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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Parental stress and satisfaction in the non-tertiary special care nursery
Jann Foster1, John Bidewell, Adam Buckmaster
1New South Wales Pregnancy and Newborn Services Network, School of Public Health, University of Sydney, NSW, Australia. jfoster@perinatal.usyd.edu.au
Insights
Parental stress levels were similar for infants receiving headbox oxygen or continuous positive airway pressure (CPAP) in special care nurseries. However, parents reported higher satisfaction with CPAP, indicating no significant correlation between stress and satisfaction.
Area of Science:
- Neonatal care
- Pediatric respiratory support
- Parental well-being
Background:
- Continuous positive airway pressure (CPAP) is widely used in special care nurseries.
- Limited data exists on the impact of different respiratory support methods on parental stress and satisfaction.
Purpose of the Study:
- To evaluate the effects of headbox oxygen versus CPAP on parental stress and satisfaction.
- To explore the relationship between parental stress and satisfaction in infants receiving respiratory support.
Main Methods:
- Parental stress and satisfaction were measured using validated questionnaires in five special care nurseries.
- Data was collected from August 2004 to June 2006.
Main Results:
- High stress levels were reported by parents in both treatment groups.
- No significant difference in parental stress was found between headbox oxygen and CPAP groups.
- Parents of infants receiving CPAP reported significantly higher satisfaction compared to the headbox oxygen group.
Conclusions:
- Neither headbox oxygen nor CPAP needs to be favored over the other to minimize parental environmental stress.
- Further research is recommended to develop and test parental stress reduction strategies in special care settings.
Aim:
This paper is a report of a study examining the effects of using headbox oxygen and continuous oxygen positive airway pressure treatments for respiratory distress on stress and satisfaction of parents with infants in a special care nursery, and the relationship between parental stress and satisfaction.
Background:
Continuous positive airway pressure respiratory support is increasingly used in special care nurseries worldwide. Almost nothing is known about effects of different types of respiratory support on the stress and satisfaction of parents with babies in the special care nursery.
Method:
Questionnaires were used from August 2004 to June 2006 in five special care nurseries to measure parental stress using an adaptation of the Parental Stressor Scale: Neonatal Intensive Care Unit and 5-point scales to measure overall stress and satisfaction.
Findings:
Questionnaires were returned from 42 parents of babies receiving headbox oxygen and 51 parents of babies receiving continuous positive airway pressure (62% response rate). High stress was commonly reported. Stress did not differ statistically significantly between the two treatments. Parents with babies receiving continuous positive airway pressure were more satisfied compared to the headbox group. Stress and satisfaction were not statistically significantly correlated.
Conclusion:
Clinicians need not favour either method of respiratory support when attempting to minimize parental experience of environmental stress. Further research is needed to test parental stress reduction strategies in the special care nursery.
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