Effect of Family Integrated Care on maternal stress in preterm infants in the Neonatal Intensive Care Unit: A bi-center experience

IF 2.8 3区医学 Q2 PSYCHIATRY

Asia‐Pacific Psychiatry Pub Date : 2022-12-11 DOI:10.1111/appy.12521

Yuan Zhang MD, Min Jiang MD, Xiying Xiang MD, Wenwen He MD, Juan Du MD, Mingyan Hei MD, PhD

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引用次数: 0

Abstract

Aim

To compare the effect of family integrated care (FICare) on maternal stress in preterm infants with traditional non-parent neonatal intensive care unit (NICU) care.

Methods

We continuously enrolled mothers and their preterm infants from two NICUs between August 2014 and April 2017; while one NICU applied the FICare model (FICare group) and the other performed standard non-parent care model (control group). Maternal stress was evaluated by the Parental Stress Scale: NICU (PSS: NICU) on admission and right before the discharge. A generalized linear model to adjust for potential confounders. Subgroup analysis was also performed for comparisons between two groups.

Results

A total of 215 mothers with preterm infants were included in this study, among whom 118 (54.88%) were in FICare group and 97 (45.12%) were in control group. The mean PSS: NICU score was 117.36 ± 26.27 on admission with no difference between two groups. Before being discharged home, the PSS: NICU score of parents in both groups was significantly reduced, with the score of FICare group was significantly lower than that of control group. In all sub-domains of PSS: NICU score as sights and sounds, baby looks and behavior score, and parental role, the scores of FICare group were significantly lower than control group.

Conclusions

There was a simultaneous decrease of maternal stress for NICU preterm infants. FICare further facilitates reducing the maternal stress. It shall be encouraged to apply FICare model in NICUs.

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家庭综合护理对新生儿重症监护室早产儿母亲压力的影响:一项双中心经验

目的比较家庭综合护理(FICare)与传统的非父母新生儿重症监护病房(NICU)护理对早产儿母亲压力的影响。方法2014年8月至2017年4月连续招募两家新生儿重症监护病房的母亲及其早产儿;一个NICU采用FICare模式(FICare组)，另一个NICU采用标准的非父母护理模式(对照组)。采用NICU父母压力量表(PSS: NICU)对产妇入院时和出院前的压力进行评估。一个广义的线性模型来调整潜在的混杂因素。对两组间的比较进行亚组分析。结果215例早产儿母亲纳入本研究，其中FICare组118例(54.88%)，对照组97例(45.12%)。入院时PSS: NICU平均评分为117.36±26.27，两组间无差异。出院前，两组家长PSS: NICU评分均显著降低，其中FICare组显著低于对照组。在新生儿重症监护病房的视觉与声音评分、婴儿外观与行为评分和父母角色评分中，FICare组得分显著低于对照组。结论新生儿重症监护病房早产儿产妇应激同时降低。FICare进一步有助于减轻产妇的压力。鼓励在新生儿重症监护病房中应用FICare模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asia‐Pacific Psychiatry PSYCHIATRY-

CiteScore

7.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Asia-Pacific Psychiatry is an international psychiatric journal focused on the Asia and Pacific Rim region, and is the official journal of the Pacific Rim College of Psychiatrics. Asia-Pacific Psychiatry enables psychiatric and other mental health professionals in the region to share their research, education programs and clinical experience with a larger international readership. The journal offers a venue for high quality research for and from the region in the face of minimal international publication availability for authors concerned with the region. This includes findings highlighting the diversity in psychiatric behaviour, treatment and outcome related to social, ethnic, cultural and economic differences of the region. The journal publishes peer-reviewed articles and reviews, as well as clinically and educationally focused papers on regional best practices. Images, videos, a young psychiatrist''s corner, meeting reports, a journal club and contextual commentaries differentiate this journal from existing main stream psychiatry journals that are focused on other regions, or nationally focused within countries of Asia and the Pacific Rim.