Fatores estressores de pais de uma unidade de terapia intensiva neonatal

Detalhes bibliográficos
Autor(a) principal: Kegler, Jaquiele Jaciara
Data de Publicação: 2018
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Manancial - Repositório Digital da UFSM
dARK ID: ark:/26339/0013000004gcb
Texto Completo: http://repositorio.ufsm.br/handle/1/20534
Resumo: A cross-sectional study realized with the objective of analyzing the factors associated with the stress of parents of neonates hospitalized in a Neonatal Intensive Care Unit. The study participants were the father or the mother, or both, of newborns hospitalized in a Neonatal Intensive Care Unit of a public hospital in the central region of Rio Grande do Sul. To collect the data, the Parental Stress Scale: Neonatal Intensive Care Unit (PSS: NICU) was translated and validated for the Brazilian population and an instrument for the characterization of the participants. Data analysis was performed in the R program through descriptive and analytical statistics, testing the association between stress and sociodemographic variables of parents and of birth and newborns' clinics. The study followed Resolution 466/2012 and has ethical approval. Of the 204 participants, it was found that they were female (62.3%), aged between 26 and 35 years (41.2%), lived in a stable union or with a partner (67.2%), had a son (45.6%) and had a high school education (27.9%). They came from the central-west macroregion (92.1%) in the state of Rio Grande do Sul. The socioeconomic strata were C2 (23.5%) and D-E (23.5%). The occupation that obtained the highest percentage was from the home (28.6%). 13.7% of the parents had previous experience with hospitalization of a child in the Neonatal Intensive Care Unit. The change in the role of mother/father was the subscale in which the highest level of stress was obtained (mean=3.49) and the items considered more stressful by the parents in this subscale were "Separated from my baby" (mean=4.00) and "Feeling helpless and unable to protect my baby from pain and painful procedures" (mean=3.78). The Cronbach alpha obtained for PSS: NICU was 0.92 in metric 1 and 0.93 in metric 2. The subscales that make up the PSS: NICU also presented values of Cronbach's alpha considered to be reliable, between 0.77 and 0.88. The sociodemographic variables associated with higher levels of stress were female, had no previous experience with neonatal unit, higher education and had religion. Among the clinical variables of newborns, hospitalization in the high-risk unit, respiratory support, use of two intravenous devices, previous surgical procedure, sedation and use of a bladder catheter are mentioned. It was concluded that the hospitalization of a child in a neonatal unit is a stressful experience for the parents and that there are sociodemographic and neonatal factors that contribute to increase this stress. Therefore, it is necessary professional’s reflect about their practices as well as the reformulation of these, so that the integration of the family occurs in the care and, thus, can minimize the suffering of the parents.
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spelling Fatores estressores de pais de uma unidade de terapia intensiva neonatalParent stressors of a neonatal intensive care unitEstresse psicológicoPaisUnidades de terapia intensiva neonatalStressPsychologicalParentsIntensive care uinitsNeonatalCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMA cross-sectional study realized with the objective of analyzing the factors associated with the stress of parents of neonates hospitalized in a Neonatal Intensive Care Unit. The study participants were the father or the mother, or both, of newborns hospitalized in a Neonatal Intensive Care Unit of a public hospital in the central region of Rio Grande do Sul. To collect the data, the Parental Stress Scale: Neonatal Intensive Care Unit (PSS: NICU) was translated and validated for the Brazilian population and an instrument for the characterization of the participants. Data analysis was performed in the R program through descriptive and analytical statistics, testing the association between stress and sociodemographic variables of parents and of birth and newborns' clinics. The study followed Resolution 466/2012 and has ethical approval. Of the 204 participants, it was found that they were female (62.3%), aged between 26 and 35 years (41.2%), lived in a stable union or with a partner (67.2%), had a son (45.6%) and had a high school education (27.9%). They came from the central-west macroregion (92.1%) in the state of Rio Grande do Sul. The socioeconomic strata were C2 (23.5%) and D-E (23.5%). The occupation that obtained the highest percentage was from the home (28.6%). 