[1]郭宏卿,霍秋桂,阐玉英,等.照护图对高危儿过渡期家庭出院准备度和父母育儿胜任感的影响[J].军事护理,2022,39(04):9-13.[doi:10.3969/j.issn.1008-9993.2022.04.003]
　GUO Hongqing,HUO Qiugui,SHAN Yuying,et al.The Effect of Care Map on the Discharge Preparedness and the Parenting Sense of Competence of Family with High-risk Infants During Transition Period[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(04):9-13.[doi:10.3969/j.issn.1008-9993.2022.04.003]
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照护图对高危儿过渡期家庭出院准备度和父母育儿胜任感的影响
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年04期
页码:
9-13
栏目:
论著
出版日期:
2022-04-15

文章信息/Info

Title:
The Effect of Care Map on the Discharge Preparedness and the Parenting Sense of Competence of Family with High-risk Infants During Transition Period
文章编号:
1008-9993(2022)04-0009-05
作者:
郭宏卿1; 霍秋桂1; 阐玉英2; 陈培珍1; 盛晓郁1
(1.苏州大学附属儿童医院 新生儿科,江苏 苏州 215000; 2.苏州大学附属儿童医院 护理部)
Author(s):
GUO Hongqing1; HUO Qiugui1; SHAN Yuying2; CHEN Peizhen1; SHENG Xiaoyu1
(1.Department of Neonatology,Children's Hospital of Soochow University,Suzhou 215003,Jiangsu Province,China; 2.Nursing Department,Children's Hospital of Soochow University)
关键词:
高危儿;  照护图;  过渡期;  出院准备度;  育儿胜任感
Keywords:
High-risk infant;  care map;  transition period;  discharge preparedness;  parenting sense of competence
分类号:
R473.72
DOI:
10.3969/j.issn.1008-9993.2022.04.003
文献标志码:
A
摘要:
目的 探讨照护图对高危儿过渡期家庭出院准备度和父母育儿胜任感的影响。方法 2019年12月至2021年1月,便利抽样法选取苏州市某儿童医院新生儿科重症监护室收治的74例高危儿的父母为研究对象,分为对照组和观察组各37例。对照组采取常规护理,观察组在此基础上,出院前指导父母绘制照护图。比较两组高危儿父母出院当天的出院准备度和育儿胜任感得分,并访谈观察组父母以评价干预效果。结果 观察组患儿父母出院准备度中的总分及疾病知识、身心状态、预期社会支持维度均高于对照组(均P<0.05),育儿胜任感总分和各维度均高于对照组,差异均有统计学意义(均P<0.05)。高危儿父母认为照护图在过渡期护理中起积极作用。结论 照护图能提高高危儿家庭的出院准备度和其父母的育儿胜任感,是一种方便有效的护理干预工具。
Abstract:
Objective To investigate the effect of care map on the discharge preparedness and the parenting sense of competence of family with high-risk infants during transition period.Methods A total of 74 parents of high-risk children who were hospitalized in the neonatal intensive care unit of a children's hospital in Suzhou from December 2019 to January 2021 were selected as the research objects by convenience sampling method,and were divided into the control group(n=37)and the observation group(n=37).The control group was given routine care,and the experimental group was instructed to make care maps before discharge in addition to the routine care.The discharge preparedness and the parenting sense of competence scores of the parents of high-risk infants in the two groups were compared on the day of discharge.The intervention effect was evaluated by interviewing the parents of the experimental group.Results The total score,disease knowledge,physical and mental state,and expected social support dimensions of the experimental group's discharge preparedness were higher than those of the control group(all P<0.05).The total score and each dimension of the parenting sense of competence were higher than those of the control group,and the difference were significant(all P<0.05).Parents of high-risk infants believed that the care map played a positive role in transitional care.Conclusions Care map can improve the discharge preparedness of families with high-risk children and the parenting competence of parents,which is a convenient and effective nursing intervention tool.

