DOI QR코드

DOI QR Code

신생아집중치료실 미숙아 부모의 자율면회 방문 현황과 부모 스트레스와의 상관관계

Correlations between a Flexible Parental Visiting Environment and Parental Stress in Neonatal Intensive Care Units

  • 이수진 (연세대학교 간호대학.삼성서울병원) ;
  • 최은경 (연세대학교 간호대학.김모임간호학연구소) ;
  • 박정옥 (연세대학교 간호대학.김모임간호학연구소) ;
  • 김희순 (한국간호교육평가원)
  • Lee, Su Jin (College of Nursing, Yonsei University.Samsung Medical Center) ;
  • Choi, Eun Kyoung (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Park, Jeongok (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Kim, Hee Soon (Korean Accreditation Board of Nursing Education)
  • 투고 : 2019.02.10
  • 심사 : 2019.03.27
  • 발행 : 2019.10.31

초록

Purpose: The purpose of this study was to examine the correlation between a flexible parental visiting environment and parental stress in neonatal intensive care units (NICUs). Methods: The study participants included 60 parents of premature infants in NICUs. Structured questionnaires and interviews, as well as observations by researchers using a caregiving behavior checklist, were used to measure the flexibility of the parental visiting environment and parents' stress levels. Quantitative and qualitative data were collected concurrently and were initially analyzed as separate data sets. Data collection extended from March 11, 2018 to June 30. 2018 and the data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, and Pearson correlation coefficients. Results: There was a negative correlation (r=-.30, p=.021) between parental stress and the total number of visits in 7 days. We also found that the average duration of each visit and the number of caregiving behaviors performed by parents were positively correlated (r=.73, p<.001). Conclusion: When designing a flexible visiting environment for parents, parents should be encouraged to visit their babies. By doing so, stress can be reduced both for babies and for parents. Therefore, it is suggested that the related polices and regulations in South Korea should be changed to provide more a flexible visiting environment to promote better parent-child attachment and family adjustment.

