DETERMINING THE STRESS AND ANXIETY LEVELS OF MOTHERS WITH INFANTS IN THE NEONATAL INTENSIVE CARE UNIT DURING THE COVID-19 PANDEMIC
Year 2023,
Volume: 4 Issue: 1, 23 - 28, 29.03.2023
Dilek Şayık
,
Özlem Mumcu
,
Ayfer Açıkgoz
Abstract
Objective: The hospitalization of a newborn for any reason and the separation of mother and infant can be a source of stress during the Covid-19 pandemic. The aim of this study was to determine the stress and anxiety levels of mothers with babies in the neonatal intensive care unit (NICU) during the pandemic.
Methods: This descriptive study was carried out with 105 mothers whose babies were hospitalized in the NICU of a hospital in Eskisehir province in Turkey between May 14 and June 14, 2020.
Results: Participants ranged in age from 18 to 42 years old, with an average age of 29.63±5.78. It was determined that 54.3% of the infants (n=57) were admitted to the NICU immediately after birth
and remained in the NICU for an average of 7.61±15.18 days. It was found that mothers experienced moderate stress (PSS: NICU score 3.48±0.99) and anxiety (PSAS score 82.07±21.41) during the pandemic. A significant positive relationship was found between PSAS and PSS: NICU (p=.003; r=0.290).
Conclusions: It was concluded that in order to reduce levels of stress and anxiety, mothers with babies in the NICU during the pandemic period should increase the time they spend with their baby, and both doctors and nurses should provide mothers with information about the infant’s condition.
Supporting Institution
yok
Thanks
We thank the mothers of the infants in the Neonatal Intensive Care Unit who participated in our study.
References
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1. Aydin R, Kizilkaya T, Aytac SH, Taslar N. In Covid-19 pandemic; social support requirements and midwifery approaches to women during pregnancy, childbirth and the postpartum period. Turkish Studies 2020;15(4).
- 2. Bedford J, Enria D, Giesecke J, et al. COVID-19: towards controlling of a pandemic. The Lancet 2020;395(10229):1015-1018.
- 3. Hu D, Kong Y, Li W, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the Covıd-19 outbreak in Wuhan, China: a large-scale cross-sectional study. EClinicalMedicine 2020;24:100424.
- 4. Sade S, Sheiner E, Wainstock T, et al. Risk for depressive symptoms among hospitalized women in high-risk pregnancy units during the COVID-19 pandemic. J Clin Med 2020;9(8):2449.
- 5. Duran S. Postpartum Specific Anxiety Scale (PSAS): reliability and validity of the Turkish version. Perspect Psychiatr Care 2020;56(1):95-101.
- 6. Fallon V, Halford JCG, Bennett KM, Harrold JA. The postpartum specific anxiety scale: development and preliminary validation. Arch Womens Ment Health 2016;19(6):1079-1090.
- 7. Wada FH, Prabandari YS, Hapsari ED. Bonding and attachment experience among postnatal mothers with spontaneous childbirth. Belitung Nursing J 2020;6(1):14-20.
- 8. Cekin B. The Stress Levels and Coping of Parents Whose Preterm Baby Is in the Newborn Intensive Care Unit of A University Hospital. Dissertation. Pamukkale University; 2014.
- 9. Turan T, Basbakkal Z. Study on validity and reliability of a Turkish version of the Parental Stress Scale: Neonatal Intensive Care Unit. HUHEMFAD-JOHUFON 2006;13(2):32-42.
- 10. Unver F, Arslan FT. Anxiety levels of mothers of newborns hospitalized with a diagnosis of hyperbilirubinemia. Pediatr Pract Res 2019;7(4):103-109.
- 11. Brooks SK, Weston D, Greenberg N. Psychological impact of infectious disease outbreaks on pregnant women: rapid evidence review. Public Health 2020;189:26-36.
- 12. Miles MS, Funk SG, Carlson J. Parental Stressor Scale: neonatal intensive care unit. Nurs Res 1993;42(3):148–152.
- 13. Comert D. Maternal Acute Stress Levels in the Postpartum Period and Affecting Factors. Dissertation. Istanbul: Marmara University; 2019.
- 14. Ong SL, Abdullah KL, Danaee M, Soh KL, Soh KG, Japar S. Stress and anxiety among mothers of premature infants in a Malaysian neonatal intensive care unit. J of Reproductive and Infant Psychology 2019;37(2):193-205.
- 15. Keklikci Y, Dorum BA, Vatansever A. Stress levels of parents of infants in the neonatal ıntensive care unit and coping methods. Van Medical J. 2020;27(2):160-165.