参考文献/References:

[1] 邵肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].北京:人民卫生出版社,2019:231-234.
[2] 郑乔木,花文哲,严洁,等.重症监护室早产儿父母出院准备水平及其影响因素分析[J].中国实用护理杂志,2021,37(25):1979-1984.
[3] ZHANG X,LEE S Y,CHEN J,et al.Factors influencing implementation of developmental care among NICU nurses in China[J].Clin Nurs Res,2016,25(3):238-253.
[4] Boston Children's Hospital.Care mapping[EB/OL].[2021-07-01].http://www.childrenshospital.org/integrated-care-program/care-mapping.
[5] ADAMS S,NICHOLAS D,MAHANT S,et al.Care maps for children with medical complexity[J].Dev Med Child Neurol,2017,59(12):1299-1306.
[6] ADAMS S,NICHOLAS D,MAHANT S,et al.Care maps and care plans for children with medical complexity[J].Child Care Health Dev,2019,45(1):104-110.
[7] WEISS M E,PIACENTINE L B.Psychometric properties of the readiness for hospital discharge scale[J].J Nurs Meas,2006,14(3):163-180.
[8] CHEN Y F,BAI J.Reliability and validity of the Chinese version of the readiness for hospital discharge scale-parent form in parents of preterm infants[J].Int J Nurs Sci,2017,4(2):88-93.
[9] GIBAUD J.Self-esteem and situational stress:factors related to sense of competence in new parents[D].Michigan:Uiversity of Michigan Ann Arbor,1977.
[10]NGAI F W,CHAN W C,HOLROYD E.Translation and validation of a Chinese version of the parenting sense of competence scale in Chinese mothers[J].Nurs Res,2007,56(5):348-354.
[11]杨晓,高玲玲,张振香,等.中文版育儿胜任感量表在产妇中应用的信效度检验[J].中华护理杂志,2014,49(7):881-885.
[12]梁珊,于腾飞,刘文敬,等.父母产后抑郁与育儿胜任感:有调节的中介效应[J].中国临床心理学杂志,2021,29(5):1040-1044.
[13]赵晓雯,屈小莉,朱社宁,等.早产儿从新生儿重症监护室到家庭过渡期护理的研究进展[J].中国实用护理杂志,2019,35(27):2157-2161.
[14]易银萍,蒋运兰,楚鑫,等.慢性心力衰竭病人的出院计划研究进展[J].护理研究,2019,33(14):2427-2430.
[15]张明,谭诗亮,潘丽娟,等.剖宫产术后慢性疼痛的研究进展[J].,2016,33(3):48-51.
[16]郭瑛,刘亚娇,王华,等.心理行为护理干预对剖宫产初产妇产后焦虑、抑郁及疼痛状态的影响[J].国际精神病学杂志,2017,44(5):911-914.
[17]崔慧敏,孙彩霞,李胜玲.NICU早产儿母亲疾病不确定感与家庭功能的相关性[J].实用医学杂志,2017,33(4):643-645.
[18]王慧萍,陈京立,魏莉君,等.信息支持对早产初产妇育儿胜任感及亲职压力的效果评价[J].中国实用护理杂志,2019,35(28):2179-2184.
[19]MCLNTOSH J,SHUTE J.The process of health visiting and it contribution to parental support in the starting well demonstration project[J].Health Soc Care Community,2007,15(1):77-85.
[20]SEVIGNY P R,LOUTZENHISER L.Predictors of parenting self-efficacy in mothers and fathers of toddlers[J].Child Care Health Dev,2010,36(2):179-189.
[21]LEMELLE A J,REED W,TAYLOR S.Handbook of African American health[M].New York:Springer,2011:12-15.
[22]BRACHT M,O'LEARY L,LEE S K,et al.Implementing family integrated care in the NICU:a parent education and support program[J].Adv Neonatal Care,2013,13(2):115-126.
[23]张洪,刘晓丹,王芹华,等.国内外父母育儿胜任感的研究进展[J].中华现代护理杂志,2016,22(16):2361-2363.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-08-08 【 修回日期 】 2022-02-23
【 基金项目 】 苏州市科技发展计划(民生科技-医疗卫生应用基础研究)项目(SYSD2019123)
【 作者简介 】 郭宏卿,本科,副主任护师,从事新生儿护理工作
【 通信作者 】 阐玉英 电话:0512-80692706
更新日期/Last Update: 2022-04-15