13.7% of the parents had previous experience with hospitalization of a child in the Neonatal Intensive Care Unit. The change in the role of mother/father was the subscale in which the highest level of stress was obtained (mean=3.49) and the items considered more stressful by the parents in this subscale were "Separated from my baby" (mean=4.00) and "Feeling helpless and unable to protect my baby from pain and painful procedures" (mean=3.78). The Cronbach alpha obtained for PSS: NICU was 0.92 in metric 1 and 0.93 in metric 2. The subscales that make up the PSS: NICU also presented values of Cronbach's alpha considered to be reliable, between 0.77 and 0.88. The sociodemographic variables associated with higher levels of stress were female, had no previous experience with neonatal unit, higher education and had religion. Among the clinical variables of newborns, hospitalization in the high-risk unit, respiratory support, use of two intravenous devices, previous surgical procedure, sedation and use of a bladder catheter are mentioned. It was concluded that the hospitalization of a child in a neonatal unit is a stressful experience for the parents and that there are sociodemographic and neonatal factors that contribute to increase this stress. Therefore, it is necessary professional’s reflect about their practices as well as the reformulation of these, so that the integration of the family occurs in the care and, thus, can minimize the suffering of the parents.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESEstudo transversal realizado com o objetivo de analisar os fatores associados ao estresse de pais de recém-nascidos internados em Unidade de Terapia Intensiva Neonatal. Os participantes do estudo foram o pai ou a mãe, ou ambos, de recém- nascidos internados em uma Unidade de Terapia Intensiva Neonatal de um hospital público da região central do Rio Grande do Sul. Para a coleta dos dados foram utilizadas a Parental Stress Scale: Neonatal Intensive Care Unit (PSS: NICU) traduzida e validada para a população brasileira e um instrumento de caracterização dos participantes. A análise dos dados foi realizada no programa R por meio da estatística descritiva e analítica, testando a associação entre o estresse e as variáveis sociodemográficas dos pais e de nascimento e clínicas dos recém-nascidos. O estudo seguiu a Resolução 466/2012 e possui aprovação ética. Dos 204 participantes, identificou-se que estes eram do sexo feminino (62,3%), da faixa etária entre os 26 e os 35 anos (41,2%), viviam em união estável ou com companheiro(a) (67,2%), possuíam um filho (45,6%) e o ensino médio completo (27,9%). Eram provenientes da macrorregião centro-oeste (92,1%) do estado do Rio Grande do Sul. Pertenciam aos estratos socioeconômicos C2 (23,5%) e D-E (23,5%). A ocupação que obteve maior percentual foi do lar (28,6%). 13,7% dos pais possuíam experiência prévia com hospitalização de um filho em Unidade de Terapia Intensiva Neonatal. A alteração no papel de mãe/pai foi a subescala em que se obteve o maior nível de estresse (média=3,49) e os itens considerados mais estressantes pelos pais nesta subescala foram “Estar separada(o) do meu bebê” (média=4,00) e “Sentir-se desamparada(o) e incapaz de proteger o meu bebê da dor e de procedimentos dolorosos” (média=3,78). O alfa de Cronbach obtido para a PSS: NICU foi de 0,92 na métrica 1 e 0,93 na métrica 2. As subescalas que compõem a PSS: NICU também apresentaram valores de alfa de Cronbach considerados confiáveis, entre 0,77 a 0,88. As variáveis sociodemográficas associadas a maiores níveis de estresse foram sexo feminino, não possuir experiência anterior com unidade neonatal, maior escolaridade e ter religião. Dentre as variáveis clínicas dos recém-nascidos, citam-se internação na unidade de alto risco, suporte respiratório, uso de dois dispositivos intravenosos, procedimento cirúrgico prévio, sedação e uso de sonda vesical. Concluiu- se que a hospitalização de um filho em unidade neonatal é uma experiência estressante para os pais e que existem fatores sociodemográficos e neonatais que contribuem para aumentar esse estresse. Dessa forma, faz-se necessária a reflexão dos profissionais destas unidades acerca das suas práticas bem como a reformulação destas, para que ocorra a integração da família nos cuidados e, assim, possa se minimizar o sofrimento dos pais.Universidade Federal de Santa MariaBrasilEnfermagemUFSMPrograma de Pós-Graduação em EnfermagemCentro de Ciências da SaúdeNeves, Eliane Tatschhttp://lattes.cnpq.br/2267710105940770Silva, Augusto Maciel daXXXXXXXXXXXXXXXXXXXXBalbino, Flávia SimphronioXXXXXXXXXXXXXXXWeinmann, Angela Regina MacielXXXXXXXXXXXXXXXXXXMagnago, Tânia Solange Bosi de SouzaXXXXXXXXXXXXXXXKegler, Jaquiele Jaciara2021-04-12T17:29:58Z2021-04-12T17:29:58Z2018-02-20info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/20534ark:/26339/0013000004gcbporAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2021-04-13T06:01:21Zoai:repositorio.ufsm.br:1/20534Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2021-04-13T06:01:21Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.none.fl_str_mv Fatores estressores de pais de uma unidade de terapia intensiva neonatal
Parent stressors of a neonatal intensive care unit
title Fatores estressores de pais de uma unidade de terapia intensiva neonatal
spellingShingle Fatores estressores de pais de uma unidade de terapia intensiva neonatal
Kegler, Jaquiele Jaciara
Estresse psicológico
Pais
Unidades de terapia intensiva neonatal
Stress
Psychological
Parents
Intensive care uinits
Neonatal
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
title_short Fatores estressores de pais de uma unidade de terapia intensiva neonatal
