Evaluation of Anxiety Levels and Family-Centred Care Receipt Status among Turkish Mothers with Babies Admitted to the Neonatal Unit: A Two-Centre Study

Yıl 2024, , 332 - 344, 27.08.2024

Sümeyye Özarslan , Ulviye Günay , Ramazan Özdemir

https://doi.org/10.58605/bingolsaglik.1447870

Öz

Bu çalışma bebeği yenidoğan yoğun bakım ünitesinde(YYBÜ) tedavi gören annelerin anksiyete düzeyleri ve aile merkezli bakım alma durumlarını değerlendirmek amacıyla yapılmıştır. Bu araştırma tanımlayıcı ve kesitsel tasarımda yapılmıştır. Ocak-Aralık 2022 tarihleri arasında Türkiye’nin doğusunda bulunan biri üniversite diğeri devlet hastanesi olmak üzere iki ayrı hastanenin YYBÜ’ nde yapılmıştır. Verilerin toplanması için Tanıtıcı Bilgi Formu, Spielberg Durumluk ve Süreklik Kaygı Ölçeği, Yenidoğan Aile Merkezli Bakım Ölçeği kullanılmıştır. Annelerin durumluk kaygı düzeyi puan ortalamaları 41.51±9.6, süreklik kaygı düzeyi puan ortalamaları 40.31±7.7 olup orta düzeyde kaygı yaşadıkları saptanmıştır. Yenidoğan aile merkezli bakım ölçeğinin toplam puan ortalaması 3.7±0.7(min 1-max 5) ve alt boyut puan ortalamaları; itibar ve saygı 4.0±0.7, bilgi paylaşımı 3.9±0.8, bakıma katılım 4.0±0.8 ve aile ile iş birliği 3.3±1.1 olduğu belirlenmiştir. Annelerin aile merkezli bakım ölçeği toplam puan ve alt boyut puan ortalaması ile durumluk ve süreklik kaygı düzeyleri arasında negatif yönlü anlamlı ilişki olduğu belirlenmiştir(p<0.05). Bebeği YYBÜ’nde tedavi gören annelerin aile merkezli bakım alma durumları artmakta ve anlamlı olarak kaygı puanları azalmaktadır.

Anahtar Kelimeler

Aile merkezli bakım, anksiyete, anne, hemşire, yenidoğan

Evaluation of Anxiety Levels and Family-Centred Care Receipt Status among Turkish Mothers with Babies Admitted to the Neonatal Unit: A Two-Centre Study

Öz

This study was conducted to evaluate the anxiety levels and family-centred care receipt status of mothers whose babies were treated in the neonatal intensive care unit (NICU). This research was conducted in a descriptive and cross-sectional design between January and December 2022 in the NICU of two separate hospitals, one of which is a university hospital, and the other is a public hospital located in the east of Turkey. An Introductory Information Form, Spielberger State-Trait Anxiety Inventory, and Newborn Family-Centred Care Scale were used to collect data. The mothers’ state anxiety level mean score was 41.51±9.6, their trait anxiety level mean score was 40.31±7.7, and they experienced a moderate level of anxiety. The total mean score of the Newborn Family-Centred Care Scale was 3.7±0.7 (min 1-max 5). Mean scores from the subscales were 4.0±0.7 for dignity and respect, 3.9±0.8 for information sharing, 4.0±0.8 for participation in care, and 3.3±1.1 for cooperation with the family. A significant negative relationship was found between the mothers’ family-centred care scale total score and mean subscale scores and their state and trait anxiety levels (p <0.05). The mothers whose babies are treated in the NICU received more family-centred care, and their anxiety scores decreased significantly.

