PREVALENCE OF PARENTAL STRESS AMONG NEONATES MOTHER ADMITTED IN NEONATAL INTENSIVE CARE UNIT (NICU) OF TERTIARY CARE HOSPITAL: A CROSS SECTIONAL STUDY
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Keywords
Parental stress, neonates, neonates intensive care unit, clinical practice, psychological well-being, nursing practice
Abstract
Background: The hospitalization of a neonate in the NICU is usually stressful for the mother and all the other family members. The stressful nature of the NICU environment for parents, especially mothers of sick babies, The aim of the study was to identify the level of stress among mothers of neonates admitted to the neonate intensive care unit.
Methodology: A cross-sectional descriptive study design was used, while the study was conducted from May to October 2023 in two tertiary care hospitals in Khyber Pukhtankhwa, where the sample size was 620 using convenient sampling techniques, with a targeted population of mothers of neonates that are admitted to the NICU. A valid and reliable parental stress checklist was used for data collection, and informed consent was obtained from the participants. An independent t-test, an ANNOVA, and a Pearson correlation test were applied as inferential statistics.
Results: In the current study, the number of mothers aged 31–35 years was higher among the total participants of 620, with a mean age score of 30.9 ± 5.0. The overall level of stress of mothers was moderate, while the majority of the participants level of stress in sight and sounds was moderate (62.1%), in look and behavior was also moderate (84.7%), and in parental role alteration was also moderate (77.9%). In the domains, the parental role alteration mean score was high (3.55 ± 0.95), followed by look and behavior mean score (3.44 ± 0.43), and sight and sound (3.35 ± 0.55).
Conclusion: The study concluded that parental stress among mothers was moderate, where parental role alteration contributed mostly because their role as women changed to that of parents, so there should be a social support program that may help parents prevent psychological trauma.
References
2. Noergaard B, Ammentorp J, Garne E, Fenger-Gron J, Kofoed PE. Fathers’ stress in a neonatal intensive care unit. Adv Neonatal Care. 2018;18(5):413–22. https://doi.org/10.1097/ANC.0000000000000503.
3. Guttmann K, Patterson C, Haines T, et al. Parent stress in relation to use of bedside telehealth, an initiative to improve family-centeredness of care in the neonatal intensive care unit. J Patient Exp. 2020;7(6):1378–83. https://doi.org/10.1177/2374373520950927.
4. Franck LS, Kriz RM, Bisgaard R, et al. Comparison of family centered care with family integrated care and mobile technology (mFICare) on preterm infant and family outcomes: A multi-site quasi-experimental clinical trial protocol. BMC Pediatr. 2019;19(1):469. https://doi.org/10.1186/s12887-019-1838-3.
5. Coats H, Bourget E, Starks H, et al. Nurses’ reflections on benefits and challenges of implementing familycentered care in pediatric intensive care units. Am J Crit Care. 2018;27(1):52–8. https://doi.org/10.4037/ajcc2018353
6. Lau C, Turcich MR, Smith EO. Early detection of parenting stress in mothers of preterm infants during their first-year home. BMC Psychol. 2020;8(1):66. https://doi.org/10.1186/s40359-020-00435-z.
7. Choi E, Lee Y. A mother's experience of hospitalization of her newborn in the neonatal intensive care unit. Child Health Nursing Research. 2018;24(4):407–419. doi: 10.4094/chnr.2018.24.4.407.
8. Kumar N, Mallick AK. Maternal stress in neonatal intensive care unit very often overlooked by health professionals. Industrial Psychiatry Journal. 2020;29(1):130–133. doi: 10.4103/ipj.ipj_88_19.
9. Yu M. Work stress, turnover intention and burnout among nurses in neonatal intensive care unit. Journal of Korean Academy of Nursing Administration. 2011;17(1):115–126. doi: 10.11111/jkana.2011.17.1.115.
10. Im M, Oh J. Nursing support perceived by mothers of preterm infants in a neonatal intensive care unit in South Korea. Child Health Nursing Research. 2021;27(2):146–159. doi: 10.4094/chnr.2021.27.2.146.
11. Caporali C, Pisoni C, Gasparini L, Ballante E, Zecca M, Orcesi S, Provenzi L. A global perspective on parental stress in the neonatal intensive care unit: a meta-analytic study. J Perinatol. 2020;40(12):1739–52. https://doi.org/10.1038/s41372-020-00798-6.
12. Salomè S, Mansi G, Lambiase CV, Barone M, Piro V, Pesce M, Sarnelli G, Raimondi F, Capasso L. Impact of psychological distress and psychophysical wellbeing on posttraumatic symptoms in parents of preterm infants after NICU discharge. Ital J Pediatr. 2022;48(1):1–9. https://doi.org/10.1186/s13052-022-01202-z.
13. Matricardi S, Agostino R, Fedeli C, Montirosso R. Mothers are not fathers: differences between parents in the reduction of stress levels after a parental intervention in a NICU. Acta Paediatr. 2013;102(1):8–14. https://doi.org/10.1111/APA.12058.
