Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/13129 |
Resumo: | Introduction: Prematurity is the main cause of hospitalization in the Neonatal Intensive Care Unit, being considered an important factor for adverse infant outcomes, in terms of quality of life. Objectives: To analyze maternal stress and its correlation with neonatal neurobehavioral indicators and to identify the main risk factors (maternal and neonatal) associated with preterm newborns in neonatal intensive care units. Methods: The total study sample consisted of 251 preterm, low birth weight newborns and their respective mothers, who were admitted to the Neonatal Intensive Care Unit and the Neonatal Intermediate Care Unit of a Public Maternity Hospital in the city of Goiania ( GO). An analysis of medical records was performed, the parental stress assessment scale (PSS: NICU) was applied, and finally, the neurobehavioral assessment instrument for preterm newborns (NAPI) was used. For the statistical analysis of the total sample, the Spearman correlation test was performed (p < 0.05) and for the logistic regression analysis, the sample n of 165 participants was used based on the exclusion criteria, in order to test the possible factors of risk for maternal stress. In all analyses, p < 0.05 was considered. Results: Considering the outcome on maternal stress, the level of stress was assessed as moderate among mothers. The subscale that presented the highest level of stress was "Change in the Role of Mother" and the one with the lowest level of stress was "Sounds and Images", with total scores ranging from "little stressful" to "very stressful". . The higher the stress level on the item “the other sick babies in the room” the lower the leg resistance performance (p <0.049). It was also observed that neonatal and maternal risk factors did not present an outcome with maternal stress. The respiratory rate variable of 49.8 bpm and the scarf signal of 60.11 at the time of the neonatal neurobehavioral assessment, was shown to be a protective factor for maternal stress (p <0.05) and adjusted OR <1. Conclusion: The mothers considered the experience of having a newborn hospitalized in the Neonatal Intensive Care Unit moderately stressful. Weak correlations were identified between maternal stress and neonatal neurobehavioral indicators. No relationship was found between neonatal and maternal risk factors for maternal stress, but muscle tone (scarf sign) and respiratory rate at the time of assessment behaved as protective factors for maternal stress. |
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Amaral, Waldemar Naves dohttp://lattes.cnpq.br/4092560599116579Formiga, Cibelle Kayenne Martins Robertohttp://lattes.cnpq.br/5231575956660644Amaral, Waldemar Naves doOliveira, Nayara Rodrigues Gomes deSousa, Juarez Antonio deFerreira, Rui GilbertoVieira, Martina Estevam Bromhttp://lattes.cnpq.br/1306585321924184Ramos, Bruna Abreu2023-11-10T11:12:45Z2023-11-10T11:12:45Z2023-04-01RAMOS, B. A. Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal. 2023. 95 f. Tese (Doutorado em Ciências da Saúde) - Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, 2023.http://repositorio.bc.ufg.br/tede/handle/tede/13129ark:/38995/0013000008qp5Introduction: Prematurity is the main cause of hospitalization in the Neonatal Intensive Care Unit, being considered an important factor for adverse infant outcomes, in terms of quality of life. Objectives: To analyze maternal stress and its correlation with neonatal neurobehavioral indicators and to identify the main risk factors (maternal and neonatal) associated with preterm newborns in neonatal intensive care units. Methods: The total study sample consisted of 251 preterm, low birth weight newborns and their respective mothers, who were admitted to the Neonatal Intensive Care Unit and the Neonatal Intermediate Care Unit of a Public Maternity Hospital in the city of Goiania ( GO). An analysis of medical records was performed, the parental stress assessment scale (PSS: NICU) was applied, and finally, the neurobehavioral assessment instrument for preterm newborns (NAPI) was used. For the statistical analysis of the total sample, the Spearman correlation test was performed (p < 0.05) and for the logistic regression analysis, the sample n of 165 participants was used based on the exclusion criteria, in order to test the possible factors of risk for maternal stress. In all analyses, p < 0.05 was considered. Results: Considering the outcome on maternal stress, the level of stress was assessed as moderate among mothers. The subscale that presented the highest level of stress was "Change in the Role of Mother" and the one with the lowest level of stress was "Sounds and Images", with total scores ranging from "little stressful" to "very stressful". . The higher the stress level on the item “the other sick babies in the room” the lower the leg resistance performance (p <0.049). It was also observed that neonatal and maternal risk factors did not present an outcome with maternal stress. The respiratory rate variable of 49.8 bpm and the scarf signal of 60.11 at the time of the neonatal neurobehavioral assessment, was shown to be a protective factor for maternal stress (p <0.05) and adjusted OR <1. Conclusion: The mothers considered the experience of having a newborn hospitalized in the Neonatal Intensive Care Unit moderately stressful. Weak correlations were identified between maternal stress and neonatal neurobehavioral indicators. No relationship was found between neonatal and maternal risk factors for maternal stress, but muscle tone (scarf