Parenting very preterm infants and stress in Neonatal Intensive Care Units

Detalhes bibliográficos
Autor(a) principal: Baia, 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/10216/114740
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: 96.8%). 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 subscales. "Change in parental role" was classified as the most stressful subscale by mothers (Median (P25-P75): 4.1(3.2-4.7)) and fathers (Median (P25-P75): 3.2(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" (β=-0.597; 95% CI=-1.020 to -0.174) and "overall stress" (β=-0.603; 95% CI=-1.052 to -0.153). Being ≥30years 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 UnitsVery preterm infantsNeonatal Intensive Care UnitsBACKGROUND: 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: 96.8%). 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 subscales. "Change in parental role" was classified as the most stressful subscale by mothers (Median (P25-P75): 4.1(3.2-4.7)) and fathers (Median (P25-P75): 3.2(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" (β=-0.597; 95% CI=-1.020 to -0.174) and "overall stress" (β=-0.603; 95% CI=-1.052 to -0.153). Being ≥30years 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.20162016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttp://hdl.handle.net/10216/114740eng0378-378210.1016/j.earlhumdev.2016.04.001Baia, IAmorim, MSilva, SKelly-Irving, MFreitas, CAlves, Einfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-29T13:41:51Zoai:repositorio-aberto.up.pt:10216/114740Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T23:45:55.553920Repositório 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
Baia, I
Very preterm infants
Neonatal Intensive Care Units
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 Baia, I
author_facet Baia, 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 Baia, I
Amorim, M
Silva, S
Kelly-Irving, M
Freitas, C
Alves, E
dc.subject.por.fl_str_mv Very preterm infants
Neonatal Intensive Care Units
topic Very preterm infants
Neonatal Intensive Care Units
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: 96.8%). 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 subscales. "Change in parental role" was classified as the most stressful subscale by mothers (Median (P25-P75): 4.1(3.2-4.7)) and fathers (Median (P25-P75): 3.2(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" (β=-0.597; 95% CI=-1.020 to -0.174) and "overall stress" (β=-0.603; 95% CI=-1.052 to -0.153). Being ≥30years 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
2016-01-01T00:00:00Z
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dc.language.iso.fl_str_mv eng
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10.1016/j.earlhumdev.2016.04.001
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