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The Stress Levels of Premature Infants' Parents and Related Factors in NICU
Abdelaziz Hendy1, Salma El-Sayed1, Salma Bakry2
1Pediatric Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt.
Insights
High stress is common for parents with infants in the neonatal intensive care unit (NICU). Factors like mechanical ventilation and prolonged hospitalization significantly increase parental stress, impacting the parent-infant relationship.
Area of Science:
- Neonatal Intensive Care Unit (NICU) care
- Parental mental health
- Infant health outcomes
Background:
- Parental stress during infant hospitalization is a significant concern.
- Fathers' experiences are often understudied compared to mothers.
- Causes of parental stress in the NICU require further investigation.
Purpose of the Study:
- To examine stress levels in parents of premature infants in the NICU.
- To explore factors associated with parental stress in this population.
Main Methods:
- Cross-sectional observational study.
- 743 parents from nine Egyptian NICUs.
- Utilized parent/infant characteristics and the Parent Stress Scale.
Main Results:
- 80.3% reported high stress related to sight/sound, 69% to infant appearance, and 81.4% to the parent-infant relationship.
- 73.6% of parents experienced high overall stress (mean score 167.56).
- High stress was associated with mechanical ventilation, previous neonatal death, distance from hospital, C-section delivery, low income, and prolonged hospitalization.
Conclusions:
- Approximately three-quarters of parents experienced high overall stress levels.
- Mechanical ventilation, previous neonatal death, and socioeconomic factors are significant contributors to parental stress.
- Interventions addressing these factors are crucial for supporting parents in the NICU.
Introduction:
Parental stress related to their infants' hospitalization is a significant concern that affects both parents and their infants. Fathers' experiences tend to be understudied compared to mothers. Further research on fathers' stress levels is necessary. While parental stress has been correlated with infant health severity, the specific causes and risk factors contributing to heightened stress levels in parents of neonatal intensive care unit (NICU) infants are not yet fully understood and require further investigation.
Objective:
This study aimed to examine the stress levels experienced by parents of premature infants in the NICU and to explore the factors associated with parental stress in this specific context.
Methods:
A cross-sectional observational design was used to accomplish this study, which was carried out on 743 parents from nine different NICUs located in governmental hospitals across various locations in Egypt. We used characteristics of parents and premature infants, and Parent Stress Scale was used for data collection.
Results:
A majority of parents reported experiencing high stress in the following domains: sight and sound (80.3%), infants' appearance (69%), and the parent-infant relationship (81.4%). Additionally, about three-quarters (73.6%) of parents experienced high stress overall, with a mean score of 167.56 (21.3).
Conclusion:
About three-quarters of the parents experienced high overall stress levels. Also, factors that were found to affect parents' stress levels included premature infants connected to mechanical ventilators, previous neonatal death, parents living far from hospitals, infants delivered through cesarean section, insufficient income, and prolonged hospitalization beyond 5 days.
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