Yenidoğan Yoğun Bakım Ünitesinde Preterm Bebeği Yatan Annelerin Memnuniyetleri ile Hastaneden Eve Geçişte Yaşadıkları Sorunlar Arasındaki İlişkinin İncelenmesi: Kesitsel Bir Çalışma

Yıl 2024, , 59 - 73, 15.01.2024

Dilek Menekşe , Cansu Arıkan

https://doi.org/10.46483/deuhfed.1179383

Öz

Giriş: Yenidoğan Yoğun Bakım Ünitesinde (YYBÜ) preterm bebeği yatan ebeveynler için hastanedeki yatış ve eve geçiş dönemi kritik bir zamandır.

Amaç: Bu çalışma yenidoğan yoğun bakım ünitesinde preterm bebeği yatan annelerin memnuniyetleri ile hastaneden eve geçişte yaşadıkları sorunlar arasındaki ilişkiyi belirlemek amacıyla yapılmıştır.

Yöntem: Tanımlayıcı, kesitsel ve ilişki arayıcı olarak planlanan araştırma, İstanbul ilinde bir eğitim ve araştırma hastanesinin YYBÜ’nde preterm bebeği yatan 200 anne ile yapılmıştır. Veriler Nisan 2021- Nisan 2022 tarihleri arasında “Tanıtıcı Bilgi Formu”, “Preterm Yenidoğan Tanıtıcı Bilgi Formu”, “Yenidoğanda Ebeveynlerin Güçlendirilmesi (EMpowerment of PArents in THe Intensive Care/ EMPATHIC-30)” anketi ve “Eve Geçiş: Preterm Ebeveyn Ölçeği (EG: PEÖ)” kullanılarak toplanmıştır. Veriler, SPSS programı kullanılarak yüzdeler, ortalamalar, bağımsız t-testi, ANOVA, pearson korelasyon analizi ile değerlendirilmiştir.

Bulgular: Annelerin EMPATIC-30 ölçek toplam puan ortalaması 5.41±.34, EG: PEÖ toplam puan ortalaması 73.82±8.31’dir. EMPATHIC-30 ölçeği ile EG: PEÖ arasında anlamlı bir ilişki bulunmamıştır (r=-.06; p=.331). EMPATHIC-30 ölçeği bakım-tedavi alt boyutu ile EG: PEÖ endişe ve izolasyon boyutu arasında istatistiksel olarak anlamlı ve negatif yönlü bir ilişki olduğu saptanmıştır (r=-.156; p=.028).

Sonuç: Yenidoğan yoğun bakım ünitesinde preterm bebeği yatan annelerin memnuniyetleri ile hastanedeneve geçişte yaşadıkları sorunlar arasında herhangi ilişki bulunmamıştır.

Anahtar Kelimeler

Anne Memnuniyeti, EMPATHIC-30, Eve Geçiş, Yenidoğan Yoğun Bakım Ünitesi, Preterm

Investigation of the Relationship between the Satisfaction of the Mothers with Preterm Baby in the Neonatal Intensive Care Unit and Experienced Problems in Transition from the Hospital to the Home: A Cross-sectional Study

Öz

Background: The period of staying at hospital and transition to home is a critical moment for parents of preterm babies which are staying in Neonatal Intensive Care Unit (NICU).

Objectives: This study was carried out to determine the relationship between the satisfaction of mothers with preterm infants in the NICU and the problems they experienced in the transition from hospital to home.

Materials and Methods: The study, which was planned as a descriptive, cross-sectional, and correlational study, was conducted with 200 mothers with preterm infants hospitalized in the NICU of a training and research hospital in İstanbul. The data has been collected between April 2021 and April 2022 using the Introductory Information Form, Preterm Newborn Introductory Information Form, EMpowerment of PArents in THe Intensive Care (EMPATHIC-30) questionnaire, and Transition to Home: Preterm Parental Scale (TH:PES). Data is evaluated with the SPSS program using independent t-test, ANOVA, Pearson Correlation analysis, percentages,, and averages.

Results: The mean score for EMPATIC-30 scale is 5.41±0.34, TH: PES is 73.82±8.31There was no significant relationship between the EMPATHIC-30 scale and TH: PES (r=-.06; p .331). A statistically significant and negative correlation was found between the care-treatment sub-dimension of the EMPATHIC-30 scale and the TH: PES anxiety and isolation dimension (r=-.156; p=.028).

