Feasibility of a Relaxation Guided Imagery Intervention to Reduce Maternal Stress in the NICU

Howland, Lois C.; Jallo, Nancy; Connelly, Cynthia D.; Pickler, Rita H.

doi:10.1016/j.jogn.2017.03.004

Cited by 12 publications

(24 citation statements)

References 67 publications

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“…While the inclusion of such a non-medical element can be regarded as complementary, parents commented favorably on this format in our study. Although music therapy is one of the most often explored alternative therapeutic approaches with a proven positive impact on families with preterm infants, there are several new complementary interventions with potential positive effects on parental mental health: narrative writing, art therapy [ 41 ], guided imagery [ 42 ] or massage of the preterm infant by parents [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Enhancing Parents’ Well-Being after Preterm Birth—A Qualitative Evaluation of the “Transition to Home” Model of Care

Haemmerli

Stoffel

Schmitt

et al. 2022

IJERPH

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There are few programs available aimed at preventing short- and long-term negative consequences after preterm birth and covering the entire care continuum. The “Transition to Home (TtH)” model is such a program, offering structured, individual support for families with preterm infants before and after hospital discharge. This study gathers and examines the parents’ views of receiving support from an interprofessional team under the TtH model of care during hospitalization and after discharge. Using a qualitative explorative design, 39 semi-structured interviews with parents were analyzed thematically. From this analysis, three main themes were identified: (1) TtH and the relevance of continuity of care; (2) Enhancement of parents’ autonomy and self-confidence; (3) Perception of interprofessional collaboration. Within these themes, the most relevant aspects identified were continuity of care and the appointment of a designated health care professional to anchor the entire care continuum. Emotional support complemented by non-medical approaches, along with strength-based and family resource-oriented communication, also emerged as key aspects. Continuous, family-centered care and well-organized interprofessional collaboration promote the well-being of the family after a premature birth. If the aspects identified in this study are applied, the transition from hospital to home will be smoothened for the benefit of affected families.

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Section: Discussionmentioning

confidence: 99%

Enhancing Parents’ Well-Being after Preterm Birth—A Qualitative Evaluation of the “Transition to Home” Model of Care

Haemmerli

Stoffel

Schmitt

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Overall, mothers made up the majority of the reported sample (more than 90%), with just one study including fathers (Marshall et al, 2019). Only three studies reported the race or ethnicity of participants (Howland et al, 2017;Marshall et al, 2019;Mendelson et al, 2018), and of those, the majority (61%) were Caucasian. The mean age of participants across all studies was 28.65 years old (SD = 1.66).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Mindfulness and Relaxation-Based Interventions to Reduce Parental Stress, Anxiety and/or Depressive Symptoms in the Neonatal Intensive Care Unit: A Systematic Review

Ginsberg

Alsweiler

Alyami

et al. 2022

J Clin Psychol Med Settings

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Parents with infants in the neonatal intensive care unit (NICU) experience high levels of stress, anxiety, and depression. Mindfulness and relaxation-based interventions are effective in reducing distress in the general postpartum population. The aim of this systematic review was to evaluate whether mindfulness and/or relaxation-based interventions reduce stress, anxiety, and depression in NICU parents. A total of five studies met the inclusion criteria and were assessed for quality using the Downs & Black Checklist. The most consistent results in this review suggest that mindfulness and/or relaxation-based interventions may be effective at reducing anxiety symptoms in NICU parents, with moderate to large effect sizes, and show promise in reducing depressive symptoms. The findings show limited potential benefits on parental stress. Methodological weaknesses, heterogeneous intervention factors (including format and length), and varying participant adherence hinder the ability to make strong conclusions. Directions for future research are discussed.

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“…Some are mainly based on cognitive therapy and parent-oriented discharge education 21,22 . Others aim to decrease parental stress with spiritual care 23 , mindfulness 24 , and relaxation 25 .…”

Section: U N C O R R E C T E D P R O O Fmentioning

confidence: 99%

Unplanned postdischarge healthcare utilisation, discharge readiness, and perceived quality of teaching in mothers of neonates hospitalized in a neonatal intensive care unit: A descriptive and correlational study

Rio

Tenthorey

Ramelet

2021

Australian Critical Care

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Background Discharge teaching has been positively associated with discharge readiness in various care settings and patient types. Association of discharge readiness with unplanned use of health services has not received as much attention in the neonatal intensive care unit (NICU) population, but has been negatively associated in parents of older children. Objectives The objective of the study was to describe and assess relationships between maternal readiness for neonates' discharge, discharge teaching, and unplanned use of health services after discharge from an NICU. Methods Mothers from an NICU of a tertiary referral hospital in Switzerland completed the "Readiness for Hospital Discharge Scale" and the "Quality of Discharge Teaching Scale parental forms" in the 24 h preceding discharge. Telephone interviews evaluating the unplanned use of health services were conducted 28 days after discharge. Simple linear regressions and multiple regressions were used to explore the links between the readiness, perceived quality of discharge, and unplanned use of health services. Results Of the 71 participants, 75% (n = 53%) felt ready for discharge when asked directly, and for 60% (n = 42) of them, the amount of discharge teaching received was equal to or higher than that needed, but with high heterogeneity in scores. For 38% of mothers (n = 27), the expected support from the medical care of their child after discharge was deemed insufficient. In the month after discharge, unplanned use of health services occurred in 46% of the participants (n = 32). Perceived quality of teaching positively predicted readiness for discharge (R 2 = 0.24, p = 0.0004). Unplanned use of health services correlated neither with readiness nor with perceived teaching quality. Conclusions At discharge, mothers felt mostly ready and well prepared to go home. In the month after discharge, almost half used health services in an unplanned manner. Further exploration of reasons leading to this high rate of postdischarge healthcare utilisation is warranted.

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Feasibility of a Relaxation Guided Imagery Intervention to Reduce Maternal Stress in the NICU

Cited by 12 publications

References 67 publications

Enhancing Parents’ Well-Being after Preterm Birth—A Qualitative Evaluation of the “Transition to Home” Model of Care

Enhancing Parents’ Well-Being after Preterm Birth—A Qualitative Evaluation of the “Transition to Home” Model of Care

Mindfulness and Relaxation-Based Interventions to Reduce Parental Stress, Anxiety and/or Depressive Symptoms in the Neonatal Intensive Care Unit: A Systematic Review

Unplanned postdischarge healthcare utilisation, discharge readiness, and perceived quality of teaching in mothers of neonates hospitalized in a neonatal intensive care unit: A descriptive and correlational study

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