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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Factors Associated With Anxiety-Depressive Symptoms, Experience, and Satisfaction Among Families in Neonatology: A
Isabel Cuéllar-Flores1, Gloria Alonso-Toribio2, María José Rodríguez Castaño1
1Department of Neonatology, Hospital Clínico San Carlos, Madrid, Spain.
Insights
Parental experience in the neonatal intensive care unit (NICU) significantly affects family well-being. High satisfaction with the healthcare team can reduce parental anxiety and depressive symptoms.
Area of Science:
- Neonatal care
- Parental mental health
- Healthcare quality
Background:
- Parental experience in neonatal intensive care units (NICUs) is crucial for family satisfaction and emotional well-being.
- Understanding factors influencing parental mental health in the NICU is essential for improving care.
Purpose of the Study:
- To explore associations between parental NICU experience, sociodemographic/hospitalization factors, and anxiety-depressive symptoms.
- To identify key elements of parental experience that impact emotional outcomes.
Main Methods:
- Cross-sectional study of 84 parents with NICU-admitted infants.
- Utilized parental experience (EMPATHIC-N), satisfaction, and anxiety-depressive symptoms (PHQ-4) measures.
- Employed descriptive statistics, group comparisons, correlations, and mediation modeling.
Main Results:
- High willingness to recommend the NICU (79.5%) and high satisfaction with healthcare professionals (8.3/10).
- 24.4% of parents experienced anxiety-depressive symptoms, inversely correlated with satisfaction.
- Healthcare team satisfaction mediated 70% of the effect of parental experience on anxiety-depressive symptoms.
Conclusions:
- Satisfaction with the healthcare team is central to mitigating parental emotional distress post-NICU.
- Improving care initiatives focused on enhancing healthcare team satisfaction can reduce parental anxiety and depression.
Introduction:
Parental experience in neonatal intensive care units strongly impacts family satisfaction and emotional well-being.
Objectives:
This study explored associations between parental neonatal intensive care unit experience, sociodemographic and hospitalization factors, and anxiety-depressive symptoms.
Methods:
A cross-sectional study was conducted with 84 parents of neonatal intensive care unit-admitted infants. Measures included parental experience (EMPATHIC-N), satisfaction with professionals, and anxiety-depressive symptoms (PHQ-4), along with sociodemographic and hospitalization data. Analyses comprised descriptive statistics, group comparisons, correlations, and mediation modeling.
Results:
Participants were mainly highly educated European mothers. Most infants stayed <1 week; parental participation occurred 1day-6 months post-discharge. Families reported high willingness to return (77.1%) and recommend the neonatal intensive care unit (79.5%). Satisfaction with nurses and physicians was high (8.3/10), though four EMPATHIC-N items scored below 75%. Anxiety-depressive symptoms were present in 24.4%, inversely correlating with satisfaction and some specific EMPATHIC-N items. Mediation analysis showed healthcare team satisfaction explained 70% of the effect of parental experience on anxiety-depressive symptoms.
Conclusion:
Satisfaction with the healthcare team plays a central role in the emotional distress of parents after their experience in the neonatal intensive care unit, so improving care initiatives that enhance it could reduce anxiety and depression in parents.
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