- 16. Pichler-Stachl E, Urlesberger P, Mattersberger C, Baik-Schneditz N, Schwaberger B, Urlesberger B, Pichler G. Parental stress experience and age of mothers and fathers after preterm birth and admission of their neonate into the neonatal intensive care unit; a prospective observational pilot study. Frontiers in Pediatrics 2019;7:439.
- 17. Yayan EH, Ozdemir M, Düken ME, Dag YS. Determination of stress levels of parents of babies in the neonatal ıntensive care unit. GÜSBD 2019;8(1):82-89.
- 18. Varma JR, Nimbalkar SM, Patel D, Phatak AG. The level and sources of stress in mothers of infants admitted into the neonatal intensive care unit. Indian J of Psychological Medicine 2019;41(4):338-342.
- 19. Akkoyun S, Tas Arslan F. Investigation of stress and nursing support in mothers of preterm infants in neonatal intensive care units. Scand J Caring Sci 2019;33(2):351-358.
- 20. Gianni ML, Bezze EN, Sannino P, Baro M, Roggero P, Muscolo S, .et al. Maternal views on facilitators of and barriers to breastfeeding preterm infants. BMC Pediatrics 2018;18(1):283.
- 21. Yang Y, Brandon D, Lu H, Cong X. Breastfeeding experiences and perspectives on support among Chinese mothers separated from their hospitalized preterm infants: a qualitative study. International Breastfeeding J 2019;14(1):1-7.
- 22. Mahoney AD, White RD, Velasquez A, Barrett TS, Clark RH, Ahmad KA. Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019. J Perinatol 2020;40(1):36-46.
- 23. Molmen Lichter M, Peled Y, levy S, Wiznitzer A, Krissi H, Handelzalts JE. The associations between insecure attachment, rooming‐in, and postpartum depression: A 2 months’ longitudinal study. IMHJ 2021;42(1):74-86.
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- 25. Cakmak E. The Relationship Between the Anxiety Level of Mothers of Hospitalized Infants in Neonatal Care Unit, Their Involvement in the Care and Their Skill in Solving Care Problems. Dissertation. Adnan Menderes University; 2015.
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- 27. Sarman A, Sarman E. An Overlooked Issue: Negative Effects of Child's Hospital Treatment on Family and Preventive Nursing Approaches. University of Health Sciences Journal of Nursing 2020;2(2):113-120.
- 28. Trumello C, Candelori C, Cofini M, et al. Mothers' depression, anxiety, and mental representations after preterm birth: A study during infant hospitalization in a neonatal intensive care unit. Frontiers in Public Health 2018;6:359.
- 29. Kocak V. Development of Postpartum Mobile Support Application and Its Effect on Mothers’ Anxiety and Depression Symptoms: Pretest-Posttest Randomized Controlled Study. Dissertation. Necmettin Erbakan University; 2020.
- 30. Fallon V, Halford JCG, Bennett KM, Harrold JA. Postpartum-specific anxiety as a predictor of infant-feeding outcomes and perceptions of infant-feeding behaviors: new evidence for childbearing, specific measures of mood. Arch Womens Ment Health 2018;21(2):181-191.
- 31. Horsley K, Nguyen TV, Ditto B, Da Costa D. The association between pregnancy-specific anxiety and exclusive breastfeeding status early in the postpartum period. J Hum Lact 2019;35(4):729-736.
- 32. Goral E. The Effect of Nursing Interventions on Stress Levels of Mothers With Hospitalized Premature Babies in the Neonatal Intensive Care Unit. Dissertation. Necmettin Erbakan University; 2019.
- 33. Palma EI, Von Wussow F., Morales IB, Cifuentes J, Ambiado S. Stress in parents of newborns hospitalized in a neonatal intensive care unit. Rev Chil Pediatr 2017;88(3):332-339.
- 34. Sogum D, Dikec G. The effect of kangaroo care on the stress levels of mothers whose infants were hospitalized in neonatal intensive care unit. Health and Society 2020;30(2):114-122.
- 35. Ashford MT, Olander EK, Rowe H, Fisher JRW, Ayers S. Feasibility and acceptability of a web-based treatment with telephone support for postpartum women with anxiety: A randomized controlled trial. JMIR Ment Health 2018;5(2):e19.
COVID-19 PANDEMİSİ DÖNEMİNDE BEBEĞİ YENİDOĞAN YOĞUN BAKIM ÜNİTESİNDE YATAN ANNELERİN STRES VE ANKSİYETE DÜZEYLERİNİN BELİRLENMESİ
Year 2023,
Volume: 4 Issue: 1, 23 - 28, 29.03.2023
Dilek Şayık
,
Özlem Mumcu
,
Ayfer Açıkgoz
Abstract
Amaç: Covid-19 Pandemisi döneminde herhangi bir sebeple bebeğin hastaneye yatırılması ve anne ve bebeğin ayrı kalması bir stres kaynağı olabilmektedir. Araştırma, pandemi döneminde bebeği yenidoğan yoğun bakım ünitesinde (YYBÜ) yatan annelerin stres ve anksiyete düzeylerini belirlemek amacıyla yapıldı.
