Busse Morgan, Stromgren Kayleigh, Thorngate Lauren, Thomas Karen A
maternal-infant unit at Group Health Cooperative in Seattle, Washington, USA.
Crit Care Nurse. 2013 Aug;33(4):52-9; quiz 60. doi: 10.4037/ccn2013715.
Background Parents' stress resulting from hospitalization of their infant in the neonatal intensive care unit (NICU) produces emotional and behavioral responses. The National Institutes of Health-sponsored Patient Reported Outcomes Measurement Information System (PROMIS) offers a valid and efficient means of assessing parents' responses. Objective To examine the relationship of stress to anxiety, depression, fatigue, and sleep disruption among parents of infants hospitalized in the NICU. Methods Thirty parents completed the Parental Stressor Scale (PSS:NICU) containing subscales for NICU Sights and Sounds, Infant Behavior and Appearance, and Parental Role Alteration, and the PROMIS anxiety, depression, fatigue, and sleep disturbance short-form instruments. Results PSS total score was significantly correlated with anxiety (r = 0.61), depression (r = 0.36), and sleep disturbance (r = 0.60). Scores for NICU Sights and Sounds were not significantly correlated with parents' outcomes; however, scores for Alteration in Parenting Role were correlated with all 4 outcomes, and scores for Infant Appearance were correlated with all except fatigue. Conclusion Stress experienced by parents of NICU infants is associated with a concerning constellation of physical and emotional outcomes comprising anxiety, depression, fatigue, and sleep disruption.
新生儿重症监护病房（NICU）中婴儿住院导致父母产生压力，进而引发情绪和行为反应。美国国立卫生研究院资助的患者报告结局测量信息系统（PROMIS）提供了一种有效且高效的评估父母反应的方法。目的：探讨NICU住院婴儿父母的压力与焦虑、抑郁、疲劳和睡眠障碍之间的关系。方法：30名父母完成了包含NICU景象与声音、婴儿行为与外貌以及父母角色改变分量表的父母压力源量表（PSS:NICU），以及PROMIS焦虑、抑郁、疲劳和睡眠障碍简版工具。结果：PSS总分与焦虑（r = 0.61）、抑郁（r = 0.36）和睡眠障碍（r = 0.60）显著相关。NICU景象与声音的得分与父母的结局无显著相关性；然而，父母角色改变的得分与所有4种结局相关，婴儿外貌的得分与除疲劳外的所有结局相关。结论：NICU婴儿父母所经历的压力与一系列令人担忧的身体和情绪结局相关，包括焦虑、抑郁、疲劳和睡眠障碍。
