Yenidoğan Yoğun Bakım Ünitesine Kabulün İlk Haftasında Algılanan Ebeveyn Stres Düzeyleri ve Aile Merkezli Bakım Nasıl Değişir: Tanımlayıcı Bir Takip Çalışması

Öz

YYBÜ'ye kabulün ilk haftasında algılanan ebeveyn stres düzeyleri ve aile merkezli bakım nasıl değişir: Tanımlayıcı bir takip çalışması Öz Amaç: Bu araştırma, yenidoğan yoğun bakım ünitesine (YYBÜ) bebeği yatan ebeveynlerin stres düzeyleri ve aile merkezli bakım algılarını değerlendirmeyi amaçlamıştır. Yöntem: Bu tanımlayıcı takip çalışması, bebekleri doğumdan hemen sonra üniteye kabul edilen ve en az yedi gün kalması beklenen 62 ebeveynin katılımı ile III. Düzey YYBÜ’de Kasım 2017-Mayıs 2018 tarihlerinde yürütülmüştür. Verilerin toplanmasında; T1 (yatışın 2. günü) ve T2'de (yatışın 7. günü) YYBÜ Ebeveyn Stres Ölçeği (PSS: NICU), Aile Merkezli Bakım Ölçeği-Tutarlılık (FCCS-Consistency) ve Ebeveyn-Bebek Bilgi Formundan yararlanılmıştır. Analiz için tanımlayıcı istatistikler ve tekrarlanan ölçümler t-testleri kullanılmıştır. Bulgular: Ebeveynlerin T1 ve T2'deki PSS: NICU ve FCCS-Consistency puan ortalamalarında istatistiksel olarak anlamlı farklılıklar bulunmuştur (p<0,05). T1'deki en yüksek stres kaynağı "görüntü ve sesler" iken, T2'de ise "bebeğin davranışı ve görünümü" olarak değişmiştir (p<0,05). Sonuç: Bu araştırma, üniteye kabulün ikinci gününde ve ilk haftanın sonunda ebeveynlerin stres düzeylerinde farklılıklar olduğunu ortaya koymuştur. T2'de ebeveyn stres düzeyleri azalmış ve algılanan bakımın aile merkezli yaklaşımla tutarlı olması artmıştır. Standart ölçüm zamanlarının ve araçların oluşturulması, ebeveyn stres düzeylerinin ve algılanan FCC'nin karşılaştırılabilirliğini kolaylaştıracaktır. Kurumlar, rutin bakımın FCC modeliyle tutarlılığını değerlendirmek için kontrol listeleri ve kalite göstergeleri geliştirebilirler. Anahtar Kelimeler: Hemşirelik bakımı, ebeveyn stresi, aile merkezli bakım, yenidoğan yoğun bakım ünitesi

Anahtar Kelimeler

• aile merkezli bakım
• ebeveyn stresi
• hemşirelik bakımı
• yenidoğan yoğun bakım ünitesi

Destekleyen Kurum

No external funding.

Etik Beyan

An approval from the noninvasive clinical trials ethics committee (Mersin University, 19/10/2017-2017/299) was obtained

Teşekkür

We are grateful to Professor Gülhan TEMEL (Department of Biostatistics, Faculty of Medicine, Mersin University) for supervision support to statistical analysis and all parents who participated to study.

How Perceived Parental Stress Levels and Family-Centered Care Change During The First Week of Admission to The Neonatal Intensive Care Unit: A Descriptive Follow-Up Study

Öz

How perceived parental stress levels and family-centered care change during the first week of admission to the NICU: A descriptive follow-up study Abstract Objective: This study aimed to evaluate the evolving dynamics of perceived parental stress levels and family-centered care (FCC) during the initial week of infant admission to the Neonatal Intensive Care Unit (NICU). Methods: Conducted in a Level III NICU from November 2017 to May 2018, this descriptive follow-up study involved 62 parents whose infants were admitted to the unit immediately after birth and were expected to remain for at least seven days. Data collection at T1 (2nd day of admission) and T2 (7th day of admission) utilized the Parental Stress Scale: NICU (PSS: NICU), Family-Centered Care Scale-Consistency (FCCS-Consistency), and Parent-Infant Information Form. Descriptive statistics and repeated measures t-tests were employed for analysis. Results: Statistically significant differences were found in the mean scores of parents’ PSS: NICU and FCCS-Consistency at T1 and T2 (p<0.05). The highest source of stress was “sights and sounds” at T1 and shifted to “infant behavior and appearance” at T2 (p<0.05). Conclusion: This study revealed differences in parental stress levels on the second day of admission to the unit and at the end of the first week. Stress levels decreased and perceived FCCS-Consistency scores increased at T2. The creation of standardized time points and instruments would enhance the comparability of parental stress levels and perceived FCC. Organizations can develop checklists and quality indicators to assess the consistency of routine care with the FCC model. Keywords: Nursing care, parental stress, family-centered care, NICU

Anahtar Kelimeler

• Nursing care
• family-centered care
• parental stress
• NICU

Destekleyen Kurum

No external funding.

Etik Beyan

An approval from the noninvasive clinical trials ethics committee (Mersin University, 19/10/2017-2017/299) was obtained

Teşekkür

We are grateful to Professor Gülhan TEMEL (Department of Biostatistics, Faculty of Medicine, Mersin University) for supervision support to statistical analysis and all parents who participated to study.

Kaynakça

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