sign) and respiratory rate at the time of assessment behaved as protective factors for maternal stress.Introdução: A prematuridade é a principal causa de internação em Unidade de Terapia Intensiva Neonatal, sendo considerada um fator importante para desfechos infantis adversos, em termos de qualidade de vida. Objetivos: Analisar o estresse materno e a correlação com os indicadores neurocomportamentais neonatais e identificar os principais fatores de risco (maternos e neonatais) associados em recém-nascidos pré-termo em unidades de terapia intensiva neonatal. Métodos: A amostra total do estudo foi composta por 251 recém nascidos pré-termo, baixo peso e suas respectivas mães, que estavam internados na Unidade de Terapia Intensiva Neonatal e na Unidade de Cuidados Intermediários Neonatal de uma Maternidade Pública, na cidade de Goiânia (GO). Foi realizada uma análise de prontuários, aplicada a escala de avaliação do estresse parental (PSS: NICU) e, por fim, utilizado o instrumento de avaliação neurocomportamental do recém-nascido pré-termo (NAPI). Para a análise estatística da amostra total foi realizado o teste de correlação de Spearman (p < 0, 05) e para a análise de regressão logística foi utilizado o n amostral de 165 participantes a partir dos critérios de exclusão, a fim de testar os possíveis fatores de risco para estresse materno. Em todas as análises foi considerado p < 0,05. Resultados: Analisando o desfecho sobre o estresse materno, notou-se que o nível de estresse foi avaliado como moderado entre as mães. A subescala que apresentou o maior nível de estresse foi a "Alteração no Papel de Mãe" e, a com o menor nível de estresse foi a "Sons e Imagens", sendo que os escores totais variaram de “pouco estressante” a “muito estressante”. Quanto maior o nível de estresse no item “os outros bebês doentes no quarto” menor o desempenho da resistência da perna (p <0,049). Observou-se ainda, que os fatores de risco neonatais e maternos não apresentaram desfecho com o estresse materno. A variável da frequência respiratória de 49,8 irpm e do sinal de cachecol de 60,11 no momento da avaliação neurocomportamental neonatal, apresentaram-se como fator de proteção para o estresse materno (p <0,05) e OR ajustado < 1. Conclusão: As mães consideraram a experiência de ter um recém-nascido internado na Unidade de Terapia Intensiva Neonatal moderadamente estressante. Foi identificado correlações fracas entre estresse materno e indicadores neurocomportamentais neonatais. Não foi encontrada relação entre os fatores de risco neonatais e maternos para o estresse materno, porém o tônus muscular (sinal de cachecol) e a frequência respiratória no momento da avaliação se comportaram como fatores de proteção para o estresse materno.Submitted by Marlene Santos (marlene.bc.ufg@gmail.com) on 2023-11-09T21:19:41Z workflow start=Step: editstep - action:claimaction No. of bitstreams: 2 Tese - Bruna Abreu Ramos - 2023.pdf: 2184947 bytes, checksum: 127620c2e4c348f57d259c0591244946 (MD5) license_rdf: 805 bytes, checksum: 4460e5956bc1d1639be9ae6146a50347 (MD5)Step: editstep - action:editaction Approved for entry into archive by Luciana Ferreira(lucgeral@gmail.com) on 2023-11-10T11:12:45Z (GMT)Made available in DSpace on 2023-11-10T11:12:45Z (GMT). No. of bitstreams: 2 Tese - Bruna Abreu Ramos - 2023.pdf: 2184947 bytes, checksum: 127620c2e4c348f57d259c0591244946 (MD5) license_rdf: 805 bytes, checksum: 4460e5956bc1d1639be9ae6146a50347 (MD5) Previous issue date: 2023-04-01porUniversidade Federal de GoiásPrograma de Pós-graduação em Ciências da Saúde (FM)UFGBrasilFaculdade de Medicina - FM (RMG)Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessPrematuridadeBaixo peso ao nascerRisco neonatalEstresse parentalDesenvolvimento motorPrematurityLow weight at birthNeonatal riskParental stressMotor developmentCIENCIAS DA SAUDEFatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatalRisk factors related to maternal stress and neurobehavioral indicators of pre-term newborn in neonatal intensive care unitinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisreponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repositorio.bc.ufg.br/tede/bitstreams/251109fb-0b7d-493b-aae8-30cfc4d76653/download8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALTese - Bruna Abreu Ramos - 2023.pdfTese - Bruna Abreu Ramos - 2023.pdfapplication/pdf2184947http://repositorio.bc.ufg.br/tede/bitstreams/38acd084-9327-4cdc-ba89-8faf35473b97/download127620c2e4c348f57d259c0591244946MD52CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.bc.ufg.br/tede/bitstreams/99f2360a-6292-497e-b182-4afca4ce0e67/download4460e5956bc1d1639be9ae6146a50347MD52tede/131292023-11-10 08:12:45.789http://creativecommons.org/licenses/by-nc-nd/4.0/Attribution-NonCommercial-NoDerivatives 4.0 Internationalopen.accessoai:repositorio.bc.ufg.br:tede/13129http://repositorio.bc.ufg.br/tedeRepositório InstitucionalPUBhttp://repositorio.bc.ufg.br/oai/requesttasesdissertacoes.bc@ufg.bropendoar:2023-11-10T11:12:45Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)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 |
dc.title.none.fl_str_mv |
Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal |
dc.title.alternative.eng.fl_str_mv |
Risk factors related to maternal stress and neurobehavioral indicators of pre-term newborn in neonatal intensive care unit |
title |
Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal |
spellingShingle |
Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal Ramos, Bruna Abreu Prematuridade Baixo peso ao nascer Risco neonatal Estresse parental Desenvolvimento motor Prematurity Low weight at birth Neonatal risk Parental stress Motor development CIENCIAS DA SAUDE |
