Institute of Health Sciences, Medical College of Rzeszow University, 35-310 Rzeszow, Poland.
Institute of Medical Sciences, Medical College of Rzeszow University, 35-310 Rzeszow, Poland.
Int J Environ Res Public Health. 2021 Dec 2;18(23):12694. doi: 10.3390/ijerph182312694.
The experience of hospitalization of a newborn in the Neonatal Intensive Care Unit (NICU) may become distressing both for the baby and parent. The study aimed to assess the degree of parental stress and coping strategies in parents giving KMC to their babies hospitalized in NICU compared to the control group parents not giving KMC. The prospective observational study enrolled a cohort of 337 parents of premature babies hospitalized in NICU in 2016 in Eastern Poland. The Parental Stressor Scale: Neonatal Intensive Care Unit, Coping Inventory for Stressful Situations were used. The level of stress in parents giving KMC was defined as low or moderate. Analysis confirmed its greater presence in the group of parents initiating KMC late (2-3 weeks) compared to those starting this initiative in week 1 of a child's life. An additional predictor of a higher level of stress in parents initiating KMC "late" was the hospital environment of a premature baby. Task oriented coping was the most common coping strategy in the study group. KMC and direct skin-to-skin contact of the parent with the baby was associated with a higher level of parental stress only initially and decreased with time and KMC frequency.
新生儿重症监护病房(NICU)中新生儿住院的经历可能会给婴儿和家长带来困扰。本研究旨在评估与未行袋鼠式护理(KMC)的对照组家长相比,行 KMC 的家长的压力程度和应对策略。前瞻性观察性研究于 2016 年纳入了波兰东部 NICU 中 337 名早产儿的家长。使用了新生儿重症监护病房父母压力源量表和应对压力情境量表。对行 KMC 的家长的压力水平定义为低或中度。分析证实,与在婴儿生命的第 1 周开始这一举措的家长相比,较晚(2-3 周)开始 KMC 的家长中压力更大。“较晚”开始 KMC 的家长压力水平更高的另一个预测因素是早产儿的医院环境。任务导向型应对是研究组中最常见的应对策略。KMC 和父母与婴儿的直接皮肤接触仅在最初与较高的父母压力水平相关,随着时间的推移和 KMC 频率的增加而降低。