Ramos Bruna Abreu, Formiga Cibelle Kayenne Martins Roberto, Oliveira Nayara Rodrigues Gomes de, Marçal Patricia Gonçalves Evangelista, Ferreira Rui Gilberto, Saidah Tárik Kassem, Amaral Waldemar Naves do
Department of Health Sciences, Federal University of Goiás (UFG), Goiania 74605-050, Brazil.
Department of Physical Therapy, State University of Goiás (UEG), Goiania 74075-110, Brazil.
Children (Basel). 2024 Jul 24;11(8):889. doi: 10.3390/children11080889.
Preterm birth and prolonged neonatal hospitalization are potential sources of stress for mothers of preterm and low birth weight infants.
To evaluate maternal stress and its association with neurobehavioral indicators of preterm infants during hospitalization in the neonatal intensive care unit.
A cross-sectional study was conducted in a neonatal intensive care unit of a hospital in Goiânia, Brazil. The study included preterm and low birth weight infants of both genders and their mothers. The Parental Stressor Scale: Neonatal Intensive Care Unit and the Neurobehavioral Assessment of the Preterm Infant were respectively applied to mothers and infants in the neonatal intensive care unit.
The study involved 165 premature infants and their mothers. The mean age of the mothers was 26.3 years and most had a high school education level (57.6%). Mothers perceived the experience of having an infant in the neonatal intensive care unit as moderately stressful (2.96 ± 0.81). The parental role alteration (4.11 ± 1.03) and sights and sounds (2.15 ± 0.90) subscales exhibited the highest and lowest stress levels, respectively. Significant correlations (rho < -0.3; < 0.05) were found between maternal stress and neurobehavioral indicators of infants. In the multivariate analysis, low leg tone was a predictor of higher maternal stress. Low tone and limited arm movement were predictors of higher maternal stress in the maternal role item.
The experience of having a preterm infant hospitalized was considered moderately stressful for mothers. Maternal stress levels were significantly correlated with low scores on neonatal neurobehavioral indicators.
早产和新生儿长期住院是早产及低体重儿母亲潜在的压力源。
评估新生儿重症监护病房住院期间母亲的压力及其与早产儿神经行为指标的关联。
在巴西戈亚尼亚一家医院的新生儿重症监护病房进行了一项横断面研究。该研究纳入了不同性别的早产及低体重儿及其母亲。分别对新生儿重症监护病房的母亲和婴儿应用了《父母压力源量表：新生儿重症监护病房》和《早产儿神经行为评估》。
该研究涉及165名早产儿及其母亲。母亲的平均年龄为26.3岁，大多数人具有高中学历（57.6%）。母亲们认为在新生儿重症监护病房照顾婴儿的经历压力适中（2.96±0.81）。父母角色改变（4.11±1.03）和视听（2.15±0.90）分量表分别表现出最高和最低的压力水平。在母亲压力与婴儿神经行为指标之间发现了显著相关性（rho < -0.3；< 0.05）。在多变量分析中，下肢肌张力低是母亲压力较高的一个预测因素。在母亲角色项目中，肌张力低和手臂活动受限是母亲压力较高的预测因素。
母亲们认为早产儿住院的经历压力适中。母亲压力水平与新生儿神经行为指标得分低显著相关。