Anahtar Kelimeler

Family centered care, anxiety, mother, nurse, newborn

Kaynakça

• 1. Melnyk BM, Crean HF, Feinstein NF, Fairbanks, E. Maternal anxiety and depression after a premature infant's discharge from the neonatal intensive care unit: explanatory effects of the creating opportunities for parent empowerment program. Nursing research, 2008, 57(6), 383-394
• 2. Mascheroni E, Ionio C. The efficacy of interventions aimed at improving post-partum bonding: a review of interventions addressing parent-infant bonding in healthy and at risk populations. Journal of Neonatal Nursing, 2019, 25(2), 61-68
• 3. Della Vedova AM, Santoniccolo F, Sechi T. Perinatal Depression and Anxiety Symptoms, Parental Bonding and Dyadic Sensitivity in Mother–Baby Interactions at Three Months Post-Partum. International Journal of Environmental Research and Public Health, 2023, 20(5), 4253
• 4. Maffei D, Schanler RI. Human milk is the feeding strategy to prevent necrotizing enterocolitis! Semin Perinatol. 2017;41(1):36–40. doi:10.1053/j.semperi.2016.09.016.
• 5. Arshadi Bostanabad, M, NamdarArshatnab H, Balila M, Asghari Jafarabadi M, Ravanbakhsh K. Effect of family-centered intervention in neonatal intensive care unit on anxiety of parents. International Journal of Pediatrics, 2017, 5(6), 5101-5111.
• 6. Yayan EH, Özdemir M, Düken ME, Suna Y. Yenidoğan yoğun bakım ünitesinde bebeği yatan ebeveynlerin stres düzeylerinin belirlenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 2019, 8(1), 82-89.
• 7. Utario Y, Rustina Y, Efendi D. Family Centered Care Intervention Effectively Reduces Parental Anxiety in Perinatology Ward. Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 2021, 9(1), 143-151.
• 8. Malouf R, Harrison S, Burton HA, Gale C, Stein A, Franck LS, Alderdice F. Prevalence of anxiety and post-traumatic stress (PTS) among the parents of babies admitted to neonatal units: A systematic review and meta-analysis. Clinical Medicine, 2022, 43.
• 9. Alkozei A, McMahon E, Lahav A. Stress levels and depressive symptoms in NICU mothers in the early postpartum period. The Journal of Maternal-Fetal & Neonatal Medicine, 2014, 27 (17), 1738–1743.
• 10. Serlachius A, Hames J, Juth V, Garton D, Rowley S, Petrie KJ. Parental experiences of family‐centred care from admission to discharge in the neonatal intensive care unit. Journal of Paediatrics and Child Health, 2018, 54(11), 1227-1233
• 11. Rasoolpur P, Rahkar Farshi M, Jabraeili M. Perceptions of Preterm Infant Mothers from Receiving Family-Centered Care in Neonatal Intensive Care Unit: A Cross-Sectional Study. Journal of Health and Care, 2022, 24(1), 76-85.
• 12. Bonacquisti A, Geller PA, Patterson CA. Maternal depression, anxiety, stress, and maternal-infant attachment in the neonatal intensive care unit. Journal of reproductive and infant psychology, 2020, 38(3), 297-310.
• 13. Voos KC, Ross G, Ward MJ. Yohay AL, Osorio SN, Perlman JM. Effects of implementing familycentered rounds (FCRs) in a neonatal intensive care unit (NICU). J Matern Fetal Neonatal Med 2011;24(11):1403-1406.
• 14. Cheng C, Franck LS, Ye XY, Hutchinson SA, Lee SK, O’Brien K. Evaluating the effect of Family Integrated Care on maternal stress and anxiety in neonatal intensive care units. Journal of reproductive and infant psychology, 2021, 39(2), 166-179
• 15. Valizadeh L, Ajoodaniyan N, Namnabati M, Zamanzadeh V. Nurses' viewpoint about the impact of Kangaroo Mother Care on the mother–infant attachment. Journal of Neonatal Nursing, 2013, 19(1), 38-43.
• 16. Deng Q, Zhang Y, Li Q, Wang H, Xu X. Factors that have an impact on knowledge, attitude and practice related to kangaroo care: National survey study among neonatal nurses. Journal of Clinical Nursing, 2018, 27(21-22), 4100-4111