title_full Fatores estressores de pais de uma unidade de terapia intensiva neonatal
title_fullStr Fatores estressores de pais de uma unidade de terapia intensiva neonatal
title_full_unstemmed Fatores estressores de pais de uma unidade de terapia intensiva neonatal
title_sort Fatores estressores de pais de uma unidade de terapia intensiva neonatal
author Kegler, Jaquiele Jaciara
author_facet Kegler, Jaquiele Jaciara
author_role author
dc.contributor.none.fl_str_mv Neves, Eliane Tatsch
http://lattes.cnpq.br/2267710105940770
Silva, Augusto Maciel da
XXXXXXXXXXXXXXXXXXXX
Balbino, Flávia Simphronio
XXXXXXXXXXXXXXX
Weinmann, Angela Regina Maciel
XXXXXXXXXXXXXXXXXX
Magnago, Tânia Solange Bosi de Souza
XXXXXXXXXXXXXXX
dc.contributor.author.fl_str_mv Kegler, Jaquiele Jaciara
dc.subject.por.fl_str_mv Estresse psicológico
Pais
Unidades de terapia intensiva neonatal
Stress
Psychological
Parents
Intensive care uinits
Neonatal
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
topic Estresse psicológico
Pais
Unidades de terapia intensiva neonatal
Stress
Psychological
Parents
Intensive care uinits
Neonatal
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
description A cross-sectional study realized with the objective of analyzing the factors associated with the stress of parents of neonates hospitalized in a Neonatal Intensive Care Unit. The study participants were the father or the mother, or both, of newborns hospitalized in a Neonatal Intensive Care Unit of a public hospital in the central region of Rio Grande do Sul. To collect the data, the Parental Stress Scale: Neonatal Intensive Care Unit (PSS: NICU) was translated and validated for the Brazilian population and an instrument for the characterization of the participants. Data analysis was performed in the R program through descriptive and analytical statistics, testing the association between stress and sociodemographic variables of parents and of birth and newborns' clinics. The study followed Resolution 466/2012 and has ethical approval. Of the 204 participants, it was found that they were female (62.3%), aged between 26 and 35 years (41.2%), lived in a stable union or with a partner (67.2%), had a son (45.6%) and had a high school education (27.9%). They came from the central-west macroregion (92.1%) in the state of Rio Grande do Sul. The socioeconomic strata were C2 (23.5%) and D-E (23.5%). The occupation that obtained the highest percentage was from the home (28.6%). 13.7% of the parents had previous experience with hospitalization of a child in the Neonatal Intensive Care Unit. The change in the role of mother/father was the subscale in which the highest level of stress was obtained (mean=3.49) and the items considered more stressful by the parents in this subscale were "Separated from my baby" (mean=4.00) and "Feeling helpless and unable to protect my baby from pain and painful procedures" (mean=3.78). The Cronbach alpha obtained for PSS: NICU was 0.92 in metric 1 and 0.93 in metric 2. The subscales that make up the PSS: NICU also presented values of Cronbach's alpha considered to be reliable, between 0.77 and 0.88. The sociodemographic variables associated with higher levels of stress were female, had no previous experience with neonatal unit, higher education and had religion. Among the clinical variables of newborns, hospitalization in the high-risk unit, respiratory support, use of two intravenous devices, previous surgical procedure, sedation and use of a bladder catheter are mentioned. It was concluded that the hospitalization of a child in a neonatal unit is a stressful experience for the parents and that there are sociodemographic and neonatal factors that contribute to increase this stress. Therefore, it is necessary professional’s reflect about their practices as well as the reformulation of these, so that the integration of the family occurs in the care and, thus, can minimize the suffering of the parents.
publishDate 2018
dc.date.none.fl_str_mv 2018-02-20
2021-04-12T17:29:58Z
2021-04-12T17:29:58Z
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format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufsm.br/handle/1/20534
dc.identifier.dark.fl_str_mv ark:/26339/0013000004gcb
url http://repositorio.ufsm.br/handle/1/20534
identifier_str_mv ark:/26339/0013000004gcb
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.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Enfermagem
UFSM
Programa de Pós-Graduação em Enfermagem
Centro de Ciências da Saúde
publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Enfermagem
UFSM
Programa de Pós-Graduação em Enfermagem
Centro de Ciências da Saúde
dc.source.none.fl_str_mv reponame:Manancial - Repositório Digital da UFSM
instname:Universidade Federal de Santa Maria (UFSM)
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instname_str Universidade Federal de Santa Maria (UFSM)
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institution UFSM
reponame_str Manancial - Repositório Digital da UFSM
collection Manancial - Repositório Digital da UFSM
repository.name.fl_str_mv Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv atendimento.sib@ufsm.br||tedebc@gmail.com
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