Conclusion: A relationship was not found between the satisfaction of mothers with preterm babies hospitalized in the NICU and the problems they experienced during the transition from hospital to home.

Anahtar Kelimeler

Maternal Satisfaction, EMPATHIC-30, Transition to Home, Neonatal Intensive Care Unit, Preterm

Kaynakça

• Adama, E.A., Adua, E., Bayes, S., ve Mörelius, E. (2021). Support needs of parents in neonatal intensive care unit: An integrative review. J. Clin. Nurs., 31: 532– 47. doi: 10.1111/jocn.15972. PMID: 34312923
• Albayrak, S., ve Büyükgönenç, A.L. (2019). Yenidoğan yoğun bakım ünitesinde ebeveyn memnuniyet ölçeği’nin Türkçeye uyarlanması: Güvenirlik ve geçerlik çalışması. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi, 16(4), 313- 323. doi:10.5222/HEAD.2019.313 Alış, S. (2018). Gelişim geriliği riski altındaki prematüre bebeklerin hastaneden eve geçişinde anne gereksinimleri [Yüksek Lisans Tezi] Ankara: Üniversitesi Eğitim Bilimleri Enstitüsü, Özel Eğitim Anabilim Dalı Özel Eğitim Programı;Erişim tarihi:15.05.2022]. file:///C:/ Users/User/Downloads/494183%20(2).pdf
• Aydon, L., Hauck, Y., Murdoch, J., Siu, D., ve Sharp, M. (2018). Transition from hospital to home: Parents perception of their preparation and readiness for discharge with their preterm infant. Journal of Clinical Nursing, 27(1- 2), 269-277. doi: 10.1111/jocn.13883 PMID: 28514524
• Balasundaram, M., Porter, M., Miller, S., Sivakumar, D., Fleming, A., ve McCallie, K. (2022) Increasing parentsatisfaction with discharge planning: An improvement project using technology in a level 3 NICU: Animprovement project using technology in a level 3 NICU. Adv Neonatal Care, 22 (2), 108-118. http:// dx.doi.org/10.1097/ANC.0000000000000841 PMCID: PMC8983942
• Batman, D., ve Şeker, S. (2019) Web tabanlı eğitimin prematüre yenidoğanların ebeveynlerinin bakımdaki özgüven ve kaygı düzeylerine etkisi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 12(2), 107-115.
• Boykova, M. (2018). Transition from hospital to home in parents of preterm ınfants: Revision, modification, and psychometric testing of the questionnaire. Journal of Nursing Measurement, 26(2), 296-310. doi: 10.1891/1061- 3749.26.2.296PMID: 30567946
• Boykova, M., ve Kenner, C. (2012). Transition from hospital to home for parents of preterm infants. The Journal of Perinatal & Neonatal Nursing, 26(1), 81-87. DOI: 10.1097/JPN.0b013e318243e948
• Çaka, S.Y., ve Çınar, N. (2021). Effect of education on the readiness levels of primigravida women to hygienic care practices of the newborn with the use of QR code. Health Care for Women International, 1-17. doi: 10.1080/07399332.2021.1908289 PMID: 33939938
• Çekin, B., ve Turan, T. (2018). The stress levels of parents of premature infants and related factors in Neonatal Intensive Care Units. Turkish Journal of Pediatrics, 60 (2),11-125. doi: 10.24953/turkjped.2018.02.001. PMID: 30325116
• Ding, X., Zhu, L., Zhang, R., Wang, L., Wang, T.T., ve Latour, J.M. (2019). Effects of family-centered care interventions on preterm infants and parents in neonatal intensive care units: A systematic review and meta-analysis of randomized controlled trials. Australian Critical Care 32,63–75. doi: 10.1016/j.aucc.2018.10.007. PMID: 30554939
• Doğru, S., ve Topan, A. (2021). Yenidoğan yoğun bakım ünitesine prematüre bebeği yatan ebeveynlere verilen yatış eğitiminin stres düzeylerine etkisi. J Pediatr Emerg Intensive Care Med., 8, 26-36. doi: 10.4274/cayd. galenos.2020.07769
• Galeano, M.D., ve Carvajal, B.V. (2016). Coping in mothers of premature newborns after hospital discharge. Newborn & Infant Nursing Reviews 16 (3),105-109. https://doi.org/10.1053/j.nainr.2016.08.007