• 17. Shattnawi KK, Al‐Ali N, Alnuaimi K. Neonatal nurses’ knowledge and beliefs about kangaroo mother care in neonatal intensive care units: A descriptive, cross‐sectional study. Nursing & health sciences, 2019, 21(3), 352-358.
• 18. Maleki M, Mardani A, Harding C, Basirinezhad MH, Vaismoradi M. Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis. Women's Health, 2022, 18,
• 19. Zhang R, Huang RW, Gao XR, Peng XM, Zhu LH, Rangasamy R, Latour JM. Involvement of parents in the care of preterm infants: A pilot study evaluating a family-centered care intervention in a Chinese neonatal ICU. Pediatric Critical Care Medicine, 2018, 19(8), 741-747
• 20. Jafari Z, Kermanshahi SMK, Vanaki Z. Communication Barriers to Implementation of Family-Centered Care from Perspective of Mothers and Personnel of Neonatal Intensive Care Unit: A Qualitative Study. Journal of Archives in Military Medicine, 2023, 11(2)
• 21. Ahmann E, Johnson BH. New guidance materials promote family-centered change in health care institutions. Pediatr Nurs, 2001; 27: 173-175.
• 22. Wilson D, Wong DL, Hockenberry MJ, Wilson D. Wong's nursing care of infants and children. Mosby/Elsevier, 2011
• 23. Seniwati T, Wanda D, Nurhaeni N. Effects of Patient and Family-Centered Care on Quality of Care in Pediatric Patients: A Systematic Review. Nurse Media Journal of Nursing, 2023, 13(1), 68-84.
• 24. Lemmon ME, Glass HC, Shellhaas RA, Barks MC, Bansal S, Annis D et al. Family-centered care for children and families impacted by neonatal seizures: advice from parents. Pediatric Neurology, 2022, 124, 26-32.
• 25. Klawetter S, Greenfield JC, Speer SR, Brown K, Hwang SS. An integrative review: maternal engagement in the neonatal intensive care unit and health outcomes for US-born preterm infants and their parents. AIMS public health, 2019, 6(2), 160
• 26. Enke C, Oliva y Hausmann A, Miedaner F, Roth B, Woopen C. Communicating with parents in neonatal intensive care units: The impact on parental stress. Patient Educ Couns, 2017;100(4):710–9.
• 27. Raghupathy MK, Rao BK, Nayak SR, Spittle AJ, Parsekar SS. Effect of family-centered care interventions on motor and neurobehavior development of very preterm infants: a protocol for systematic review. Systematic reviews, 2021, 10, 1-8.
• 28. Ding X, Zhu L, Zhang R, Wang L, Wang TT, Latour JM. Effects of family-centred care interventions on preterm infants and parents in neonatal intensive care units: a systematic review and meta-analysis of randomised controlled trials. Australian Critical Care, 2019, 32(1), 63-75.
• 29. Mansouri Z, Pourmovahed Z, Mahmoodabadi HZ. The Impact of Family-Centered Care on the Care Burden of Mothers with Preterm Newborns in Neonatal Intensive Care Unit. World, 2022, 5(1), 3.
• 30. Kutahyalioglu NS, Scafide KN. Effects of family-centered care on bonding: A systematic review. Journal of Child Health Care, 2023, 27(4), 721-737.
• 31. Franck LS, O'Brien K. The evolution of family‐centered care: From supporting parent‐delivered interventions to a model of family integrated care. Birth defects research, 2019, 111(15),
• 32. Toivonen M, Lehtonen L, Löyttyniemi E, Ahlqvist-Björkroth, S, Axelin A. Close collaboration with parents intervention improves family-centered care in different neonatal unit contexts: a pre–post study. Pediatric research, 2020, 88(3), 421-428.
• 33. Janvier A, Asaad MA, Reichherzer M, Cantin C, Sureau M, Prince J, et al. The ethics of family integrated care in the NICU: Improving care for families without causing harm. In Seminars in Perinatology 2022, (Vol. 46, No. 3, p. 151528)
