Issues faced by parents in taking care of the prematurely born child after hospital discharge

Agnieszka Kruszecka-Krówka, A. Gniadek, A. Jonas
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Abstract

Background. The nature of health and care-related problems in preterm babies requires specific knowledge, competences and skills from the parents or carers, especially once the child has been discharged from hospital. It is also necessary to ensure that highly-specialised care provided to the child during their stay at the hospital is continued. Objectives. The aim of the the study was to determine the issues of parents in taking care of a prematurely born child after hospital discharge. Material and methods. Study participants were parents of preterm babies examined at the Outpatient Centre at the Neonatology Clinic of the University Hospital in Kraków. The study involved 60 respondents. The research method used was a diagnostic survey with the use of an original questionnaire. Results. Most parents did not feel theoretically or practically prepared to take care of the child after hospital discharge, and at the time of discharge from hospital the respondents usually felt happy and anxious at the same time. The respondents thought that biggest issue with regard to looking after a premature baby was feeding and nursing the child, as well as ensuring continued provision of highly-specialised care, mainly rehabilitation. Conclusions. The concept of holistic care provided to newborns at intensive neonatological care units requires the medical team to develop and implement educational programmes for parents, directed at the individual needs of the child and their parents. Provision of support to the parents at every stage of the child’s hospitalisation, as well as after hospital discharge, should be considered a necessity.
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父母在照顾早产婴儿出院后面临的问题
背景。早产儿的保健和护理相关问题的性质要求父母或照料者具备特定的知识、能力和技能,特别是在儿童出院后。还必须确保在儿童住院期间继续向其提供高度专业化的护理。目标。这项研究的目的是确定父母在照顾早产婴儿出院后的问题。材料和方法。研究参与者是在Kraków大学医院新生儿科门诊中心接受检查的早产儿的父母。这项研究涉及60名受访者。使用的研究方法是使用原始问卷的诊断性调查。结果。大多数父母在理论上或实际上都没有准备好照顾出院后的孩子,在出院时,受访者通常同时感到快乐和焦虑。受访者认为,照顾早产儿的最大问题是喂养和护理孩子,以及确保持续提供高度专业化的护理,主要是康复。结论。在新生儿重症监护室为新生儿提供全面护理的概念要求医疗小组制定和实施针对儿童及其父母个人需求的父母教育方案。在儿童住院的每个阶段以及出院后向父母提供支助应被认为是必要的。
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