Promoting Emotional Well-Being in Distressed NICU Mothers: A Phase 2 Evaluation of a Nurse-Delivered Approach

促进 NICU 母亲的情绪健康：护士实施方法的第二阶段评估

基本信息

批准号：
9764491
负责人：
LISA Sharon SEGRE
金额：
$ 19.06万
依托单位：
UNIVERSITY OF IOWA
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-15 至 2022-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9764491
关键词：
Address Admission activity Adopted Anxiety Arts British Caring Client satisfaction Clinical Clinical Trials Communication Control Groups Data Depressed mood Depression screen Discipline of Nursing Distress Educational Status Emotional Enrollment Ensure Equipment and supply inventories Evaluation Family Friends Funding Health Health Professional Health Services Accessibility Health Status Healthcare Home visitation Hospitalization Infant Intervention Iowa Length of Stay Maternal Health Measures Medical Medical Care Team Mental Depression Mental Health Modeling Moods Mothers Neonatal Intensive Care Units Newborn Infant Nurse Practitioners Nurses Outcome Parents Perception Phase Philosophy Population Positioning Attribute Postpartum Period Postpartum Women Press Releases Psyche structure Public Health Publishing Quality of Care Randomized Reaction Readiness Research Resources Safety Services Social Work Stress Stressful Event Testing Time Trust Twin Multiple Birth Visit Visiting Nurse Well in self anxiety symptoms clinical practice clinically significant comparison group coping cost effective depressive symptoms emotional distress experience feasibility trial improved innovation novel phase 2 testing point of care prevent programs relative effectiveness satisfaction secondary analysis standard of care support tools treatment as usual

项目摘要

PROJECT SUMMARY/ABSTRACT Infant admission to the neonatal intensive care unit (NICU) is an extremely stressful postpartum outcome, as evidenced by data showing significant depressive symptoms in some 63% of new NICU mothers. Thus, as part of a Family-Centered Care philosophy, focus on the emotional well-being of the mother (and indeed the entire family) should be widely adopted by NICU nursing units. In current clinical practice, however, the emotional well-being of NICU mothers is often ignored. At best, NICU mothers are screened for depression and if indicated, referred to a mental health professional. We posit that the extremes of no treatment and full- on mental healthcare comprise an inadequate approach for treating mothers dealing with a normative reaction to a stressful event. In alignment with the Nurse Parent Support Model, we propose implementation of Listening Visits—a cost-effective nurse-delivered supportive approach, proven to relieve moderately severe depressive symptoms in mothers of term infants. In the NICU setting, Listening Visits were first implemented in a phase-1 feasibility trial conducted by PI Segre and her team. In that first trial, Listening Visits were delivered by a doctoral level nurse practitioner and showed promise as means to reduce distress in NICU mothers. A Listening Visit program for emotionally distressed NICU mothers is innovative because it is a cost-effective approach that uses resources that are largely in place, to serve a persistent unmet need in a vulnerable postpartum population. By having nurses provides support, the concept of emotional distress in NICU mothers is normalized. This new application of Listening Visits also directly aligns with the NINR emphasis on promoting coping to prevent compromising mood states. The promising results of the feasibility trial now must be challenged with a control group comparison to definitively attribute maternal improvements to Listening Visits. Thus the objective of the proposed research is to conduct a Phase 2 pilot RCT to evaluate Listening Visits provided by bachelor's-level NICU nurses as compared with the care currently provided by the NICU social work team. In three specific aims we will assess the relative effectiveness of Listening Visits on depression symptoms, perception of nurse support, and infant's length of stay. 0

项目概要/摘要婴儿进入新生儿重症监护病房 (NICU) 是一种压力极大的产后结果，因为数据表明，约 63% 的 NICU 新妈妈有明显的抑郁症状。作为以家庭为中心的护理理念的一部分，关注母亲（实际上也是母亲）的情感健康整个家庭）应该被NICU护理单位广泛采用，但在目前的临床实践中， NICU 母亲的情绪健康常常被忽视，最多只能对 NICU 母亲进行抑郁症筛查。如果有指示，请转介给心理健康专业人士，我们认为不治疗和全面治疗的极端情况。心理保健方面的问题包括治疗处理规范反应的母亲的方法不充分根据护士家长支持模式，我们实施以下建议：倾听访视——护士提供的一种经济高效的支持方法，经证明可以缓解中重度症状在新生儿重症监护病房 (NICU) 中，首次实施倾听访视。由 PI Segre 和她的团队进行的第一阶段可行性试验在第一次试验中，进行了倾听访问。由博士级护士执业者开发，并显示出作为减轻 NICU 母亲痛苦的方法的希望。针对情绪困扰 NICU 母亲的倾听访问计划具有创新性，因为它具有成本效益使用基本到位的资源来满足弱势群体持续未得到满足的需求的方法通过护士提供支持，新生儿重症监护病房母亲的情绪困扰的概念。倾听访问的这一新应用也与 NINR 的重点直接一致。促进应对以防止妥协的情绪状态。目前可行性试验的可喜结果。必须接受对照组比较的挑战，才能明确地将母亲的改善归因于因此，拟议研究的目标是进行第二阶段试点随机对照试验来评估。与目前由学士级 NICU 护士提供的护理相比，进行聆听访问 NICU 社会工作团队将在三个具体目标中评估倾听访问的相对有效性。抑郁症状、对护士支持的看法以及婴儿的住院时间。 0

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A Randomized Controlled Trial of Listening Visits for Mothers of Hospitalized Newborns.

对住院新生儿母亲进行倾听访问的随机对照试验。

DOI：
10.1097/nnr.0000000000000650
发表时间：
2023
期刊：
Nursing research
影响因子：
2.5
作者：
Segre,LisaS;McCabe,JenniferE;Davila,RebeccaChuffo;Carter,Cheryl;O'Hara,MichaelW;Arndt,Stephan
通讯作者：
Arndt,Stephan

Race/ethnicity matching boosts enrollment of black participants in clinical trials.

种族/族裔匹配提高了临床试验中黑人参与者的入学率。