Factors Influencing Stress among Mothers of Preterm Infant Hospitalized in Neonatal Intensive Care Unit

Main Article Content

Paichit Amsri Wannee Deoisres Wantana Suppaseemanont3

Abstract

Abstract


          This study aimed to examine level of stress and identify influencing factors of maternal stress which included nursing support, preterm birth weight, delivery type, and experience of having premature birth. A convenience sample of 90 mothers with preterm infant hospitalized in neonatal intensive care unit, Roi-Et regional hospital, was recruited. Data were carried out from March to May 2018. Research instruments included a demographic questionnaire, a medical record form, the Nurse Parent Support tool, and the Parental Stressor Scale. Descriptive statistics and standard multiple regression analysis were employed to analyze the data.


Results showed the mean score of overall maternal stress was 69.12 (SD = 11.57), where 68% of the mothers reported high level of stress. All predictors accounted for 44.2% of variance prediction in maternal stress. Only preterm birth weight (β = -0.61) and emergency caesarean section (β = .27) were significantly predicted. NICU nurses can discourse these concerns and emotional state with empathetic information skills and being mindful of the importance of involving the mothers as much as possible in their preterm care.

Keywords

Article Details

Section
บทความวิจัย

References

Bender, G. J., Koestler, D., Ombao, H., McCourt, M., Alskinis, B., Rubin, L. P., & Padbury, J. F. (2013). Neonatal intensive care unit: Predictive models for length of stay. Journal of Perinatology, 33(2), 147-153.

Benzouina, S., et al. (2016). Fetal outcome in emergency versus elective cesarean sections at Souissi Maternity Hospital, Rabat, Morocco. The Pan African Medical Journal, 23: 197. doi:10.11604/pamj.2016.23.197.7401
Costa-Ramon, A. M., Rodriguez-Gonzalez, A., Serra-Burriel, M., & Campillo-Artero, C. (2018). It's about time: Cesarean sections and neonatal health. Journal of Health Economics, 59, 46-59.

De Castro, E. C. M., Leite, A. J. M., & Guinsburg, R. (2016). Mortality in the first 24 hours of very low birth weight preterm infants in the Northeast of Brazil. Revista Paulista de Pediatria, 34(1), 106-113.

Eutrope, J., Thierry, A., Lempp, F., Aupetit, L., Saad, S., Dodane, C., … Rolland, A. C. (2014). Emotional reactions of mothers facing premature births: Study of 100 mother-infant dyads 32 gestational weeks. Public Library of Science One, 9(8), 1-7. doi:10.1371
/journal.pone.0104093

Howe, T.H., Sheu, C. F., Wang, T. N., & Hsu, Y. W. (2014). Parenting stress in families with very low birth weight preterm infants in early infancy. Research in Developmental Disabilities, 35(7), 1748-1756.

Kantahong, K., Niyomkar, S., & Lamchang, S. (2015). Factors predicting parent participation in caring for hospitalized children with acute illness. Nursing Journal, 42(3), 1-12. [In Thai]

Kantrowitz-Gordon, I., Altman, M. R., & Vandermause, R. (2016). Prolonged distress of parents after early preterm birth. Journal of Obstetric, Gynecologic & Neonatal Nursing, 45(2), 196-209. doi:10.1016/j.jogn.2015.12.004

Malakouti, J., Jabraeeli, M., Valizadeh, S., & Babapour, J. (2013). Mothers’ experience of having a preterm infant in the neonatal intensive care unit: A phenomenological study. Critical Care Nursing, 5(4), 172-181.

Miles, M. S., & Carter, M. C. (1983). Assessing parental stress in intensive care units. American Journal of Maternal Child Nursing, 8, 354–359.

Miles, M. S., Funk, S. G., & Kasper, M. A. (1991). The neonatal intensive care unit environment: Sources of stress for parents. AACN Clinical Issues in Critical Nursing, 2(2), 346–354.

Miles, M.S., Carlson, J., & Brunssen, S. (1999). The nurse parent support tool. Journal of Pediatric Nursing, 14 (1), 44-50.

Rowlands, I. J., & Redshaw, M. (2012). Mode of birth and women's psychological and physical well-being in the postnatal period. BioMed Central Pregnancy & Childbirth, 12(1), 138 -148.

Sikorova, L., & Kucova, J. (2012). The needs of mothers to newborn hospitalized in intensive care unit. Biomed Pap Med, 156(4), 330-336.

Singsuwan, C. (2015). Relationship between stress and coping of Muslim adolescent mothers having premature infants admitted in neonatal intensive care units in the three southern border provinces. Master of Nursing Science (Pediatric Nursing). Prince of Songkla University. [In Thai]

Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed). Boston, MA: Allyn and Bacon.

Teerarungsikul, N. (2012). The lived experience of mothers with premature babies. Journal of Nursing Education, 5(1), 25-38. [In Thai]

Tandberg, B. S., Sandtro, H. P., Vardal, M., & Ronnestad, A. (2013). Parents of preterm evaluation of stress and nursing support. Journal of Neonatal Nursing, 19(6), 317
-326.

Treyvaud, K. (2014). Parent and family outcomes following very preterm or very low birth weight birth: A review. Seminars in Fetal & Neonatal Medicine, 19(2), 131-135.

Utasongkawat, S. (2010). The effect of maternal mutual participation program of premature baby mothers on maternal stress at Sawanpracharak Hospital