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[Hospitalized children's parents' anxiety in critical care units]
Laura Collados Gómez1, Teresa Omayra Jara Casas, Marta Sánchez-Alarcos de la Serna
1Hospital Universitario Gregorio Marañón, Madrid. lauracolladosg@gmail.com
Insights
All parents of children in pediatric and neonatal intensive care units experience anxiety. Parental involvement in child care is linked to higher state anxiety levels, though most parents feel informed and supported.
Area of Science:
- Pediatric critical care medicine
- Nursing research
- Psychological distress in families
Context:
- Hospitalization in Pediatric Intensive Care Units (PICU) and Neonatal Intensive Care Units (NICU) is a significant stressor for families.
- Understanding parental anxiety is crucial for providing comprehensive care.
Purpose:
- To describe the anxiety levels of parents with children admitted to PICU and/or NICU during their first hospitalization week.
- To explore factors related to parental anxiety in this critical care setting.
Summary:
- This observational study assessed anxiety in 60 parents using the State-Trait Anxiety Inventory (STAI). All parents exhibited anxiety (State Anxiety and Trait Anxiety).
- A significant correlation was found between parental participation in child care and higher State Anxiety levels (p<0.05).
- The majority of parents (98%) felt well-informed and satisfied with the information provided.
Impact:
- Findings highlight the universal presence of anxiety among parents in PICU/NICU settings.
- Emphasizes the importance of family-centered care, acknowledging the family as a unit.
- Informs nursing and medical staff on strategies to support anxious parents during pediatric critical care admissions.
Unlabelled:
Child hospitalization is a potentially stressful process that affects both patients and family members.
Objective:
Describe the anxiety that the parents of admitted children at a Intensive Care Units, Pediatric (PICU) and/or Neonatal (NICU) during the first week of hospitalization.
Material And Method:
Observational study descriptive, transversal conducted at the Gregorio Marañón Hospital, in PICU and NICU. The inclusion criteria were: patients who didn't exceed the week admitted but they were at hospital more than one day, patients whose therapeutic effort wasn't limited and spanish-speaker parents. The sample size was 60 parents. We designed a questionnaire to measure sociodemographic variables and others related with the social support. The resulting variable, anxiety like State Anxiety (SA) and Trait Anxiety (TA) were determined by the STAI inventory.
Results:
All the parents showed anxiety the average females SA was 44.59 (+/- 8.02) while the average of men was 44.32 (+/- 6.69). The results show a TA average of 34.73 (+/- 4.09) in woman and 34.95 (+/- 4.93) in men. 83% of the parents of the sample participated in their child caring, having this variable relationship with level of SA (p<0.05). Moreover 98% of parents understood the information given and were satisfied with it.
Conclusion:
All the parents presented anxiety, both SA and TA. They felt informed and supported by nurse. All these actions are directed towards an integral attention taking into account the family as the unit.
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Anxiety: Overview
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.