial well-being of this population group.

Purpose: 

To undertake a systematic scoping review of interventions focused on improving the psychosocial well-being of parents of sick/premature infants who required neonatal care to identify the (a) types of interventions, (b) evidence of the interventions, and (c) level of resources required to deliver the interventions.

Search Strategy: 

e searched 7 databases (MEDLINE, CINAHL, PsycINFO, Cochrane, EMBASE, Web of Science, and Global Index), reviewed references, and followed up key authors.

Results: 

From 10,516 hits, 38 articles met the inclusion criteria (36 different studies/interventions). Studies included creative oriented (n = 11), group/peer support (n = 4), relaxation/mindfulness (n = 3), spiritual/religious (n = 4), psychotherapeutic-based (n = 11), and “other” (n = 3) (eg, sleep, acupuncture). Most had been undertaken in high-income settings with mothers and required varying levels of resources within and between the different intervention types. While some interventions were effective, there was high heterogeneity with similar interventions using different designs, protocols, and outcomes. Most intervention types included studies that highlighted what parents valued (eg, self-care, relaxation, social opportunities).

Implications for Research: 

Evidence highlights a wide range of potential interventions for nursing and other specialist staff to consider and offers insights into potential mechanisms of effectiveness to underpin future intervention design.



中文翻译:

侧重于改善早产/患病婴儿父母社会心理健康的干预措施的类型、证据和资源:范围界定审查

背景: 

早产和/或患病婴儿的父母需要新生儿护理,他们的心理健康状况不佳。目前,还没有关于专门设计用于改善该人群社会心理健康的干预措施(即类型、证据、资源)的全面知识。

目的: 

对干预措施进行系统的范围界定审查,重点是改善需要新生儿护理的患病/早产儿父母的社会心理健康,以确定 ( a ) 干预类型,( b ) 干预证据,以及 ( c ) 水平提供干预措施所需的资源。

搜索策略: 

e 搜索了 7 个数据库(MEDLINE、CINAHL、PsycINFO、Cochrane、EMBASE、Web of Science 和 Global Index),审查了参考文献,并跟进了主要作者。

结果: 

从 10,516 次点击中,有 38 篇文章符合纳入标准(36 项不同的研究/干预)。研究包括创意导向 (n = 11)、团体/同伴支持 (n = 4)、放松/正念 (n = 3)、精神/宗教 (n = 4)、基于心理治疗 (n = 11) 和“其他”(n = 3)(例如,睡眠、针灸)。大多数是在高收入环境中与母亲一起进行的,并且在不同干预类型内部和之间需要不同水平的资源。虽然一些干预措施是有效的,但使用不同设计、方案和结果的类似干预措施存在高度异质性。大多数干预类型包括强调父母重视什么(例如,自我保健、放松、社交机会)的研究。

研究意义: 

证据突出了可供护理人员和其他专职人员考虑的广泛的潜在干预措施,并提供了对潜在有效性机制的见解,以支持未来的干预设计。

更新日期:2022-09-01
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