title: [Impact on the healthcare team and parents of the type of cardiorespiratory monitoring during phototherapy].
abstract: BACKGROUND
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: 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.
authors.forename: E
authors.initials: E
authors.lastname: Carpentier
authors.affiliation: Médecine néonatale et réanimation pédiatriques, réanimation et soins continus pédiatriques, pôle femme-couple-enfant, CHU d'Amiens, 80054 Amiens cedex 1, France.
authors.forename: C
authors.initials: C
authors.lastname: Fontaine
authors.affiliation: Gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens, 80054 Amiens cedex 1, France.
authors.forename: M-C
authors.initials: MC
authors.lastname: Blanchard
authors.affiliation: Gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens, 80054 Amiens cedex 1, France.
authors.forename: A
authors.initials: A
authors.lastname: Boniface
authors.affiliation: 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.
authors.forename: P
authors.initials: P
authors.lastname: Tourneux
mesh_terms: D000328:Adult; D001007:Anxiety / Q000209:etiology*; D005260:Female; D006757:Hospital Units; D006801:Humans; D007231:Infant, Newborn; D007567:Jaundice, Neonatal / Q000628:therapy*; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods*; D010290:Parents / Q000523:psychology*; D010789:Phototherapy; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D013686:Telemetry