Yöntemler: Tanımlayıcı tipte olan bu araştırma, 14 Mayıs – 14 Haziran 2020 tarihleri arasında Eskişehir ilinde bulunan bir hastanenin YYBÜ’nde bebeği yatan 105 anne ile tamamlandı.
Bulgular: Katılımcıların yaşları 18 ile 42 arasında değişmekte olup, yaş ortalamaları 29.63±5.78’tür. Bebeklerin %54.3’ünün (n=57) doğduktan hemen sonra YYBÜ’ne yatışının yapıldığı ve ortalama 7.61±15.18 gün YYBÜ’ne yatmakta oldukları belirlendi. Araştırmada pandemi döneminde annelerin orta düzeyde stres (NICU Anne-Baba Stres Ölçeği 3.48±0.99) ve anksiyete (PSAS Ölçeği puanı 82.07±21.41) yaşadıkları saptandı. PSAS Ölçeği ile NICU Anne-Baba Stres Ölçeği arasında önemli düzeyde pozitif yönlü bir ilişki saptanmıştır (p=0.003; r=0.290).
Sonuç: Çalışmada, pandemi döneminde bebeği YYBÜ’ne yatan annelerin stres ve anksiyete düzeyinin azaltılması için, bebeği ile birlikte geçireceği sürenin artırılması gerektiği ve bebeği hakkında
bilginin hem doktor hem de hemşire tarafından verilmesi gerektiği bulundu.
References
- REFERENCES
1. Aydin R, Kizilkaya T, Aytac SH, Taslar N. In Covid-19 pandemic; social support requirements and midwifery approaches to women during pregnancy, childbirth and the postpartum period. Turkish Studies 2020;15(4).
- 2. Bedford J, Enria D, Giesecke J, et al. COVID-19: towards controlling of a pandemic. The Lancet 2020;395(10229):1015-1018.
- 3. Hu D, Kong Y, Li W, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the Covıd-19 outbreak in Wuhan, China: a large-scale cross-sectional study. EClinicalMedicine 2020;24:100424.
- 4. Sade S, Sheiner E, Wainstock T, et al. Risk for depressive symptoms among hospitalized women in high-risk pregnancy units during the COVID-19 pandemic. J Clin Med 2020;9(8):2449.
- 5. Duran S. Postpartum Specific Anxiety Scale (PSAS): reliability and validity of the Turkish version. Perspect Psychiatr Care 2020;56(1):95-101.
- 6. Fallon V, Halford JCG, Bennett KM, Harrold JA. The postpartum specific anxiety scale: development and preliminary validation. Arch Womens Ment Health 2016;19(6):1079-1090.
- 7. Wada FH, Prabandari YS, Hapsari ED. Bonding and attachment experience among postnatal mothers with spontaneous childbirth. Belitung Nursing J 2020;6(1):14-20.
- 8. Cekin B. The Stress Levels and Coping of Parents Whose Preterm Baby Is in the Newborn Intensive Care Unit of A University Hospital. Dissertation. Pamukkale University; 2014.
- 9. Turan T, Basbakkal Z. Study on validity and reliability of a Turkish version of the Parental Stress Scale: Neonatal Intensive Care Unit. HUHEMFAD-JOHUFON 2006;13(2):32-42.
- 10. Unver F, Arslan FT. Anxiety levels of mothers of newborns hospitalized with a diagnosis of hyperbilirubinemia. Pediatr Pract Res 2019;7(4):103-109.
- 11. Brooks SK, Weston D, Greenberg N. Psychological impact of infectious disease outbreaks on pregnant women: rapid evidence review. Public Health 2020;189:26-36.
- 12. Miles MS, Funk SG, Carlson J. Parental Stressor Scale: neonatal intensive care unit. Nurs Res 1993;42(3):148–152.
- 13. Comert D. Maternal Acute Stress Levels in the Postpartum Period and Affecting Factors. Dissertation. Istanbul: Marmara University; 2019.
- 14. Ong SL, Abdullah KL, Danaee M, Soh KL, Soh KG, Japar S. Stress and anxiety among mothers of premature infants in a Malaysian neonatal intensive care unit. J of Reproductive and Infant Psychology 2019;37(2):193-205.
