新生兒加護病房病嬰父母需求之探討

The Exploration ofNeeds for the Parents ofNeonates in a Neonatal 1ntensive Care Unit

家屬需求會隨著社會、經濟及文化變遷而有所變化，了解現今家屬的需求以提供完整的護理是迫切需要的。本研究目的是探討新生兒加護病房病嬰父母的需求，採描述性研究法，研究對象為南部地區某醫學中心住院滿四個次量表的平均強度排序為「獲得病嬰疾病相關資料需求」為最強，其次「取得護理諮詢需求」，再其次「醫院環境設備方面需求」，最後「得到支持和安慰需求」。病嬰父母需求最強的三個項目為「當病嬰病情有變化時，能很快通知我」、「能了解病嬰病情的預後」、「告知任何相關的檢查報告結果」。當病嬰合併有肺部合併症時其，父母需要得到支持和安慰的需求強度也相對地高。依據此研究結果提供醫謢人員更瞭解病嬰父母之需求，以作為協助病嬰父母滿足各項需求的指引。Due to the social, economic and cultural changes, the needs for the parents of neonates in a neonatal intensive care unit (NICU) are changing as well. In order to deliver effective NICU services, it is necessary for health care providers to understand the medical service needs for the neonates' families. The aim of this study is to explore the needs for the parents of neonates in a NICU. 66 parents, whose neonates had been admitted to a NICU for more than 24 hours at a medical facility in southern Taiwan, were selected as participants in this descriptive study, and all of them were required to fill out a structured questionnaire. The results of the study indicate that the ranking of parent's needs from health care providers in NICU are as follows: relevant information on the neonates' disease, nursing consultation, hospital environment and equipment, and support and consolation. The top three strongest needs for the parents are prompt notification when neonates' conditions change, information on neonates' progresses and prognoses, and prompt notification when medial results are available. The results also indicate that the intensity of needs significantly correlates with the neonates' lung disease. Based on the results of the study, NICU health care providers can set more effective guidelines for providing supports for the families and neonates.