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

Autori
Axelin, Anna ; Feeley, Nancy ; Campbell-Yeo, Marsha ; Silnes Tandberg, Bente ; Szczapa, Tomasz ; Wielenga, Joke ; Weis, Janne ; Pavicic Bosnjak, Anita ; Jonsdottir, Rakel B. ; George, Kendall ; Blomqvist, Ylva T. ; Bohlin, Kajsa ; Lehtonen, Liisa

Kolaboracija
Separation, Closeness Experiences In Neonatal Environment (SCENE) Research Group

Izvornik
Journal of advanced nursing (0309-2402) 78 (2022), 6; 1676-1687

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
depression, family- centred care, health promotion, intensive care units, longitudinal study, neonatal parents, nursing, predictive research, preterm infant, prospective cohort

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA