家庭参与式护理对早产儿父母心理状况影响的系统评价  

Effect of family integrated care on the psychological status of parents of premature infants:a systematic review

作　　者：周爱玲[1] 刘辉[2] 齐慧[2] Zhou Ailing;Liu Hui;Qi Hui(Nursing Department,the Second People's Hospital of Liaocheng/Liaocheng Second Hospital Affiliated to Shandong First Medical University,Liaocheng 252600,China;Obstetrics Department,the Second People's Hospital of Liaocheng/Liaocheng Second Hospital Affiliated to Shandong First Medical University,Liaocheng 252600,China)

机构地区：[1]聊城市第二人民医院/山东第一医科大学附属聊城二院护理部,聊城252600 [2]聊城市第二人民医院/山东第一医科大学附属聊城二院产科,聊城252600

出　　处：《中华现代护理杂志》2022年第35期4933-4938,共6页Chinese Journal of Modern Nursing

摘　　要：目的系统评价家庭参与式护理对早产儿父母心理状况的影响。方法系统检索PubMed、The Cochrane Library、Web of Science、Embase、Scopus、Wiley Online Library、CINAHL、中国生物医学文献数据库、中国知网、万方数据库、维普网等中与家庭参与式护理对早产儿父母心理状况影响有关的随机和半随机对照试验,并追溯其引用文献,检索时限为各数据库建库至2022年3月3日。由2名研究者根据纳入和排除标准进行筛查、评价文献,提取相应文献资料,并应用RevMan 5.3软件进行Meta分析。结果最终纳入14篇文献,包含3296例研究对象。Meta分析结果显示,家庭参与式护理可缓解早产儿父母的焦虑(SMD=-1.50,95%CI:-2.11~-0.89,P<0.00001)、抑郁(SMD=-2.08,95%CI:-3.32~-0.85,P=0.0009)和压力(SMD=-1.09,95%CI:-1.61~-0.57,P<0.0001)。结论家庭参与式护理可缓解早产儿父母的焦虑、抑郁和压力。由于受纳入研究数量和质量的限制,仍需大样本和设计严谨的随机对照研究加以证实。Objective To systematically evaluate the effect of family integrated care on the psychological status of parents of premature infants.Methods Randomized and semi randomized controlled trials related to the effect of family integrated care on the psychological status of parents of premature infants were systematically searched in PubMed,the Cochrane Library,Web of Science,Embase,Scopus,Wiley Online Library,CINAHL,China Biomedical Literature Database,China National Knowledge Infrastructure(CNKI),WanFang Data and VIP,and their references were tracedback.The retrieval time limit was from the establishment of each database to March 3,2022.Two researchers screened and evaluated the article according to the inclusion and exclusion criteria,and extracted the data.RevMan 5.3 was used for meta-analysis.Results A total of 14 articles were included,including 3296 subjects.Meta-analysis showed that family integrated care could alleviate anxiety[SMD=-1.50,95%CI(-2.11,-0.89),P<0.00001],depression[SMD=-2.08,95%CI(-3.32,-0.85),P=0.0009]and stress[SMD=-1.09,95%CI(-1.61,-0.57),P<0.0001]of parents of premature infants.Conclusions Family integrated care can alleviate anxiety,depression and stress of parents of premature infants.Due to the limitation of the number and quality of included studies,it still needs to be confirmed by large samples and well-designed randomized controlled studies.

关 键 词：婴儿 早产 家庭参与式护理 父母 心理状况 系统评价 

分 类 号：R473.72[医药卫生—护理学]