SLPRNQualitativeRevista brasileira de enfermagem2023

Analysis of the development of children discharged from the Neonatal Intensive Care Unit from parents' point of view.

Lediana Dalla Costa, Késsia Helen Dalmuth, Mayeli Thais Fernandes Vieira and 5 others

PMID 38018619

WHAT IT FOUND

Most parents of children discharged from a neonatal intensive care unit reported few physical delays, but speech delay was the main concern and two families reported OCD or ADHD concerns.

Key findings

01Most parents did not perceive physical developmental delays after discharge from the neonatal intensive care unit.

02The greatest reported cognitive difficulty was delayed speech development.

03Only two guardians reported psychosocial difficulties, one involving signs of obsessive-compulsive disorder and another investigation of attention deficit disorder with hyperactivity.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPsWhat it means for RNs

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What it does not show

The sample was small: 13 guardians after two dropouts. The study was conducted at a public hospital that was the only neonatal intensive service in its region, so the authors state the results cannot be generalized. Children who died before discharge were excluded, so the sample represents only children who survived to discharge. Developmental findings are parents' perceptions and qualitative themes, not objective developmental outcomes.

The easy way to misread this

Do not read these parent reports as proof that neonatal intensive care discharge does not affect development. The study included 13 guardians, used interviews and records, and did not measure objective developmental outcomes.

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