title_short |
Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal |
title_full |
Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal |
title_fullStr |
Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal |
title_full_unstemmed |
Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal |
title_sort |
Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal |
author |
Ramos, Bruna Abreu |
author_facet |
Ramos, Bruna Abreu |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Amaral, Waldemar Naves do |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4092560599116579 |
dc.contributor.advisor-co1.fl_str_mv |
Formiga, Cibelle Kayenne Martins Roberto |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/5231575956660644 |
dc.contributor.referee1.fl_str_mv |
Amaral, Waldemar Naves do |
dc.contributor.referee2.fl_str_mv |
Oliveira, Nayara Rodrigues Gomes de |
dc.contributor.referee3.fl_str_mv |
Sousa, Juarez Antonio de |
dc.contributor.referee4.fl_str_mv |
Ferreira, Rui Gilberto |
dc.contributor.referee5.fl_str_mv |
Vieira, Martina Estevam Brom |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1306585321924184 |
dc.contributor.author.fl_str_mv |
Ramos, Bruna Abreu |
contributor_str_mv |
Amaral, Waldemar Naves do Formiga, Cibelle Kayenne Martins Roberto Amaral, Waldemar Naves do Oliveira, Nayara Rodrigues Gomes de Sousa, Juarez Antonio de Ferreira, Rui Gilberto Vieira, Martina Estevam Brom |
dc.subject.por.fl_str_mv |
Prematuridade Baixo peso ao nascer Risco neonatal Estresse parental Desenvolvimento motor |
topic |
Prematuridade Baixo peso ao nascer Risco neonatal Estresse parental Desenvolvimento motor Prematurity Low weight at birth Neonatal risk Parental stress Motor development CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Prematurity Low weight at birth Neonatal risk Parental stress Motor development |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: Prematurity is the main cause of hospitalization in the Neonatal Intensive Care Unit, being considered an important factor for adverse infant outcomes, in terms of quality of life. Objectives: To analyze maternal stress and its correlation with neonatal neurobehavioral indicators and to identify the main risk factors (maternal and neonatal) associated with preterm newborns in neonatal intensive care units. Methods: The total study sample consisted of 251 preterm, low birth weight newborns and their respective mothers, who were admitted to the Neonatal Intensive Care Unit and the Neonatal Intermediate Care Unit of a Public Maternity Hospital in the city of Goiania ( GO). An analysis of medical records was performed, the parental stress assessment scale (PSS: NICU) was applied, and finally, the neurobehavioral assessment instrument for preterm newborns (NAPI) was used. For the statistical analysis of the total sample, the Spearman correlation test was performed (p < 0.05) and for the logistic regression analysis, the sample n of 165 participants was used based on the exclusion criteria, in order to test the possible factors of risk for maternal stress. In all analyses, p < 0.05 was considered. Results: Considering the outcome on maternal stress, the level of stress was assessed as moderate among mothers. The subscale that presented the highest level of stress was "Change in the Role of Mother" and the one with the lowest level of stress was "Sounds and Images", with total scores ranging from "little stressful" to "very stressful". . The higher the stress level on the item “the other sick babies in the room” the lower the leg resistance performance (p <0.049). It was also observed that neonatal and maternal risk factors did not present an outcome with maternal stress. The respiratory rate variable of 49.8 bpm and the scarf signal of 60.11 at the time of the neonatal neurobehavioral assessment, was shown to be a protective factor for maternal stress (p <0.05) and adjusted OR <1. Conclusion: The mothers considered the experience of having a newborn hospitalized in the Neonatal Intensive Care Unit moderately stressful. Weak correlations were identified between maternal stress and neonatal neurobehavioral indicators. No relationship was found between neonatal and maternal risk factors for maternal stress, but muscle tone (scarf sign) and respiratory rate at the time of assessment behaved as protective factors for maternal stress. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-11-10T11:12:45Z |
dc.date.available.fl_str_mv |
2023-11-10T11:12:45Z |
dc.date.issued.fl_str_mv |
2023-04-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
RAMOS, B. A. Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal. 2023. 95 f. Tese (Doutorado em Ciências da Saúde) - Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, 2023. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/13129 |
dc.identifier.dark.fl_str_mv |
ark:/38995/0013000008qp5 |
identifier_str_mv |
RAMOS, B. A. Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal. 2023. 95 f. Tese (Doutorado em Ciências da Saúde) - Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, 2023. ark:/38995/0013000008qp5 |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/13129 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Ciências da Saúde (FM) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Medicina - FM (RMG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
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UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
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