키워드

참고문헌

  1. Statistics Korea. 2018 annual report on live births and deaths statistics [Internet]. Daejeon: Statistics Korea; 2019 [cited 2019 March 20]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&bSeq=&aSeq=373361&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=0.
  2. Han SY, Chae SM. Perceived parental stress and nursing support for fathers of high risk infants. Child Health Nursing Research. 2016;22(3):190-198. https://doi.org/10.4094/chnr.2016.22.3.190
  3. Aydon L, Hauck Y, Murdoch J, Siu D, Sharp M. Transition from hospital to home: Parents' perception of their preparation and readiness for discharge with their preterm infant. Journal of Clinical Nursing. 2018;27(1-2):269-277. https://doi.org/10.1111/jocn.13883
  4. Kim MH, Ji ES. Effects of a hospital based follow-up program for mothers with very birth weight infants. Journal of Korean Academy of Nursing. 2016;46(1):79-89. https://doi.org/10.4040/jkan.2016.46.1.79
  5. Griffin T. A family-centered "visitation" policy in the neonatal intensive care unit that welcomes parents as partners. The Journal of Perinatal and Neonatal Nursing. 2013;27(2):160-167. https://doi.org/10.1097/jpn.0b013e3182907f26
  6. Wang L, He JL, Fei SL. Perceived needs of parents of premature infants in NICU. Western Journal of Nursing Research. 2018;40(5):688-700. https://doi.org/10.1177/0193945916683679
  7. Cherry AS, Mignogna MR, Roddenberry Vaz A, Hetherington C, McCaffree MA, Anderson MP, et al. The contribution of maternal psychological functioning to infant length of stay in the neonatal intensive care unit. International Journal of Women's Health. 2016;8:233-242. https://doi.org/10.2147/ijwh.s91632
  8. Forcada-Guex M, Borghini A, Pierrehumbert B, Ansermet F, Muller-Nix C. Prematurity, maternal posttraumatic stress and consequences on the mother-infant relationship. Early Human Development. 2011;87(1):21-26. https://doi.org/10.1016/j.earlhumdev.2010.09.006
  9. Chertok IR, McCrone S, Parker D, Leslie N. Review of interventions to reduce stress among mothers of infants in the NICU. Advances in Neonatal Care. 2014;14(1):30-37. https://doi.org/10.1097/anc.0000000000000044
  10. Lee JY, Ju HO. Predictors of early postpartum depression in mothers of preterm infants in neonatal intensive care units. Child Health Nursing Research. 2014;20(2):87-95. https://doi.org/10.4094/chnr.2014.20.2.87
  11. Lee Y, Kim E, Park S, Kim AN, Lee J, Lee KM, et al. The visitation conditions, parents' anxiety and nurses' attitudes of open visitation in the neonatal intensive care unit. Evidence and Nursing. 2014;2(1):29-36.
  12. Turner M, Chur-Hansen A, Winefield H, Stanners M. The assessment of parental stress and support in the neonatal intensive care unit using the parent stress scale - neonatal intensive care unit. Women and Birth. 2015;28(3):252-258. https://doi.org/10.1016/j.wombi.2015.04.001
  13. Kim TI. A study on the perceived stress level of mothers in the neonatal intensive care unit patients. Korean Journal of Child Health Nursing. 2000;6(2):224-239.
  14. Giannini A, Garrouste-Orgeas M, Latour JM. What's new in ICU visiting policies: Can we continue to keep the doors closed? Intensive Care Medicine. 2014;40(5):730-733. https://doi.org/10.1007/s00134-014-3267-y
  15. Belanger L, Bussieres S, Rainville F, Coulombe M, Desmartis M. Hospital visiting policies - impacts on patients, families and staff: A review of the literature to inform decision making. Journal of Hospital Administration. 2017;6(6):51-62. https://doi.org/10.5430/jha.v6n6p51
  16. Miles MS, Funk SG, Carlson J. Parental stressor scale: Neonatal intensive care unit. Nursing Research. 1993;42(3):148-152.
  17. Levy-Shiff R, Hoffman MA, Mogilner S, Levinger S, Mogilner MB. Fathers' hospital visits to their preterm infants as a predictor of father-infant relationship and infant development. Pediatrics. 1990;86(2):289-293.
  18. Harrison TM. Family-centered pediatric nursing care: State of the science. Journal of Pediatric Nursing. 2010;25(5):335-343. https://doi.org/10.1016/j.pedn.2009.01.006
  19. Mitchell ML, Aitken LM. Flexible visiting positively impacted on patients, families and staff in an australian intensive care unit: A before-after mixed method study. Australian Critical Care. 2017;30(2):91-97. https://doi.org/10.1016/j.aucc.2016.01.001
  20. Voos KC, Park N. Implementing an open unit policy in a neonatal intensive care unit: Nurses' and parents' perceptions. The Journal of Perinatal and Neonatal Nursing. 2014;28(4):313-318. https://doi.org/10.1097/jpn.0000000000000055
  21. Matricardi S, Agostino R, Fedeli C, Montirosso R. Mothers are not fathers: Differences between parents in the reduction of stress levels after a parental intervention in a NICU. Acta Paediatrica. 2012;102(1):8-14. https://doi.org/10.1111/apa.12058
  22. Lee YO, Kang JY. The effects of extended family visiting hours in the intensive care unit. Journal of Korean Critical Care Nursing. 2011;4(1):51-63.
  23. Ionio C, Colombo C, Brazzoduro V, Mascheroni E, Confalonieri E, Castoldi F, et al. Mothers and fathers in NICU: The impact of preterm birth on parental distress. Europe's Journal of Psychology. 2016;12(4):604-621. https://doi.org/10.5964/ejop.v12i4.1093
  24. Turner M, Chur-Hansen A, Winefield H. The neonatal nurses' view of their role in emotional support of parents and its complexities. Journal of Clinical Nursing. 2014;23(21-22):3156-3165. https://doi.org/10.1111/jocn.12558
  25. Lee TY, Wang MM, Lin KC, Kao CH. The effectiveness of early intervention on paternal stress for fathers of premature infants admitted to a neonatal intensive care unit. Journal of Advanced Nursing. 2013;69(5):1085-1095. https://doi.org/10.1111/j.1365-2648.2012.06097.x
  26. Melnyk BM, Feinstein NF, Alpert-Gillis L, Fairbanks E, Crean HF, Sinkin RA, et al. Reducing premature infants' length of stay and improving parents' mental health outcomes with the creating opportunities for parent empowerment (COPE) neonatal intensive care unit program: A randomized, controlled trial. Pediatrics. 2006;118(5):e1414-1427. https://doi.org/10.1542/peds.2005-2580
  27. Yang EJ. The effect of providing integrated information on stress perceived by parents of high-risk infant and nursing support [master's thesis]. Seoul: Han Yang University; 2015. p. 1-75.
  28. Ramezani T, Hadian Shirazi Z, Sabet Sarvestani R, Moattari M. Family-centered care in neonatal intensive care unit: A concept analysis. International Journal of Community Based Nursing and Midwifery. 2014;2(4):268.
  29. Maree C, Downes F. Trends in family-centered care in neonatal intensive care. The Journal of Perinatal and Neonatal Nursing. 2016;30(3):265-269. https://doi.org/10.1097/jpn.0000000000000202
  30. Purdy IB, Craig JW, Zeanah P. NICU discharge planning and beyond: Recommendations for parent psychosocial support. Journal of Perinatology. 2015;35(S1):S24-S28. https://doi.org/10.1038/jp.2015.146

피인용 문헌

  1. Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis vol.14, pp.5, 2020, https://doi.org/10.1016/j.anr.2020.09.004
  2. Parenting experiences among fathers of prematurely-born children with cerebral palsy in South Korea vol.27, pp.1, 2021, https://doi.org/10.4094/chnr.2021.27.1.75
  3. Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea vol.27, pp.3, 2019, https://doi.org/10.4094/chnr.2021.27.3.297
  4. 발달지지간호에 대한 신생아집중치료실 간호사의 교육요구도 분석 vol.27, pp.3, 2019, https://doi.org/10.5977/jkasne.2021.27.3.261