Transition From Hospital to Home for Parents of Preterm Infants

Boykova, Marina; Kenner, Carole

doi:10.1097/jpn.0b013e318243e948

Cited by 94 publications

(108 citation statements)

References 48 publications

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“…Mothers, need personal and environmental support to develop coping strategies (Boykova & Kenner, 2012). Developing a mother's coping and self-care strategies is important for the infant's long-term well-being and development, and for the integrity of the family unit.…”

Section: Discussionmentioning

confidence: 99%

Mothers’ Coping Strategies in Preparing for the Discharge of Low Birth Weight Infants from a Perinatology Ward

2017

Aust. J. Basic & Appl. Sci.

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Background: Low birth weight infants are born weighing less than 2500 grams. The chance of life increases with the advancement of technology through intensive care in the perinatology ward. High medical needs during infant care, duration of care, and lack of knowledge about the condition of the infant are factors that causes stress on mothers to bring the infant home. Mother may feel incompetence in caring for the infant at home. Greater stress occurs among mothers who are lack of proper coping skills. Objective: This study aimed to appraise mothers' coping strategies for dealing with stress related to the discharge preparations of a low birth weight (LBW) infant. Sixty mothers of LBW infants hospitalized in a perinatology ward participated in this descriptive-correlational study. They were selected using a convenience sampling method. Data were collected using a structured questionnaire of the Stress and Coping Strategies Scale, and the questionnaire was tested for validity and reliability (Cronbach's alpha: 0.72). Descriptive and inferential statistics, including the Pearson's correlation test, were applied to analyze the data using SPSS. Results: Most mothers (86%) used coping strategies focused on emotions, and 78% reported using ones that focus on solving problems. There was a significant correlation among the infant's length of hospitalization (p. 0.024) and history of hyperbilirubinemia (p. 0.007) with a mother's coping strategy. We also found a strong significant correlation between mothers' stress and coping strategies (r. −0.641; p. < 0.001). Conclusion: This study indicate that stress scores are significantly associated with coping strategies: the higher the score, the lower the mother's coping ability. Developing a maternal coping strategy that focuses on problem solving will increase mother's confidence in preparing for the discharge of LBW infants from perinatology ward and able to care for the baby at home. We recommend that nurses help mothers develop coping strategies with a focus on problem solving through family involvement and educational care for LBW infants.

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Section: Discussionmentioning

confidence: 99%

Mothers’ Coping Strategies in Preparing for the Discharge of Low Birth Weight Infants from a Perinatology Ward

2017

Aust. J. Basic & Appl. Sci.

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“…(9,19) Thus, using exploratory factor analysis, it was verified that first principal component was more strongly related to the child domain and the second to the parent domain. Both explained 64.57% of the total item variance (the first explained 45.16% of the data variance and the second 17.80%), similar to the findings in the original scale.…”

Section: Discussionmentioning

confidence: 99%

“…This assessment, however, needs to continue after the discharge from the NICU, at the outpatient monitoring clinic and at the Primary Health Care (PHC) services, as maternal depression and anxiety are directly related with negative growth and development outcomes for the PMI, increasing the search for the health services. (9) In Brazil, the use of stress assessment scales focused on the parents of children who are or have been hospitalized is not usual yet, as many of these scales are international and need to be translated and validated for our language and culture. Tools like the Parenting Stress Index (PSI) have been used in different countries with positive results when applied to parents of discharged children.…”

Section: Introductionmentioning

confidence: 99%

Validação da escala Índice de Estresse Parental para o português do Brasil

Pereira¹,

Viera

Toso

et al. 2016

Acta paul. enferm.