- 15. Keklikci Y, Dorum BA, Vatansever A. Stress levels of parents of infants in the neonatal ıntensive care unit and coping methods. Van Medical J. 2020;27(2):160-165.
- 16. Pichler-Stachl E, Urlesberger P, Mattersberger C, Baik-Schneditz N, Schwaberger B, Urlesberger B, Pichler G. Parental stress experience and age of mothers and fathers after preterm birth and admission of their neonate into the neonatal intensive care unit; a prospective observational pilot study. Frontiers in Pediatrics 2019;7:439.
- 17. Yayan EH, Ozdemir M, Düken ME, Dag YS. Determination of stress levels of parents of babies in the neonatal ıntensive care unit. GÜSBD 2019;8(1):82-89.
- 18. Varma JR, Nimbalkar SM, Patel D, Phatak AG. The level and sources of stress in mothers of infants admitted into the neonatal intensive care unit. Indian J of Psychological Medicine 2019;41(4):338-342.
- 19. Akkoyun S, Tas Arslan F. Investigation of stress and nursing support in mothers of preterm infants in neonatal intensive care units. Scand J Caring Sci 2019;33(2):351-358.
- 20. Gianni ML, Bezze EN, Sannino P, Baro M, Roggero P, Muscolo S, .et al. Maternal views on facilitators of and barriers to breastfeeding preterm infants. BMC Pediatrics 2018;18(1):283.
- 21. Yang Y, Brandon D, Lu H, Cong X. Breastfeeding experiences and perspectives on support among Chinese mothers separated from their hospitalized preterm infants: a qualitative study. International Breastfeeding J 2019;14(1):1-7.
- 22. Mahoney AD, White RD, Velasquez A, Barrett TS, Clark RH, Ahmad KA. Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019. J Perinatol 2020;40(1):36-46.
- 23. Molmen Lichter M, Peled Y, levy S, Wiznitzer A, Krissi H, Handelzalts JE. The associations between insecure attachment, rooming‐in, and postpartum depression: A 2 months’ longitudinal study. IMHJ 2021;42(1):74-86.
- 24. Acikgoz A, Ayvaz E. A qualitative study: determination of the opinions and expectations of the families with infants treated at the newborn intensive care unit. OJM 2019;41(3):271-278.
- 25. Cakmak E. The Relationship Between the Anxiety Level of Mothers of Hospitalized Infants in Neonatal Care Unit, Their Involvement in the Care and Their Skill in Solving Care Problems. Dissertation. Adnan Menderes University; 2015.
- 26. Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry 2017;210(5):315-323.
- 27. Sarman A, Sarman E. An Overlooked Issue: Negative Effects of Child's Hospital Treatment on Family and Preventive Nursing Approaches. University of Health Sciences Journal of Nursing 2020;2(2):113-120.
- 28. Trumello C, Candelori C, Cofini M, et al. Mothers' depression, anxiety, and mental representations after preterm birth: A study during infant hospitalization in a neonatal intensive care unit. Frontiers in Public Health 2018;6:359.
- 29. Kocak V. Development of Postpartum Mobile Support Application and Its Effect on Mothers’ Anxiety and Depression Symptoms: Pretest-Posttest Randomized Controlled Study. Dissertation. Necmettin Erbakan University; 2020.
- 30. Fallon V, Halford JCG, Bennett KM, Harrold JA. Postpartum-specific anxiety as a predictor of infant-feeding outcomes and perceptions of infant-feeding behaviors: new evidence for childbearing, specific measures of mood. Arch Womens Ment Health 2018;21(2):181-191.
- 31. Horsley K, Nguyen TV, Ditto B, Da Costa D. The association between pregnancy-specific anxiety and exclusive breastfeeding status early in the postpartum period. J Hum Lact 2019;35(4):729-736.
- 32. Goral E. The Effect of Nursing Interventions on Stress Levels of Mothers With Hospitalized Premature Babies in the Neonatal Intensive Care Unit. Dissertation. Necmettin Erbakan University; 2019.
- 33. Palma EI, Von Wussow F., Morales IB, Cifuentes J, Ambiado S. Stress in parents of newborns hospitalized in a neonatal intensive care unit. Rev Chil Pediatr 2017;88(3):332-339.
- 34. Sogum D, Dikec G. The effect of kangaroo care on the stress levels of mothers whose infants were hospitalized in neonatal intensive care unit. Health and Society 2020;30(2):114-122.
- 35. Ashford MT, Olander EK, Rowe H, Fisher JRW, Ayers S. Feasibility and acceptability of a web-based treatment with telephone support for postpartum women with anxiety: A randomized controlled trial. JMIR Ment Health 2018;5(2):e19.