[Impact on the healthcare team and parents of the type of cardiorespiratory monitoring during phototherapy].

Autor: Carpentier E; Médecine néonatale et réanimation pédiatriques, réanimation et soins continus pédiatriques, pôle femme-couple-enfant, CHU d'Amiens, 80054 Amiens cedex 1, France; PériTox (UMR-I 01), faculté de médecine, UPJV, CHU Amiens-Picardie, avenue Laënnec, 80480 Salouël, France., Fontaine C; Médecine néonatale et réanimation pédiatriques, réanimation et soins continus pédiatriques, pôle femme-couple-enfant, CHU d'Amiens, 80054 Amiens cedex 1, France., Blanchard MC; Gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens, 80054 Amiens cedex 1, France., Boniface A; Gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens, 80054 Amiens cedex 1, France., Tourneux P; Médecine néonatale et réanimation pédiatriques, réanimation et soins continus pédiatriques, pôle femme-couple-enfant, CHU d'Amiens, 80054 Amiens cedex 1, France; PériTox (UMR-I 01), faculté de médecine, UPJV, CHU Amiens-Picardie, avenue Laënnec, 80480 Salouël, France. Electronic address: tourneux.pierre@chu-amiens.fr.
Jazyk: francouzština
Zdroj: Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [Arch Pediatr] 2015 Oct; Vol. 22 (10), pp. 1008-14. Date of Electronic Publication: 2015 Jul 02.
DOI: 10.1016/j.arcped.2015.05.018
Abstrakt: Introduction: Neonatal jaundice is treated with phototherapy and requires continuous cardiorespiratory monitoring, which can induce parental anxiety. Within a very short time, parents receive the announcement of the diagnosis and of the need for a treatment in another unit with a new team of caregivers.
Objective: To evaluate parents' anxiety and their feelings concerning the location of treatment concerning cardiorespiratory monitoring equipment (wired vs Wi-Fi wireless monitoring equipment) and treatment location (neonatology vs maternity wards) during a phototherapy treatment in the neonatology unit, located in the maternity wards.
Methods: This was a prospective and monocentric study. Parental anxiety was assessed using the STAI-Y score. Their feelings on the location of treatment were assessed using a specific questionnaire. Three successive periods were considered: period I "wired with neonatology team," period II "Wi-Fi with neonatology team," and period III "Wi-Fi with maternity wards". Comparison between periods I and II evaluated the impact of the monitoring equipment and comparison between periods II and III assessed the impact of the treatment location.
Results: No effects of the monitoring equipment were observed. We found an impact of the treatment location in charge of the newborn: the parent's anxiety (STAI-Y score) was lower in the maternity wards, whereas the maternity ward personnel considered the protocol as an increased workload (p<0.001).
Conclusion: The monitoring equipment had little effect. Parental anxiety decreased when monitoring took place in the usual maternity wards, underscoring the advantages of a close relationship between maternity and neonatology units.
(Copyright © 2015 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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