• 34. Hearn G, Clarkson G, Day M. The role of the NICU in father involvement, beliefs, and confidence: a follow-up qualitative study. Advances in Neonatal Care, 2020, 20(1), 80-89.
• 35. Mirlashari J, Brown H, Fomani FK, Salaberry J, Zadeh TK, Khoshkhou F. The challenges of implementing family-centered care in NICU from the perspectives of physicians and nurses. Journal of pediatric nursing, 2020, 50, 91-98
• 36. Çağlar S. Yenidoğan yoğun bakım ünitesinde aile merkezli bakım: Anne görüşleri. Sürekli Tıp Eğitimi Dergisi, 2019, 28(2), 120-126.
• 37. Eryürek D, Başdaş Ö, Korkmaz Z, Yıldız İ, Mumcu Ö, Bayat M. Prematüre Bebek Annelerinin Yenidoğan Yoğun Bakım Deneyimleri. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2021, 8(2): 196-202.
• 38. Spielberger CD, Gorsuch RL, ve Lushene RE. STAI manual. Palo Alto, CA: Consulting Psychologists Press. 1970.
• 39. Öner N, Le Compte A. Durumluk-Sürekli Kaygı En-vanteri El Kitabı. Boğaziçi Üniversitesi Yayını NO 333, İstanbul, 1982.
• 40. Altiparmak D, Arslan FT. The adaptation of Family Centred Care Scale to Turkish a validity and reliability study. The Journal of Pediatric Research, 2016, 3(2), 97.
• 41. Akkaş N, Geçkil, E. Family-Centered Care Scale in Neonatal Intensive Care Unit (FCCS-NICU): Development and psychometrics evaluation. Journal of Pediatric Nursing, 2023, 72, 168-176.
• 42. George D, Mallery M. SPSS for Windows Step by Step: A Simple Guide and Reference,17. Baskı. Pearson Education İndia. 2010: 10.
• 43. Razali NM, Wah YB. Power comparisons of shapiro-wilk, kolmogorov-smirnov, lilliefors and anderson-darling tests. Journal of statistical modeling and analytics. J Statis Mod Analy 2011, 2(1): 21-33
• 44. Milan M, Nasimi F. The effect of family-centered care educational program on anxiety of mothers of premature infants hospitalized in neonatal intensive care unit. Iranian Journal of Nursing Research, 2018, 13(3), 49-54.
• 45. Schuler R, Woitschitzky L, Eiben C, Beck J, Jägers A, Windhorst A, et al. Multidimensional assessment of infant, parent and staff outcomes during a family centered care enhancement project in a tertiary neonatal intensive care unit: study protocol of a longitudinal cohort study. BMC pediatrics, 2023, 23(1), 1-10.
• 46. Mızrak B, Deniz AO, Acıkgoz A. Anxiety levels of mothers with newborns in a Neonatal Intensive Care Unit in Turkey. Pakistan journal of medical sciences, 2015, 31(5), 1176.
• 47. Damanabad ZH, Valizadeh L, Arani MM, Hosseini M, Jafarabadi MA, Mansourian, et al. Evaluation of maternal anxiety in mothers of infants admitted to the neonatal intensive care unit. International Journal of Pediatrics-Mashhad, 2019, 7(10), 10215-10224.
• 48. Mengesha EW, Amare D, Asfaw LS, Tesfa M, Debela, M, Ambaw Getahun F. Parental experiences in neonatal intensive care unit in Ethiopia: a phenomenological study. Annals of medicine, 2022, 54(1), 121-131.
• 49. Miles MS, Holditch-Davis D, Schwartz TA, Scher M. Depressive symptoms in mothers of prematurely born infants. Journal of Developmental & Behavioral Pediatrics, 2007, 28(1), 36-44
• 50. Cong X, Ludington-Hoe SM, Hussain N, Cusson RM, Walsh S, Vazquez V, et al. Parental oxytocin responses during skin-to-skin contact in pre-term infants. Early Human Development, 2015, 91(7), 401-406.
• 51. Vittner D, McGrath J, Robinson J, Lawhon G, Cusson R, Eisenfeld L, et al. Increase in oxytocin from skin-to-skin contact enhances development of parent–infant relationship. Biological research for nursing, 2018, 20(1), 54-62.
• 52. Scatliffe N, Casavant S, Vittner D, Cong X. Oxytocin and early parent-infant interactions: A systematic review. International journal of nursing sciences, 2019, 6(4), 445-453.