Maternal and Paternal Stress Reactions when a Child is Hospitalized in a Pediatric Intensive Care Unit

Miles, Margaret Shandor; Carter, Melba C.; Spicher, Charlotte; Hassanein, Ruthstephenson

doi:10.3109/01460868409009770

Cited by 52 publications

(35 citation statements)

References 14 publications

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“…25,26 Pérdida del rol parental: Esta es una variable importante en la generación de EP. 2,13,14,17,18,21 La pérdida del rol parental se relaciona con la separación de su hijo y con la incapacidad de cuidarlo, protegerlo y compartirlo con la familia, ya que se debe delegar el cuidado al equipo clínico. 12 El proceso de hospitalización generará intranquilidad e incertidumbre sobre su papel y sentimientos de incompetencia ante el desconocimiento del cuidado del hijo enfermo.…”

Section: 18unclassified

“…2,6,11,19,21,[27][28][29] Esto se debe a la amenaza inminente a la integridad física e, incluso, la muerte de los pacientes, por lo que la hospitalización en las UCI se configura como un evento de potencial estrés emocional traumático.…”

Section: Factores Derivados Del Ambienteunclassified

“…Ellos observan la realización de múltiples procesos invasivos en sus hijos y manifiestan preocupación por el dolor e incomodidad que puedan sentir, por los eventuales riesgos posquirúrgicos y por la gran cantidad de estímulos auditivos y visuales que existen en dichas unidades. 2 A d e m á s , p o r l o g e n e r a l , l a hospitalización infantil presenta repercusiones afectivas, emocionales y comportamentales negativas no solo en los niños, sino también en la familia y en los padres, principalmente cuando no reciben adecuado apoyo psicológico. [2][3][4][5] En la actualidad, los niños con enfermedades cardíacas constituyen un número importante de los ingresos a una UCI pediátrica de centros terciarios.…”

Section: Introductionunclassified

“…2 A d e m á s , p o r l o g e n e r a l , l a hospitalización infantil presenta repercusiones afectivas, emocionales y comportamentales negativas no solo en los niños, sino también en la familia y en los padres, principalmente cuando no reciben adecuado apoyo psicológico. [2][3][4][5] En la actualidad, los niños con enfermedades cardíacas constituyen un número importante de los ingresos a una UCI pediátrica de centros terciarios. 6 E l o b j e t i v o d e e s t a r e v i s i ó n bibliográfica es describir los factores determinantes de estrés en los padres de niños con cardiopatía congénita sometidos a cirugía cardíaca y describir los elementos de diferentes intervenciones publicadas para atenuar ese estrés.…”

Section: Introductionunclassified

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Estrés en padres de niños operados de cardiopatías congénitas

et al. 2014

Arch Argent Pediat

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Section: 18unclassified

Section: Factores Derivados Del Ambienteunclassified

Section: Introductionunclassified

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Estrés en padres de niños operados de cardiopatías congénitas

et al. 2014

Arch Argent Pediat

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“…In a series of three studies describing specific parental stressors during a child's PICU stay at different points in a child's illness, Miles and Carter, et al 5,9,40 consistently found that the child's behavior and emotions and alterations in parental role were the two greatest stressors. A subsequent study produced similar results.…”

Section: Effects On Parentsmentioning

confidence: 99%

Effects of Pediatric Head Trauma for Children, Parents, and Families

Youngblut

Singer

Boyer

et al. 2000

Critical Care Nursing Clinics of North America

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SUMMARYSevere pediatric head injury has negative consequences for children of all ages. Even mild and moderate head injury results in residual impairment for school-age children and adolescents. Data are needed on the effects of these less severe insults, especially for preschoolers. Although research on the impact of the child's head injury on the parent-child relationship and family functioning is limited, the experience is likely to be very stressful for the parent and the family. Indeed, family integrity may be at risk. Research is needed that examines the effects of a child's head injury for the parent and the family over time and identifies factors related to these outcomes.Accidental injury is the leading cause of death and acquired disability for children over 1 year of age. Children under 15 years of age account for 22.4% of over 35 million emergency department visits each year that result from injury. 42 Head injuries account for 29% of children's hospitalizations caused by injury. 34 Most pediatric head injuries are caused by accidental falls and motor vehicle accidents for 1-to 9-year olds and sports injuries for 5-to 9-year olds. 28 Continued progress in emergency medical care has led to increased survival of children with traumatic brain injury, but many survivors are at high risk for acute and chronic impairments in functioning. Thus, brain-injured children and their families face significant challenges because of impairment that affects the children's daily lives, their school performance, their future, and frequently, the well-being of family members and the family system. When a preschool child suffers an accidental head injury, families are suddenly faced with fears about the child's survival and current condition and uncertainty about the child's future. Hospitalization in a pediatric intensive care unit (PICU) may exacerbate these fears. 64, 66 Severely brain-injured school-age children and adolescents are often left with significant disabilities. 16 Even school-age children and adolescents with mild traumatic brain injuries experience decreased functional status initially and problems with neurobehavioral abilities, such as attention deficit and memory loss, for at least a year after the injury. 47 The stress associated with adapting to a "new" child with continuing but subtle deficits is likely to have negative effects for the parent's mental health, with potential deterioration of the parent-child and family relationships. The purpose of this article is to review the research on effects of head injury for the injured child, the parents, and the family.Address reprint requests to

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The stress response of mothers and fathers of preterm infants

Miles

Funk²,

Kasper³

1992

Research in Nursing & Health

Self Cite

200

146

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Differences in neonatal intensive care unit (NICU) environmental stress, uncertainty, and anxiety of 23 mothers and fathers (couples) whose premature infants were hospitalized in an NICU were explored. Alterations in the parental role were found to be stressful for both mothers and fathers, with mothers reporting significantly greater stress in this area than did fathers. Stress and uncertainty decreased significantly over time. Mothers and fathers did not differ in level of anxiety. Findings suggest that both mothers and fathers are distressed by the admission of a premature to an NICU; however, mothers may be more distressed by certain aspects of the experience.

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Maternal and Paternal Stress Reactions when a Child is Hospitalized in a Pediatric Intensive Care Unit

Cited by 52 publications

References 14 publications

Estrés en padres de niños operados de cardiopatías congénitas

Estrés en padres de niños operados de cardiopatías congénitas

Effects of Pediatric Head Trauma for Children, Parents, and Families

The stress response of mothers and fathers of preterm infants

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