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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Parental anxiety regarding premature infants and factors affecting parental concern
Ju Yun Lee1, Jung Hyun Lee1, Gyu Min Yeon1
1Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea.
Insights
Parents of premature infants experience significant anxiety, particularly concerning respiratory issues. Maternal diabetes mellitus is linked to increased concerns about metabolic-endocrine systems in infants.
Area of Science:
- Neonatal care
- Parental mental health
- Perinatal psychology
Background:
- Premature birth significantly impacts parental well-being.
- Understanding parental anxieties is crucial for supportive care.
- Effective communication strategies are needed for neonatal intensive care units.
Purpose of the Study:
- To investigate parental anxieties regarding diseases in premature infants.
- To identify key areas of parental concern.
- To inform medical staff communication strategies with parents of premature infants.
Main Methods:
- Study included 51 premature infants (<37 weeks) and 75 parents at a university hospital's Neonatal Intensive Care Unit.
- Retrospective interviews assessed parental anxieties at multiple time points: pre-birth, post-birth, postnatal days 3 & 7, pre-discharge, and post-discharge.
- Data collected from medical records and interviews.
Main Results:
- The respiratory system was the primary source of parental anxiety across all time points.
- Concerns about the metabolic-endocrine system correlated with maternal diabetes mellitus.
- Parental anxiety varied significantly based on infant resuscitation status, birth weight, and presence of bronchopulmonary dysplasia.
Conclusions:
- Parents of premature infants exhibit high levels of anxiety, especially regarding respiratory health.
- Targeted prenatal counseling and support are essential for mothers with diabetes.
- Addressing specific parental concerns can improve infant care and family support.
Purpose:
Premature births have a great impact on the parents. The purpose of this study was to investigate the anxieties of parents of premature infants regarding infantile diseases and to help medical staff better communicate with parents of premature infants.
Design And Methods:
This study included premature infants <37 weeks of age who were admitted to the Neonatal Intensive Care Unit of Kosin University Gospel Hospital between August 1, 2017, and December 31, 2017. The eligible subjects included 51 premature infants with their 75 parents (45 mothers and 30 fathers) listed in the children's medical records. Parental anxieties regarding the infants were determined by retrospective interviews at various time points as follows: before and after the birth, on postnatal Days 3 and 7, before discharge, in the first week after discharge, and at "whenever" time point.
Results:
The highest parental anxiety during all time points was regarding the respiratory system of the premature infants. Parental concerns regarding the metabolic-endocrine system of their infants significantly correlated with the presence of maternal diabetes mellitus. Parental anxiety significantly differed depending on the use of resuscitation after birth. A statistically significant difference in parental anxiety was observed in relation to the birth weight before discharge. The premature infants with bronchopulmonary dysplasia showed a significant difference in the level of parental anxiety concerning the infant's illness in the first week after discharge.
Conclusions:
The parents of the premature infants were greatly concerned about their infants' respiratory system. Careful prenatal counseling and support are needed for mothers with diabetes.
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11:50Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
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