Stress in Parents of Newborns in a Neonatal Intensive Care Unit

Kegler, Jaquiele Jaciara; Neves, Eliane Tatsch; Silva, Augusto Maciel da; Jantsch, Leonardo Bigolin; Bertoldo, Caren da Silva; Silva, Júlia Heinz da

doi:10.1590/2177-9465-EAN-2018-0178

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RESEARCH • Esc. Anna Nery 23 (1) • 2019 • https://doi.org/10.1590/2177-9465-EAN-2018-0178 copy

Stress in Parents of Newborns in a Neonatal Intensive Care Unit^a a Article extracted from Master's Thesis "Stressors of parents in a Neonatal Intensive Care Unit", presented to the Nursing Graduate Program, in the year of 2018, Universidade Federal de Santa Maria - UFSM, under the authorship of first author, supervisor by the second and co-supervisor by the third one.

Estrés en padres de recién nacidos en una Unidad de Terapia Intensiva Neonatal

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To identify the level of stress and the most stressful situations for the parents of newborns hospitalized in a Neonatal Intensive Care Unit.

Methods:

A descriptive study, with a quantitative approach, performed with parents of newborns admitted to the Neonatal Intensive Care Unit. For the data collection, the Brazilian version of the Parental Stress Scale: Neonatal Intensive Care Unit (PSS: NICU) was used. The analysis was performed using descriptive statistics.

Results:

The change in the role of mother/father was the subscale in which the highest level of stress was obtained (mean=3.49) and the items considered more stressful in this subscale were "Separated from my baby" (mean=4.00) and "Feeling helpless and unable to protect my baby from pain and painful procedures" (mean=3.78).

Conclusion:

Hospitalization of a child in a neonatal unit is a stressful experience for parents and there are situations that trigger higher levels of stress.

Keywords:
Stress, Psychological; Parents; Intensive Care Units, Neonatal; Neonatal Nursing

PSS: NICU Items	Average
Sounds and images	2.26
1. The presence of monitors and equipment	2.03
2. Constant noise from monitors and equipment	2.18
3. A sudden noise from monitors’ alarms	2.58
4. Other sick babies in the room	1.85
5. The great number of people working in the unit	1.46
6. To see a machine to breathe for your baby	3.44
Baby’s appearance and behavior	2.83
1. Tubes and equipment in my baby or near him	2.81
2. Bruised areas, cuts or lesion in my baby	3.22
3. The normal color of my baby (for example: pale or yellow)	2.64
4. My baby’s uncommon or abnormal breathing	3.26
5. My baby’s small size	2.20
6. My baby’s wrinkled appearance	1.57
7. To see needles and tubes in my baby	3.21
8. My babe being fed through the vein or a tube	3.00
9. When my baby seemed to be experiencing pain	3.53
10. When my baby seemed sad	3.45
11. My baby’s flaccid and fragile appearance	2.66
12. My baby’s agitated and unquiet movements	2.75
13. My baby not being able to cry like other babies	2.43
Alteration in the role of the mother/father	3.49
1. Being apart from my baby	4.00
2. Not being the one to feed my baby	3.43
3. Not being able to care for my baby (for example: changing diapers, giving a bath)	3.19
4. Not being able to hold my baby when I want	3.37
5. Feeling helpless and being unable to protect my baby from pain and from painful procedures	3.78
6. Feeling unable to help my baby during this time	3.61
7. Not having the time of being alone with my baby	3.08
Total	2.86

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[1] Corresponding author: Jaquiele Jaciara Kegler. E-mail: jake_kegler93@hotmail.com