Symptoms of depression in parents after discharge from NICU associated with family-centred care

被引：26

作者：

Axelin, Anna ^{[1
,2
]}

Feeley, Nancy ^{[3
,4
]}

Cambell-Yeo, Marsha ^{[5
,6
,7
,8
]}

Tandberg, Bente Silnes ^{[9
]}

Szczapa, Tomasz ^{[10
]}

Wielenga, Joke ^{[11
]}

Weis, Janne ^{[12
]}

Bosnjak, Anita Pavicic ^{[13
,14
]}

Jonsdottir, Rakel B. ^{[15
]}

George, Kendall ^{[16
]}

Blomqvist, Ylva T. ^{[17
,18
]}

Bohlin, Kajsa ^{[19
,20
]}

Lehtonen, Liisa ^{[21
,22
]}

机构：

[1] Univ Turku, Dept Nursing Sci, Turku, Finland

[2] Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden

[3] McGill Univ, Ingram Sch Nursing, Montreal, PQ, Canada

[4] Jewish Gen Hosp, Ctr Nursing Res, Lady Davis Inst, Montreal, PQ, Canada

[5] Dalhousie Univ, Fac Hlth, Sch Nursing, Halifax, NS, Canada

[6] Dalhousie Univ, Dept Pediat, Halifax, NS, Canada

[7] Dalhousie Univ, Dept Psychol, Halifax, NS, Canada

[8] Dalhousie Univ, Dept Neurosci, Halifax, NS, Canada

[9] Vestre Viken Hosp Trust, Drammen Hosp, Dept Pediat & Adolescent Med, Drammen, Norway

[10] Poznan Univ Med Sci, Dept Neonatol, Neonatal Biophys Monitoring & Cardiopulm Therapie, Poznan, Poland

[11] Univ Amsterdam, Emma Childrens Hosp, IC Neonatol, Med Ctr, Amsterdam, Netherlands

[12] Copenhagen Univ Hosp, Dept Neonatol, Copenhagen, Denmark

[13] Clin Hosp Sveti Duh Zagreb, Dept Obstet & Gynecol, Zagreb, Croatia

[14] Univ Hosp Ctr Zagreb, Dept Transfus Med & Transplantat Biol, Div Breastfeeding Support, Human Milk Bank,Croatian Tissue & Cell Bank, Zagreb, Croatia

[15] Univ Iceland, Fac Nursing, Sch Hlth Sci, Reykjavik, Iceland

[16] Univ Sunshine Coast, Sch Nursing Midwifery & Paramed, Sippy Downs, Qld, Australia

[17] Univ Childrens Hosp, Neonatal Intens Care Unit, Uppsala, Sweden

[18] Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden

[19] Karolinska Univ Hosp, Dept Neonatol, Stockholm, Sweden

[20] Karolinska Inst, Dept Clin Sci Intervent & Technol, Stockholm, Sweden

[21] Turku Univ Hosp, Dept Pediat & Adolescent Med, Turku, Finland

[22] Univ Turku, Dept Clin Med, Turku, Finland

来源：

JOURNAL OF ADVANCED NURSING | 2022年 / 78卷 / 06期

关键词：

depression; family-centred care; health promotion; intensive care units; longitudinal study; neonatal parents; nursing; predictive research; preterm infant; prospective cohort; BIRTH-WEIGHT INFANTS; POSTTRAUMATIC STRESS; PRETERM INFANTS; RISK-FACTORS; PREVALENCE; SUPPORT;

D O I：

10.1111/jan.15128

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Aims The aim of this study was to examine the potential association of family-centred care as perceived by parents during a NICU stay with parents' depressive symptoms at discharge and at 4 months corrected for infant age. Design A longitudinal, multicentre cohort study was conducted from 2018 to 2020 in 23 NICUs across 15 countries. Methods Parents (n = 635 mothers, n = 466, fathers) of infants (n = 739) born before 35 weeks of gestation and admitted to the participating NICUs were enrolled to the study during the first weeks of their infants' hospitalizations. They responded to Digi-FCC daily text messages inquiring about their perception of family-centred care provided by NICU staff. In addition, they completed a questionnaire assessing their overall perception of family-centred care at discharge. Parents' depressive symptoms were measured by the Edinburgh Postnatal Depression Scale at discharge and again after discharge when their infants were at 4 months corrected for age. Results The mothers' and the fathers' perceptions of family-centred care were associated with their depressive symptoms at discharge and at 4 months corrected age, controlling for gestational age, multiple birth, parent education and relationship status. Parents' participation in infant care, care-related decisions and emotional support provided to parents by staff explained the variation in the parents' perceptions of family-centred care. The factors facilitating the implementation of family-centred care included unlimited access to the unit for the parents and for their significant others, as well as amenities for parents. Conclusions Our study shows that family-centred NICU care associates with parents' depressive symptoms after a NICU stay. Impact Depression is common in parents of preterm infants. The provision of family-centred care may protect the mental well-being of parents of preterm infants.

引用

页码：1676 / 1687

页数：12

共 38 条

[1]

Aggarwal S., 2009, Neonatal, Pediatric and Child Health Nursing, V12, P25

[2] Family-Centered Care As a Western-Centric Model in Developing Countries Luxury Versus Necessity [J].