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Objective: To present the cultural adaptation and validation of the Parenting Stress Index for Brazilian Portuguese. Methods: Methodological research. For the validation, the scale was applied to 53 mothers of premature infants at the outpatient monitoring clinic of a public teaching hospital in Paraná between November 2013 and July 2014. For the data analysis, descriptive and inferential statistics were used. Results: The reliability was satisfactory for the complete scale (α=0.91) and the domains: Child domain (α=0.87) and parents' domain (α=0.88). The principal components explained 64.57% of total item variation, being 45.16% from the child's domain and 17.80% from the parents' domain. Conclusion: The scale was appropriate to assess maternal stress after hospital discharge, endorsing its use in the Brazilian context in new studies to enhance its reliability and validity. ResumoObjetivo: Apresentar a adaptação cultural e validação do instrumento Parental Stress Index para o português do Brasil. Métodos: Pesquisa metodológica com a aplicação da escala em validação à 53 mães de prematuros no ambulatório de seguimento de um hospital público de ensino no Paraná, no período de novembro de 2013 a julho de 2014. A análise de dados utilizou estatística descritiva e inferencial. Resultados: A confiabilidade do instrumento foi satisfatória em seu conjunto (α=0,91) e em seus domínios: Domínio da criança (α=0,87) e domínio dos pais (α=0,88). Os componentes principais explicaram 64,57% da variação total dos itens, sendo 45,16% do domínio da criança e 17,80% do domínio dos pais. Conclusão: A escala mostrou-se adequada para avaliar o estresse materno após a alta hospitalar, referendando-se seu uso no contexto brasileiro em novos estudos para ampliar sua confiabilidade e validade.

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“…(9)(10)(11) However, it is imperative that the baby's clinical picture is stable, that parents have adequate physical and emotional reserves, and that parents have access to a service network that can be easily reached in case of any intercurrence and that offers support for the family to implement home care. (12) Families' doubts in relation to signs and symptoms presented by the baby, the baby's characteristics, and risks and weakness were related to daily care at home. This home care required that families make continuous decisions that previously were guided by hospital staff.…”

Section: Discussionmentioning

confidence: 99%

Nursing actions in homecare to extremely low birth weight infant

Sassá¹,

Gaíva

Higarashi

et al. 2014

Acta paul. enferm.

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Objective: To describe nursing actions implemented in a home context for the needs presented by the families of extremely low birth weight newborns. Methods: This convergent care research was carried out with nine families who were visited in their home. For data collection we used semi-structured informal interviews and observation of participants during the first six months after hospital discharge. Data were analyzed using the thematic modality. Results: Care needs of families during daily home care were related mainly to doubts and insecurities specific to extremely low birth weight premature babies and the care and guidance required for follow-up of newborns in general. Conclusion: Nursing actions in a home context involve child evaluation, guidance, demonstrations, clarifications, referrals, and stimulation for puericulture follow-up with specialists. These actions also include facilitating family empowerment and gradual autonomy of care. ResumoObjetivo: Descrever as ações de Enfermagem implementadas no contexto domiciliar, a partir das necessidades apresentadas pelas famílias de bebês nascidos muito baixo peso. Métodos: Pesquisa convergente-assistencial realizada com nove famílias, por meio de visitas domiciliares, entrevistas informais, semiestruturadas e observação participante, durante os 6 primeiros meses após a alta hospitalar. Os dados foram submetidos à análise de conteúdo, modalidade temática. Resultados: As necessidades assistenciais das famílias durante o cuidado cotidiano no domicílio estiveram relacionadas principalmente a dúvidas e inseguranças advindas da prematuridade e do muito baixo peso, aos cuidados específicos e à orientação quanto ao seguimento dos bebês. Conclusão: As ações de Enfermagem no contexto domiciliar envolveram avaliação da criança, orientações, demonstrações, esclarecimentos, encaminhamentos e estímulo para o acompanhamento de puericultura e com especialistas, além de uma abordagem que facilitou o empoderamento familiar e a autonomia gradativa para o cuidar.

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Transition From Hospital to Home for Parents of Preterm Infants

Cited by 94 publications

References 48 publications

Mothers’ Coping Strategies in Preparing for the Discharge of Low Birth Weight Infants from a Perinatology Ward

Mothers’ Coping Strategies in Preparing for the Discharge of Low Birth Weight Infants from a Perinatology Ward

Validação da escala Índice de Estresse Parental para o português do Brasil

Nursing actions in homecare to extremely low birth weight infant

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