• Galeano, S.P.O., Marín, S.C.O., ve Semenic, S. (2017). Preparing for post-discharge care of premature infants: Experiences of parents. Investigacion y Educacion en Enfermeria, 35(1), 100-108 doi: 10.17533/udea.iee. v35n1a12 PMID: 29767929
• Granero-Molina, J., Fernández Medina, I.M., Fernández- Sola, C., Hernández-Padilla, J.M., Jiménez Lasserrotte, M.D.M., ve López, M.D.M. (2019). Experiences of mothers of extremely preterm infants after hospital discharge, Journal of Pediatric Nursing, 45:e2-e8. doi: 10.1016/j.pedn.2018.12.003. PMID: 30581066
• Gulo, B., Miglierina, L., Tognon, F., Panunzi, S., Tsegaye, A., Asnake, T.,… Dall’Oglio, I. (2021). Parents’ experience and satisfaction in neonatal ıntensive care units in Ethiopia: a multicenter cross-sectional study using an adapted version of EMPATHIC-N. Front. Pediatr., 8, 9:738863. doi: 10.3389/fped.2021.738863. PMCID: PMC8531748
• Hagen, I.H., Iversen, V.C., Nesset, E., Orner, R., ve Svindseth, M.F.(2019). Parental satisfaction with neonatal intensive care units: a quantitative cross-sectional study. BMC Health Serv Res., 19: 37. https://doi. org/10.1186/s12913-018-3854-7
• Hunt, H., Abbott, R., Boddy, K., Whear, R., Wakely, L., Bethel, A., … Thompson-Coona, J. (2019). “They’ve walked the walk”: A systematic review of quantitative and qualitative evidence for parent-to-parent support for parents of babies in neonatal care. Journal of Neonatal Nursing, 25(4), 166–176. https://doi.org/10.1016/j. jnn.2019.03.011
• Jamalivand, S., Mohammad, A.C.S., ve Mirghafourvand, M. (2017). Comparing the effect of electronic software and training booklet on maternal self-confidence and awareness about newborn care: A randomized controlled clinical trial. Iranian Red Crescent Medical Journal 19(4), e44152. https://doi. org/10.5812/ircmj.44152
• Kahraman, S., Kabalcıoğlu, F., ve Ersin, F. (2016). Şanlıurfa’daki gebelerin bebek bakımına ilişkin bilgi düzeyleri [Informatıon level of pregnant women on baby care ın Şanlıurfa. Sosyal Politika Çalışmaları Dergisi, 16 (36), 79-97. DOI: 10.21560/spcd.92701
• Küçükoğlu, S., Aytekin, A., ve Gülhaş, N.F. (2015). Yenidoğan yoğun bakım ünitesinde bebeği yatan annelerin gereksinimlerinin belirlenmesi. Hemşirelikte Eğitim ve Araştırma Dergisi, 12(3), 182‐188. https://jer-nursing.org/ Content/files/sayilar/68/6.pdf
• Lake, E.T., Smith, J.G., Staiger, D.O., Schoenauer, K.M., ve Rogowski, J.A. (2020). Measuring parent satisfaction with care in neonatal ıntensive care units: the EMPATHIC-NICU-USA questionnaire. Front. Pediatr, 8, 541573. doi: 10.3389/fped.2020.541573 PMCID: PMC7573183
• Lakshmanan, A., Aqni, M., Lieu, T., Fleeqler, E., Kipke, M., Friedlich, P.S., … Mandy B. Belfort, M.B. (2017). The impact of preterm birth <37 weeks on parents and families: a cross-sectional study in the 2 years after discharge from the neonatal intensive care unit. Health and Quality of Life Outcomes, 15, 38. doi: 10.1186/s12955-017-0602-3. PMCID: PMC531257
• Larsson, C., Wågström, U., Normann, E., ve Blomqvist, Y.T. (2017). Parents experiences of discharge readiness from a Swedish neonatal intensive care unit. Nursing Open, 4(2),90-95 doi: 10.1002/nop2.71. PMID: 28286665
• Latour, J.M., Duivenvoorden, H.J., Tibboel, D., Hazelzet, J.A., the EMPATHIC Study Group. (2013). The shortened EMpowerment of PArents in THe Intensive Care 30 questionnaire adequately measured parent satisfaction in pediatric intensive care units. J Clin Epidemiol, 66,1045- 1050. doi: 10.1016/j.jclinepi.2013.02.010. PMID: 23790723
