期刊
JOURNAL OF PERINATOLOGY
卷 34, 期 7, 页码 555-561出版社
NATURE PUBLISHING GROUP
DOI: 10.1038/jp.2014.43
关键词
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资金
- Neurological Foundation of New Zealand [0012/PG, 022/PG]
- Health Research Council of New Zealand [03/196]
- Lottery Grants Board of New Zealand [AP84691]
- Washington University Intellectual and Developmental Disabilities Research Center [NIH/NICHD P30 HD062171]
OBJECTIVE: Examine sources, predictors and child outcomes associated with neonatal intensive care unit (NICU)-related stress for mothers of infants born very preterm (VPT). STUDY DESIGN: Participants were 133 mothers of VPT infants admitted to a regional level-III NICU. At term equivalent, mothers completed the Parental Stressor Scale: NICU and were interviewed about their psychological well-being and family circumstances. Infant clinical data were also collected. At corrected age 4 years, 49 children were assessed for cognition, language and socio-emotional development. RESULT: Mothers reported moderate to low stress, with parental role alteration considered most stressful and parent-staff communications least stressful. Predictors of overall stress included maternal educational underachievement, stressful life events, postnatal depression and infant unsettled-irregular behavior. NICU-related stress was associated with child anxiety and poorer language development. CONCLUSION: Parental well-being is an important focus of care in the neonatal setting. Strategies are needed to optimize early engagement and reduce stress levels to assist improved child outcomes.
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