14. Pichler-Stachl E, Urlesberger P, Mattersberger C, et al. parental stress experience and age of mothers and fathers after preterm birth and admission of their neonate to neonatal intensive care unit; a prospective observational pilot study. Front Pediatr. 2019;7:439. https://doi.org/10.3389/fped.2019.00439.
15. Ganguly R, Patnaik L, Sahoo J, Pattanaik S, Sahu T. Assessment of stress among parents of neonates admitted in the neonatal intensive care unit of a tertiary care hospital in Eastern India. J Educ Health Promot. 2020;9:288. https://doi.org/10.4103/jehp.jehp_169_20.
16. Miles MS, Funk SG, Carlson J. Parental stressor scale: Neonatal intensive care unit. Nurs Res. 1993;42:148–52
17. Aftyka A, Rozalska I, Rybojad B, Samardakiewicz ME. Polish version of the parental stressor scale: neonatal intensive care unit. Annals of Agricultural and Environmental Medicine. 2019;26(1):67-72.
18. Shahzad S, Zahid R, Rehman B, Kazmi TH. Perceived Stress of Pakistani Parents Having Normal Children Aged Under Ten Visiting a Tertiary Care Hospital in Lahore, Pakistan. InProceedings 2020 (Vol. 34, No. 4, pp. 35-39).
19. Heidarzadeh M, Heidari H, Ahmadi A, Solati K, Sadeghi N. Evaluation of parental stress in neonatal intensive care unit in Iran: a national study. BMC nursing. 2023 Feb 15;22(1):41.
20. Çekin B, Turan T. The stress levels of parents of premature infants and related factors in nenoatal intensive care units. Turk J Pediatr. 2018;60(2):117–25. https://doi.org/10.24953/turkjped.2018.02.001.
21. Kegler JJ, Neves ET, Silva AM, Jantsch LB, Bertoldo CD, Silva JH. Stress in parents of newborns in a neonatal intensive care unit. Escola Anna Nery. 2019;23:1-6. https://doi.org/10.1590/2177-9465-EAN-2018-0178.
22. Varma JR, Nimbalkar SM, Patel D, Phatak A. The level and sources of stress in mothers of infants admitted in neonatal intensive care unit. Indian J Psychol Med. 2019;41(4):338–42. https://doi.org/10.4103/IJPSYM.IJPSYM_415_18.
23. Moon SH, Park HR, Kim DY. Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea. Child Health Nursing Research. 2021 Jul;27(3):297.
24. Baia I, Amorim M, Silva S, Kelly-Irving M, de Freitas C, Alves E. Parenting very preterm infants and stress in Neonatal Intensive Care Units. Early Human Development. 2016;101:3–9. doi: 10.1016/j.earlhumdev.2016.04.001.
25. Heydarpour S, Keshavarz Z, Bakhtiari M. Factors affecting adaptation to the role of motherhood in mothers of preterm infants admitted to the neonatal intensive care unit: A qualitative study. Journal of Advanced Nursing. 2017;73(1):138–148. doi: 10.1111/jan.13099.
26. Kim TI. A study on the perceived stress level of mothers in the neonatal intensive care unit patients. Child Health Nursing Research. 2000;6(2):224–239.
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Farhan Mukhtar
Principal/Associate Professor at University College of Nursing, The Islamia University of Bahawalpur, Baghdad-ul- Jadeed Campus, Bahawalpur Pakistan
Javed Iqbal
Nursing Management Department Communicable Disease center-Hamad Medical Corporation Doha Qatar & PhD Scholar University of Malaya
Zeenaf Aslam
Assistant Professor / PhD Scholar, University College of Nursing, The Islamia University of Bahawalpur, Bahawalpur
Muhammad Ayaz
Registered Nursing officer, saidu group of teaching hospital swat
Dr. Brijesh Sathian
Senior scientist & Deputy Chair for Research, Geriatrics and long-term care department,Rumailah Hospital, Hamad Medical Corporation, Doha, Qatar.
Dr.Hala Albarqouni
Infectious Diseases Fellow HMC/Sidra medicine Doha, Qatar.
Saeed Ur Rahman
Assistant professor/ principal Medicaid College of Nursing and Allied health sciences Chakdara Dir Lower
Shah Hussain
Principal / Assistant professor: zalan college of nursing and allied health sciences, swat
Amir Sultan
Principal / Assistant professor tasleem college of nursing and health sciences swat, KPK
Dr Jawed Iqbal
IA, IC, CQM Program Director-ILP, Hamad Healthcare Quality Institute, HMC Doha Qatar
Monitoring and evaluation department.
Iram Saba
ICU Department Nishter Hospital Multan Pakistan
Maoting Tang
Department of Paediatric Intensive Care Unit Nursing, West China Second University Hospital & PhD Student at University of Malaya
Ashok Kumar Mandal
Department of Pharmacology, Faculty of Medicine, University of Malaya