新生儿重症监护室早产儿父母需求质性研究的Meta整合

Meta-synthesis of qualitative research on parents'needs of premature infants in Neonatal Intensive Care Unit

目的整合早产儿在新生儿重症监护室(NICU)住院期间父母的需求,为制订针对性干预措施提供依据。方法计算机检索MEDLINE、Web of Science、CINAHL、Embase、PsycINFO、中国生物医学文献数据库、中国知网、维普网和万方数据库中从建库至2022年6月3日NICU早产儿父母需求相关的质性研究,双人进行筛选后,采用澳大利亚乔安娜布里格斯循证卫生保健中心质性研究质量评价标准进行质量评价,通过Meta整合方法对最终纳入的研究结果进行整合。结果共纳入12项研究,提炼62个研究结果,归纳形成6个类别,并综合形成4个整合结果,分别为对医护人员的需求、对家庭成员的需求、对其他早产儿父母的需求、对政府及医疗机构的需求。结论早产儿在NICU住院期间,父母对医护人员、家庭成员、其他早产儿父母、政府及医疗机构均有需求,医护人员应该根据其需求进行相应的干预和指导,使其更好地应对早产这一突发事件。

Objective To integrate the needs of parents of premature infants during hospitalization in Neonatal Intensive Care Unit(NICU),so as to provide basis for formulating targeted interventions.Methods From the establishment of the database to June 3,2022,the qualitative research on the needs of parents of premature infants in the NICU was retrieved by computer in MEDLINE,Web of Science,CINAHL,Embase,PsycINFO,China Biology Medicine disc,China National Knowledge Infrastructure,VIP and WanFang Data.After screening,the two researchers used the quality evaluation criteria for qualitative research of Australia Joanna Briggs Institute Evidence-Based Health Care Center for quality evaluation.The research results finally included were integrated through Meta-synthesis.Results A total of 12 researches were included,62 research results were extracted,summarized into 6 categories,and 4 integrated results were formed,including the need for medical and nursing staff,the need for family members,the need for other parents of premature infants,and the need for government and medical institutions.Conclusions During the hospitalization of premature infants in NICU,parents have needs for medical and nursing staffs,family members,other parents of premature infants,government and medical institutions.Medical and nursing staff should carry out corresponding intervention and guidance according to their needs,so that they can cope with the emergency of premature delivery.