Evaluating the effect of Family Integrated Care on maternal stress and anxiety in neonatal intensive care units

被引：45

作者：

Cheng, Chelsea ^{[1
]}

Franck, Linda S. ^{[2
]}

Ye, Xiang Y. ^{[3
]}

Hutchinson, Sarah A. ^{[3
]}

Lee, Shoo K. ^{[1
,3
,4
,5
,6
,7
]}

O'Brien, Karel ^{[1
,3
,5
,6
,7
]}

Lee, Shoo K. ^{[1
,3
,4
,5
,6
,7
]}

Bracht, Marianne ^{[7
]}

Caouette, Georges ^{[8
]}

Ng, Eugene ^{[9
]}

McMillan, Douglas ^{[10
]}

Ly, Linh ^{[11
]}

Dow, Kimberly ^{[12
]}

Taylor, Richard ^{[13
]}

Monterrosa, Luis ^{[14
]}

Canning, Roderick ^{[15
]}

Sankaran, Koravangattu ^{[16
]}

Bingham, William ^{[16
]}

Soraisham, Amuchou ^{[17
]}

el Helos, Salhab ^{[18
]}

Alvaro, Ruben ^{[19
]}

Narvey, Michael ^{[20
]}

da Silva, Orlando ^{[21
]}

Osiovich, Horacio ^{[22
]}

Emberley, Julie ^{[23
]}

Catelin, Celine ^{[24
]}

St Aubin, Lucia ^{[25
]}

Warkentin, Tammy ^{[25
]}

Kalapesi, Zarin ^{[26
]}

Bodani, Jaya ^{[26
]}

Lui, Kei ^{[27
]}

Kho, Guan ^{[28
]}

Kecskes, Zsuzsoka ^{[29
]}

Carlisle, Hazel ^{[29
]}

Stack, Jacqueline ^{[30
]}

Callander, Ian ^{[30
]}

Schmidt, Peter ^{[31
]}

Paradisis, Mary ^{[32
]}

Broadbent, Roland ^{[33
]}

Raiman, Clare ^{[7
]}

Wong, Charlene ^{[7
]}

Cabot, Michele ^{[8
]}

Roy, Anne Marie ^{[8
]}

L'Herault, Maryse ^{[8
]}

Gignac, Marie-Andree ^{[8
]}

Marquis, Marie-Helene ^{[8
]}

Leblanc, Mylene ^{[8
]}

Travell, Cathy ^{[9
]}

机构：

[1] Sinai Hlth Syst, Dept Paediat, Toronto, ON, Canada

[2] Univ Calif San Francisco, Family Hlth Care Nursing, San Francisco, CA 94143 USA

[3] Mt Sinai Hosp, Maternal Infant Care Res Ctr, Toronto, ON, Canada

[4] Univ Toronto, Dept Pediat, Toronto, ON, Canada

[5] Univ Toronto, Dept Obstet & Gynaecol, Toronto, ON, Canada

[6] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[7] Mt Sinai Hosp, Toronto, ON, Canada

[8] CHU Quebec Laval, Quebec City, PQ, Canada

[9] Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada

[10] IWK Hlth Ctr, Halifax, NS, Canada

[11] Hosp Sick Children, Toronto, ON, Canada

[12] Kingston Gen Hosp, Kingston, ON, Canada

[13] Victoria Gen Hosp, Victoria, BC, Canada

[14] St Johns Hosp, St John, NB, Canada

[15] Moncton Hosp, Moncton, NB, Canada

[16] Royal Univ Hosp, Saskatoon, SK, Canada

[17] Foothills Med Ctr, Calgary, AB, Canada

[18] Hamilton Hlth Sci Ctr, Hamilton, ON, Canada

[19] St Boniface Gen Hosp, Winnipeg, MB, Canada

[20] Hlth Sci Ctr, Winnipeg, MB, Canada

[21] London Hlth Sci Ctr, London, ON, Canada

[22] BC Womens & Childrens Hosp, Vancouver, BC, Canada

[23] Janeway Childrens Hlth & Rehabil, St John, NF, Canada

[24] CHU Sherbrooke, Quebec City, PQ, Canada

[25] Windsor Reg Hosp, Windsor, ON, Canada

[26] Regina Gen Hosp, Regina, SK, Canada

[27] Royal Hosp Women, Sydney, NSW, Australia

[28] Townsville Hosp, Townsville, Qld, Australia

[29] Canberra Hosp, Canberra, ACT, Australia

[30] Liverpool Hosp, Liverpool, NSW, Australia

[31] Gold Coast Univ, Southport, Qld, Australia

[32] Royal North Shore Hosp, Sydney, NSW, Australia

[33] Dunedin Publ Hosp, Dunedin, New Zealand

[34] Royal Hosp Women, Randwick, NSW, Australia

[35] Gold Coast Univ Hosp, Gold Coast, Qld, Australia

[36] Canberra Hosp, Canberra, ACT, Australia

[37] Royal North Shore Hosp, St Leonards, NSW, Australia

[38] Prema Quebec, Quebec City, PQ, Canada

[39] Toronto East Gen Hospital, Toronto, ON, Canada

来源：

JOURNAL OF REPRODUCTIVE AND INFANT PSYCHOLOGY | 2021年 / 39卷 / 02期

基金：

加拿大健康研究院;

关键词：

Preterm infant; NICU; stress; anxiety; FICare; PRETERM INFANTS; CENTERED CARE; MENTAL-HEALTH; NURTURE INTERVENTION; PARENTAL INVOLVEMENT; FATHER INVOLVEMENT; MOTHERS; OUTCOMES; EXPERIENCES; MANAGEMENT;

D O I：

10.1080/02646838.2019.1659940

中图分类号：

B84 [心理学];

学科分类号：

04 ; 0402 ;

摘要：

Objective: To identify how Family Integrated Care (FICare) affected maternal stress and anxiety. Study Design: This secondary analysis of the FICare cluster randomised controlled trial included infants born between 1 April 2013 and 31 August 2015 at <= 33 weeks' gestation. Mothers completed the PSS:NICU and STAI questionnaires at enrolment and study day 21. Results: 1383 mothers completed the surveys at one or both time-points. The mean PSS:NICU and STAI scores at day 21 were significantly lower in the FICare mothers than controls (PSS:NICU mean [standard deviation] FICare 2.32 [0.75], control 2.48 [0.78], p = 0.0005; STAI FICare 70.8 [20.0], control 74.2 [19.6], p = 0.0004). The sights and sounds, looks and behaviour, and parental role PSS:NICU subscales and the state and trait STAI subscales were all significantly different between FIC are and controls at day 21. The magnitude of change in all stress and anxiety subscales was greater in the FICare group than controls. These differences remained significant after adjustment for confounders with the greatest change in the parental role (least-squares mean [95% confidence interval] FICare -0.65 [-0.72, 0.57], control -0.31 [-0.38, -0.24], p < 0.0001) and state anxiety subscales. Conclusion: FICare is effective at reducing NICU-related maternal stress and anxiety.

引用

页码：166 / 179

页数：14

共 31 条

[1] Systematic review of qualitative studies exploring parental experiences in the Neonatal Intensive Care Unit [J].