Kexin He, Xin Zhang, Jiayan Gou, Fei Wang, Liuni Zou
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引用次数: 0
Abstract
Purpose: This review aims to ascertain the effects of mHealth on negative emotions among parents of preterm infants and analyze the current state of mHealth services in this context.
Background: Caring for preterm infants often engenders negative emotions in parents, such as anxiety, depression, and stress. Mobile Health (mHealth) services offer potential benefits for preterm infant care. However, there are several uncertainties regarding the impact of mHealth services on parental emotions.
Methods and study design: Randomized controlled trial (RCT) and quasi-RCT were published in English and Chinese until 2023 and are available in the electronic databases of MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINHAHL), Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang Database, and China Science and Technology Journal Database were reviewed. Review Manager 5.4 was employed for random-effects meta-analysis.
Results: Seven RCTs and 6 quasi-RCTs with high risks were included, most of them were based on small sample size and single-centered. Meta-analysis demonstrated that mHealth interventions mitigated negative emotions, including anxiety (standard mean difference [SMD] = -1.07; 95% confidence interval [CI], -1.47 to -0.66; P< 0.0001), depression (SMD = -1.94; 95% CI, -3.01 to -0.86; P< 0.0001), and stress (SMD = -1.24; 95% CI, -2.07 to -0.40; P< 0.0001), among parents of preterm infants.
Conclusions: It is recommended to develop independent specialized software for mHealth, enhance theoretical underpinnings, and standardize practical protocols. Incorporating early recognition and screening of negative emotions within mHealth could offer comprehensive support for the mental health of parents with preterm infants.
Implications: The mHealth-based interventions are needed to focus on the parents' emotional needs and minimize the impacts associated with mental stress.
目的：本综述旨在确定移动医疗对早产儿父母负面情绪的影响，并分析在此背景下移动医疗服务的现状：背景：照顾早产儿往往会给父母带来焦虑、抑郁和压力等负面情绪。移动医疗（mHealth）服务为早产儿护理提供了潜在的益处。然而，移动医疗服务对父母情绪的影响还存在一些不确定因素：方法与研究设计：查阅了 2023 年之前发表的中英文随机对照试验（RCT）和准 RCT，这些试验可在 MEDLINE、EMBASE、Cochrane Central Register of Controlled Trials、Web of Science、Cumulative Index to Nursing and Allied Health Literature (CINHAHL)、中国生物医学文献数据库、中国国家知识基础设施、万方数据库和中国科技期刊数据库等电子数据库中检索到。采用Review Manager 5.4进行随机效应荟萃分析：结果：共纳入了 7 项 RCT 和 6 项准 RCT，这些研究风险较高，其中大部分研究样本量较小，且以单一中心为基础。荟萃分析表明，移动医疗干预措施减轻了包括焦虑在内的负面情绪（标准平均差 [SMD] = -1.07; 95% 置信区间 [CI], -1.47 to -0.66; PConclusions：建议为移动保健开发独立的专业软件，加强理论基础，并规范实际操作方案。在移动保健中纳入负面情绪的早期识别和筛查可为早产儿父母的心理健康提供全面支持：启示：以移动保健为基础的干预措施需要关注父母的情感需求，并将与精神压力相关的影响降至最低。
期刊介绍：
The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses.
The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.
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