Parenting very preterm infants and stress in Neonatal Intensive Care Units

Detalhes bibliográficos
Autor(a) principal: Baía, I.
Data de Publicação: 2016
Outros Autores: Amorim, M., Silva, S., Kelly-Irving, M., Freitas, C., Alves, E.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10071/12351
Resumo: Background: Assessing parental stress during infants' hospitalization in Neonatal Intensive Care Units (NICU) is essential to identify parents at risk for immediate and extended physical and emotional burden. Aims: To identify sources of stress in mothers and fathers of very preterm infants hospitalized in NICU, and their association with sociodemographic, obstetric and infants' characteristics. Study design: Observational and cross-sectional study conducted between July 2013 and June 2014. Subjects: Parents of very preterm infants hospitalized in all level III NICU in the Northern Health Region of Portugal were consecutively and systematically invited to participate in this study, being included 120 mothers and 91 fathers (participation rate: 98.6%). Outcome measures: The Portuguese version of the Parental Stressor Scale: Neonatal Intensive Care Unit was used. Results: The overall experience of hospitalization was classified as more stressful than the median for the sub scales. "Change in parental role" was classified as the most stressful subscale by mothers (Median (P25-P75): 4.1(32-4.7)) and fathers (Median (P25-P75): 32(2.4-4.0)). Mothers scored significantly higher in all subscales. For mothers, multiple pregnancy was associated with lower levels of stress regarding "change in parental role" (beta = -0.597; 95% CI = 1.020 to -0.174) and "overall stress" (beta = 0.603; 95% CI = 1.052 to 0.153). Being >= 30 years old was found to be a significant predictor for decreased fathers' stress. Conclusions: This study raises awareness for the need to develop sensitive instruments that take notice of gender, social support and family -centered care. The implementation of interventions focused on reducing parental stress is crucial to diminish disparities in family health.
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spelling Parenting very preterm infants and stress in Neonatal Intensive Care UnitsStressPsychologicalParentsInfantPrematureIntensive Care UnitsNeonatalBackground: Assessing parental stress during infants' hospitalization in Neonatal Intensive Care Units (NICU) is essential to identify parents at risk for immediate and extended physical and emotional burden. Aims: To identify sources of stress in mothers and fathers of very preterm infants hospitalized in NICU, and their association with sociodemographic, obstetric and infants' characteristics. Study design: Observational and cross-sectional study conducted between July 2013 and June 2014. Subjects: Parents of very preterm infants hospitalized in all level III NICU in the Northern Health Region of Portugal were consecutively and systematically invited to participate in this study, being included 120 mothers and 91 fathers (participation rate: 98.6%). Outcome measures: The Portuguese version of the Parental Stressor Scale: Neonatal Intensive Care Unit was used. Results: The overall experience of hospitalization was classified as more stressful than the median for the sub scales. "Change in parental role" was classified as the most stressful subscale by mothers (Median (P25-P75): 4.1(32-4.7)) and fathers (Median (P25-P75): 32(2.4-4.0)). Mothers scored significantly higher in all subscales. For mothers, multiple pregnancy was associated with lower levels of stress regarding "change in parental role" (beta = -0.597; 95% CI = 1.020 to -0.174) and "overall stress" (beta = 0.603; 95% CI = 1.052 to 0.153). Being >= 30 years old was found to be a significant predictor for decreased fathers' stress. Conclusions: This study raises awareness for the need to develop sensitive instruments that take notice of gender, social support and family -centered care. The implementation of interventions focused on reducing parental stress is crucial to diminish disparities in family health.Elsevier2017-01-13T16:31:25Z2016-01-01T00:00:00Z20162019-04-10T14:51:15Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10071/12351eng0378-378210.1016/j.earlhumdev.2016.04.001Baía, I.Amorim, M.Silva, S.Kelly-Irving, M.Freitas, C.Alves, E.info:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-09T17:31:26Zoai:repositorio.iscte-iul.pt:10071/12351Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:14:09.219159Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Parenting very preterm infants and stress in Neonatal Intensive Care Units
title Parenting very preterm infants and stress in Neonatal Intensive Care Units
spellingShingle Parenting very preterm infants and stress in Neonatal Intensive Care Units
Baía, I.
Stress
Psychological
Parents
Infant
Premature
Intensive Care Units
Neonatal
title_short Parenting very preterm infants and stress in Neonatal Intensive Care Units
title_full Parenting very preterm infants and stress in Neonatal Intensive Care Units
title_fullStr Parenting very preterm infants and stress in Neonatal Intensive Care Units
title_full_unstemmed Parenting very preterm infants and stress in Neonatal Intensive Care Units
title_sort Parenting very preterm infants and stress in Neonatal Intensive Care Units
author Baía, I.
author_facet Baía, I.
Amorim, M.
Silva, S.
Kelly-Irving, M.
Freitas, C.
Alves, E.
author_role author
author2 Amorim, M.
Silva, S.
Kelly-Irving, M.
Freitas, C.
Alves, E.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Baía, I.
Amorim, M.
Silva, S.
Kelly-Irving, M.
Freitas, C.
Alves, E.
dc.subject.por.fl_str_mv Stress
Psychological
Parents
Infant
Premature
Intensive Care Units
Neonatal
topic Stress
Psychological
Parents
Infant
Premature
Intensive Care Units
Neonatal
description Background: Assessing parental stress during infants' hospitalization in Neonatal Intensive Care Units (NICU) is essential to identify parents at risk for immediate and extended physical and emotional burden. Aims: To identify sources of stress in mothers and fathers of very preterm infants hospitalized in NICU, and their association with sociodemographic, obstetric and infants' characteristics. Study design: Observational and cross-sectional study conducted between July 2013 and June 2014. Subjects: Parents of very preterm infants hospitalized in all level III NICU in the Northern Health Region of Portugal were consecutively and systematically invited to participate in this study, being included 120 mothers and 91 fathers (participation rate: 98.6%). Outcome measures: The Portuguese version of the Parental Stressor Scale: Neonatal Intensive Care Unit was used. Results: The overall experience of hospitalization was classified as more stressful than the median for the sub scales. "Change in parental role" was classified as the most stressful subscale by mothers (Median (P25-P75): 4.1(32-4.7)) and fathers (Median (P25-P75): 32(2.4-4.0)). Mothers scored significantly higher in all subscales. For mothers, multiple pregnancy was associated with lower levels of stress regarding "change in parental role" (beta = -0.597; 95% CI = 1.020 to -0.174) and "overall stress" (beta = 0.603; 95% CI = 1.052 to 0.153). Being >= 30 years old was found to be a significant predictor for decreased fathers' stress. Conclusions: This study raises awareness for the need to develop sensitive instruments that take notice of gender, social support and family -centered care. The implementation of interventions focused on reducing parental stress is crucial to diminish disparities in family health.
publishDate 2016
dc.date.none.fl_str_mv 2016-01-01T00:00:00Z
2016
2017-01-13T16:31:25Z
2019-04-10T14:51:15Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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url http://hdl.handle.net/10071/12351
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0378-3782
10.1016/j.earlhumdev.2016.04.001
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
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