Die psychosoziale Versorgung in der Neonatologie in Deutschland: Eine quantitativ-empirische Bestandsaufnahme aus ärztlicher Perspektive

Kissgen, Ruediger; Carlitscheck, J; Rapp, Christoph; Franke, Sebastian

doi:10.1055/s-0032-1323795

Cited by 7 publications

(10 citation statements)

References 3 publications

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“…Durch die Belastungen, die in dieser Arbeit als "Katastrophe" zusammengefasst wurden, fällt es den Eltern von extrem Frühgeborenen schwer, sich als Mütter oder Väter zu identifizieren [8]. Durch die Verzögerung wichtiger Entwicklungsschritte, die zur Bindung einer stabilen Eltern-Kind-Bindung beitragen, nehmen sich die Eltern verzögert als Eltern wahr bzw.…”

Section: Zielsetzung Und Fragestellungenunclassified

Elternsein nach extremer Frühgeburt – die Katastrophe überstehen

Söhngen¹,

Schnepp²

2019

JuKiP

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Eltern von extrem Frühgeborenen erleben die ersten Wochen nach der Geburt ihres Kindes auf einer neonatologischen Intensivstation. Häufig verbringen sie dort mehrere Monate und erleben eine Vielzahl von traumatischen Ereignissen. Die Mütter und Väter dieser extrem kleinen Kinder beschreiben in dieser Untersuchung ihre Ängste vor dem Tod und vor gravierenden bleibenden Beeinträchtigungen ihrer Kinder. Wie die Eltern diese Zeit überstehen und welche Strategien sie dabei entwickeln, wurde mithilfe von Beobachtungen und Interviews untersucht.

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Section: Zielsetzung Und Fragestellungenunclassified

Elternsein nach extremer Frühgeburt – die Katastrophe überstehen

Söhngen¹,

Schnepp²

2019

JuKiP

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“…Um die Bewältigungs-und Adaptionsprozesse der Eltern unterstützen zu können und die Auswirkungen dieses kritischen Lebensereignisses zu reduzieren, ist demnach eine psychosoziale Begleitung notwendig [21,46]. Ziele dieser sind u. a. die verbesserte Beziehungsaufnahme der Eltern zu ihrem Kind und die Förderung des Aufbaus einer tragfähigen Bindung als bestmögliche Grundlage für die Entwicklung ihres Kindes [18,21,30,47].…”

Section: Psychosoziale Begleitung In Der Neonatologieunclassified

“…Ziele dieser sind u. a. die verbesserte Beziehungsaufnahme der Eltern zu ihrem Kind und die Förderung des Aufbaus einer tragfähigen Bindung als bestmögliche Grundlage für die Entwicklung ihres Kindes [18,21,30,47]. Um ein möglichst effizientes Betreuungskonzept anbieten zu können, ist eine psychosoziale Begleitung als integrativer Bestandteil der neonatologischen Versorgung sinnvoll [46].…”

Section: Psychosoziale Begleitung In Der Neonatologieunclassified

Die Notwendigkeit der psychosozialen Begleitung von Eltern in der Neonatologie

Schäfer

Karutz

Schenk

2017

Z Geburtshilfe Neonatol

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Advances in neonatal care have reduced mortality but increased morbidity in babies born pre-maturely or after high-risk pregnancies. However, this often increases the burden on the family and the parents in particular. A systematic review of the literature was conducted that demonstrated the importance of psychosocial support for parents of children in neonatal care. A systematic search of Pubmed, Psyndex, CINAHI and medpilot was conducted. Reference lists of the included articles were also searched for relevant publications. A free-text search found further publications. Together, 78 publications (from 1975-2015) were included in our review. A shift from a biomedical model and child-centred treatment to family-centred care has already taken place in neonatal care. However, there is still a considerable gap between theory and practice. Although there is awareness of the need for psychosocial support of parents, the focus of day-to-day care is still on medical interventions and life-supporting treatment for the child. In particular, while the importance of an assessment of needs as a basis for family-centred psychosocial support appears to be well-known, validated screening instruments are rarely used. In addition, the demand for psychosocial support of parents is not just solely determined by the child's medical risk. The results highlight the challenges of delivering individualised psychosocial support to families within a healthcare system of limited resources, with practitioners having to take into account the developing parent-child relationship as well as health economics. In future, psychosocial support should be based on evidence rather than intuition. Attachment theory and research, and health psychology can contribute to this development.

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“…However, the few existing studies indicate that fathers as well bear a heavy burden by premature birth [ 29 ] and also have to cope with increased stress levels during hospitalization [ 30 , 31 ]. Fathers of premature infants are confronted with various tasks and roles [ 32 ]. They are deeply concerned about the condition of the child, but at the same time also worried about the health of their partner [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

Family-centered music therapy—Empowering premature infants and their primary caregivers through music: Results of a pilot study

et al. 2021

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Background In Neonatal Intensive Care Units (NICUs) premature infants are exposed to various acoustic, environmental and emotional stressors which have a negative impact on their development and the mental health of their parents. Family-centred music therapy bears the potential to positively influence these stressors. The few existing studies indicate that interactive live-improvised music therapy interventions both reduce parental stress factors and support preterm infants’ development. Methods The present randomized controlled longitudinal study (RCT) with very low and extremely low birth weight infants (born <30+0 weeks of gestation) and their parents analyzed the influence of music therapy on both the physiological development of premature infants and parental stress factors. In addition, possible interrelations between infant development and parental stress were explored. 65 parent-infant-pairs were enrolled in the study. The treatment group received music therapy twice a week from the 21st day of life till discharge from hospital. The control group received treatment as usual. Results Compared to the control group, infants in the treatment group showed a 11.1 days shortening of caffeine therapy, 12.1 days shortening of nasogastric/ orogastric tube feed and 15.5 days shortening of hospitalization, on average. While these differences were not statistically significant, a factor-analytical compound measure of all three therapy durations was. From pre-to-post-intervention, parents showed a significant reduction in stress factors. However, there were no differences between control and treatment group. A regression analysis showed links between parental stress factors and physiological development of the infants. Conclusion This pilot study suggests that a live-improvised interactive music therapy intervention for extremely and very preterm infants and their parents may have a beneficial effect on the therapy duration needed for premature infants before discharge from hospital is possible. The study identified components of the original physiological variables of the infants as appropriate endpoints and suggested a slight change in study design to capture possible effects of music therapy on infants’ development as well. Further studies should assess both short-term and long-term effects on premature infants as well as on maternal and paternal health outcomes, to determine whether a family-centered music therapy, actually experienced as an added value to developmental care, should be part of routine care at the NICU.

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Die psychosoziale Versorgung in der Neonatologie in Deutschland: Eine quantitativ-empirische Bestandsaufnahme aus ärztlicher Perspektive

Cited by 7 publications

References 3 publications

Elternsein nach extremer Frühgeburt – die Katastrophe überstehen

Elternsein nach extremer Frühgeburt – die Katastrophe überstehen

Die Notwendigkeit der psychosozialen Begleitung von Eltern in der Neonatologie

Family-centered music therapy—Empowering premature infants and their primary caregivers through music: Results of a pilot study

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