Scoping review of interventions to support families with preterm infants post-NICU discharge

J Pediatr Nurs. 2022 Nov-Dec:67:e135-e149. doi: 10.1016/j.pedn.2022.08.014. Epub 2022 Aug 28.

Abstract

Background: A successful transition from the NICU to home is fundamental for the long-term health and well-being of preterm infants. Post-NICU discharge, parents may experience a lack of support and resources during the transition to home. The purpose of this scoping review was to identify post-NICU discharge interventions that may reduce parental stress and provide support to families with preterm infants.

Method: Systematic searches of databases, i.e., PubMed, Web of Science, and CINAHL. Inclusion criteria were data-based articles: 1) published in English between 2011 and 2021, 2) published in peer-reviewed journals, (3) focused on families with preterm infants, and (4) focused on interventions to reduce parental stress and provide support to families with preterm infants post-NICU discharge.

Results: 26 articles were included and synthesized. We identified the following face-to-face and remote communication interventions: in-person home visits, phone/video calls, text messages, periodic email questionnaires, mobile/website apps, and online social networking sites.

Discussion: Families may highly benefit from a comprehensive family-focused post-NICU discharge follow-up intervention that includes face-to-face and remote communication and support. Post-NICU discharge interventions are imperative to provide education related to infant care and health, increase parental confidence and competency, increase parent-infant relationship, promote emotional and social support, reduce unplanned hospital visits, parental stress, and maternal post-partum depression.

Keywords: Family; Post-discharge intervention; Preterm infants; Stress reduction; Support.

Publication types

  • Scoping Review

MeSH terms

  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature* / psychology
  • Intensive Care Units, Neonatal
  • Parents / psychology
  • Patient Discharge*
  • Social Support