• Liu, C.H., Chao, Y.H., Huang, C.M., Wei, F.C., Chien, L.Y. (2010). Effectiveness of applying empowerment strategies when establishing a support group for parents of preterm infants. J Clin Nurs., 19,11-12):1729-1737.
• Mol, C., Argent, A. C., ve Morrow, B. M. (2018). Parental satisfaction with the quality of care in a South African paediatric intensive care unit. Southern African Journal of Critical Care, 34(2), 50-56. doi: 10.7196/SAJCC.2018. v34i2.366.
• Olshtain-Mann, O., ve Auslander, G.K. (2008). Parents of preterm infants two months after discharge from the hospital: are they still at (parental) risk? Health Soc Work., 33(4), 299-308. doi: 10.1093/hsw/33.4.299. PMID: 19070277
• Patel, R., Nudelman, M., Olarewaju, A., Pooley, S.W., Jegatheesan, P., Song, D., … Govindaswami, B. (2017). Homecare and healthcare utilization errors post-neonatal intensive care unit discharge. Advances in Neonatal Care, 17 (4),258-264. doi: 10.1097/ ANC.0000000000000390 PMC5533584
• Petty, J., Whiting, L., Green, J., ve Fowler, C.(2018). Parents’ views on preparation to care for extremely premature infants at home. Nursing Children and Young People, 30(4), 22-27. doi: 10.7748/ncyp.2018.e1084 PMID: 29975481
• Rodríguez-Ruiz, E. , Campelo-Izquierdo, M., Rodríguez, M.M., Estany-Gestal, A., Hortas, A.B., Rodríguez- Calvo, M.S., … Latour, J.M. (2022). Measuring family-centred care practices in adult intensive care units: the EMPATHIC-F questionnaire. Nurs Crit Care, 27(3), 375- 383. doi: 10.1111/nicc.12670. Epub 2021 Jun 19. PMID: 34145959
• Russell, G., Sawyer, A., Rabe, H., Bliss, J.A., Gyte, G., Duley, L., … Ayers, S. (2014). Parents’ views on care of their very premature babies in neonatal intensive care units: a qualitative study. BioMed Central Pediatrics, 14, 230. doi: 10.1186/1471-2431-14-230. PMCID: PMC4190336
• Tajalli, S., Ebadi, A., Parvizy, S., ve Kenner, C. (2022). Maternal caring ability with the preterm infant: A Rogerian concept analysis. In Nursing Forum, 57, 5, 920-931.doi: 10.1111/nuf.12756.
• Tan, A., Pelone, F., Arnold, S., Anderson, J., Kennedy, G., ve Goodman, J. (2020). Support and information needs of parents and carers of preterm babies requiring respiratory support on the neonatal unit: A qualitative systematic review. Journal of Neonatal Nursing, 26(2), 93–100. doi:10.1016/j.jnn.2019.11.003
• Tiryaki, Ö., Zengin, H., Çınar, N., Umaroglu, M.M., Latour, J.M. (2020). Turkish adaptation and validation of the EMpowerment of PArents in THe Intensive Care (EMPATHIC-30) questionnaire to measure parent satisfaction in neonatal ıntensive care units. Frontiers in Pediatrics, 8, 421-427. doi: 10.3389/fped.2020.00421. PMCID: PMC7403180
• Weissenstein, A., Straeter, A., Villalon, G., Luchter, E., ve Bittman, S. (2011). Parent satisfaction with a pediatric practice in germany: A questionnaire-based study. Italian Journal of Pediatrics, 37(1), 31–36. doi: 10.1186/1824- 7288-37-31. PMCID: PMC3163525
• Zengin, H., Tiryaki, Ö., ve Çınar, N. (2021). Eve geçiş: preterm ebeveyn ölçeği›nin Türkçe geçerlik ve güvenirlik çalışması. Online Türk Sağlık Bilimleri Dergisi, 6(1), 31- 43. Zhang, R., Huang, R.W., Gao, X.R., Peng, X.M.,
• Zhu, L.H., Rangasamy, R., …Latour, J. M. (2018). Involvements 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 19, 741–747 doi: 10.1097/PCC.0000000000001586. PMID: 29781955
• Zhuang, Y., Zhang, R., Gao, X., Zhu, L., ve Latour, J.M. (2022). Validation of the Chinese empowerment of parents in the ıntensive care (EMPATHIC-30) questionnaire among parents in neonatal intensive care units: a prospective cross-sectional study. Front Pediatr, 30(10), 851291. doi: 10.3389/fped.2022.851291 PMCID: PMC9005953