The Impact of Pandemic-Induced Separation and Visitation Restrictions on the Maternal-Infant Dyad in Neonatal Units: A Systematic Review.

IF 1.6 4区 医学 Q2 NURSING Advances in Neonatal Care Pub Date : 2024-10-22 DOI:10.1097/ANC.0000000000001213
Victoria J Kain, Sasitorn Phumdoung, Siriporn Vetcho, Piyada Chaisri
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Abstract

Background: The COVID-19 pandemic affected the maternal-infant dyad, especially due to visitation restrictions in neonatal units. These changes may impact the psychological, physical, and developmental health of mothers and newborns.

Purpose: This systematic review evaluates the impact of enforced separation and restrictive visitation policies in neonatal units during the pandemic, focusing on the maternal-infant dyad.

Data sources: Data sources include CINAHL, MEDLINE, Web of Science, APA PsycINFO, Academic Search Ultimate, and Embase, covering studies published between 2020 and 2024.

Study selection: A detailed search was conducted using terms related to COVID-19, maternal and neonatal health, and visitation restrictions in neonatal units. Articles were included if they were peer-reviewed, written in English, and focused on the impact of visitation restrictions on maternal and neonatal health.

Data extraction: The data extraction process began with 789 references. After removing duplicates, we screened titles and abstracts. We then conducted a full-text assessment of the remaining studies, selecting 14 that met the inclusion criteria.

Results: The analysis showed significant emotional, psychological, and developmental impacts on mothers and newborns due to pandemic-induced separation and inconsistent policies. It highlighted depressive symptoms, stress, bonding disruptions, and the effectiveness of virtual bonding.

Implications for practice and research: The review emphasizes the need for family-centered care, coping strategies, and virtual bonding in neonatal units. It calls for culturally sensitive policies to support mothers and infants during crises. The review also highlights the importance of studying the long-term effects of pandemic-induced separations and improving support for future health emergencies.

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大流行对新生儿病房母婴分离和探视限制的影响:系统回顾
背景:COVID-19 大流行影响了母婴关系,尤其是新生儿病房的探视限制。目的:这篇系统性综述评估了大流行期间新生儿病房强制分离和限制探视政策的影响,重点关注母婴二人世界:数据来源包括 CINAHL、MEDLINE、Web of Science、APA PsycINFO、Academic Search Ultimate 和 Embase,涵盖 2020 年至 2024 年间发表的研究:使用与 COVID-19、孕产妇和新生儿健康以及新生儿病房探视限制相关的术语进行了详细搜索。如果文章经过同行评议、用英语撰写,并侧重于探视限制对孕产妇和新生儿健康的影响,则可纳入研究:数据提取过程从 789 篇参考文献开始。去除重复内容后,我们筛选了标题和摘要。然后,我们对剩余的研究进行了全文评估,选出了 14 篇符合纳入标准的研究:分析表明,大流行导致的分离和不一致的政策对母亲和新生儿的情绪、心理和发育产生了重大影响。分析强调了抑郁症状、压力、亲子关系中断以及虚拟亲子关系的有效性:综述强调了新生儿病房中以家庭为中心的护理、应对策略和虚拟亲子关系的必要性。综述呼吁制定具有文化敏感性的政策,在危机期间为母婴提供支持。综述还强调了研究大流行病引起的分离的长期影响以及改善对未来卫生紧急情况的支持的重要性。
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来源期刊
CiteScore
2.60
自引率
5.90%
发文量
101
期刊介绍: Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.
期刊最新文献
Attitudes and Experiences Among Swedish NICU Nurses Regarding Skin-to-Skin Care of Infants Born at 22-23 Weeks of Gestation. Eyedealistic Vision: Optimizing Oxygenation to Reduce Severe Retinopathy of Prematurity in the Neonatal Intensive Care Unit. The Impact of Pandemic-Induced Separation and Visitation Restrictions on the Maternal-Infant Dyad in Neonatal Units: A Systematic Review. The Role of Neonatal Nurse Practitioners in the Implementation of a Bedside Point-of-Care Ultrasound Program. Initial Development of the Nurse Perception of Infant Condition (NPIC) Scale.
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