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[新生儿重症监护病房中住院新生儿父母的压力]

[Stress in parents of hospitalized newborns in a neonatal intensive care unit].

作者信息

Palma I Elisa, Von Wussow K Fernanda, Morales B Ignacia, Cifuentes R Javier, Ambiado T Sergio

机构信息

Clínica INDISA, Santiago, Chile.

Universidad de los Andes, Santiago, Chile.

出版信息

Rev Chil Pediatr. 2017 Jun;88(3):332-339. doi: 10.4067/S0370-41062017000300004.

Abstract

UNLABELLED

The birth of a child that requires hospitalization in a Neonatal Intensive Care Unit (NICU) can be very stressful for parents.

OBJECTIVE

To determine the stress level of parents of newborns (NB) hospitalized in a level III NICU in Santiago, and its association with clinical and sociodemographic variables.

PATIENTS AND METHOD

Descriptive cross-sectional study. 373 admissions were evaluated. The sampling was non-probabilistic and included parents of RN admitted to the UPCN between 7 and 21 days of hospitalization. Only parents which have visited the RN at least three times were included.

INSTRUMENTS

i) Questionnaire to obtain data which could not be obtained from the medical record; ii) Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU) which measures the perception of parents about stressors from the physical and psychological environment of the UPCN.

RESULTS

100 parents of 59 hospitalized NB participated in the study. The average parental stress was 2.87±0.69. The subscale scores got higher was “Relationship with the baby and parental role”. Complications in pregnancy, prenatal diagnosis or prenatal hospitalization, did not affect the stress level or the presence of prematurity, respiratory diseases, congenital malformations, genopathies or requirement of mechanical ventilation.

CONCLUSIONS

Stress levels presented in parents are unrelated to gender and to the studied clinical variables.

摘要

未标注

孩子出生后需要入住新生儿重症监护病房(NICU),这对父母来说可能压力巨大。

目的

确定在圣地亚哥一家三级NICU住院的新生儿(NB)父母的压力水平,及其与临床和社会人口统计学变量的关联。

患者与方法

描述性横断面研究。评估了373例入院病例。抽样为非概率抽样,纳入了在住院7至21天期间入住UPCN的NB的父母。仅纳入至少探望过NB三次的父母。

工具

i)用于获取病历中未记录数据的问卷;ii)父母压力量表:新生儿重症监护病房(PSS:NICU),该量表用于测量父母对UPCN身心环境中压力源的感知。

结果

59例住院NB的100位父母参与了研究。父母的平均压力为2.87±0.69。得分较高的子量表是“与婴儿的关系及父母角色”。孕期并发症、产前诊断或产前住院,均未影响压力水平,早产、呼吸系统疾病、先天性畸形、基因病或机械通气需求也未产生影响。

结论

父母的压力水平与性别及所研究的临床变量无关。

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