Parental anxiety regarding premature infants and factors affecting parental concern

Lee, Ju Yun; Lee, Jung Hyun; Yeon, Gyu Min; Jung, Yu Jin

doi:10.1111/jspn.12266

Cited by 9 publications

(6 citation statements)

References 43 publications

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“…The parents of premature infants in this study were the most concerned about the respiratory system at all times from before birth to 1 week after NICU discharge to home, which was similar to the results of a previous study [18]. This concern probably the greatest because proper breathing is the most crucial aspect for life after birth [21].…”

Section: Discussionsupporting

confidence: 83%

“…The researchers intended to record the medical aspects of parents' concerns about their infants in order to help support parenting interventions while performing long-term follow-up management of preterm infants when they return to the hospital for their first outpatient visit after discharge from the NICU. As established by a previous study [18], the researchers interviewed parents of premature infants in the outpatient department (OPD) about concerns regarding neonatal problems related to preterm birth and let them select one answer (Supplement 1. Questionnaire).…”

Section: Study Setting and Participantsmentioning

confidence: 99%

“…During outpatient visits, diseases of prematurity that had been explained during hospitalization and upon discharge were fully explained again, and the parents' concerns about their infants' health were confirmed in the outpatient clinic during follow-up and management of the premature infants. Based on a previous study during which Korean mothers of premature infants were interviewed regarding emotional adjustment and concerns at five distinct points in time from immediately after NICU hospitalization to infant discharge [9], parents were also asked about their greatest health concerns regarding their infants at different times, including before birth, immediately after birth, 7 days after birth, before hospital discharge, and 1 week after hospital discharge to home [18], and their answers were recorded on the outpatient medical records forms. We investigated these data in this study because parental responses and stress are influenced by obstetric and infant characteristics [19].…”

Section: Data Collectionmentioning

confidence: 99%

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Changes in parents’ health concerns by post-preterm birth period in South Korea: a cross-sectional study

Jung,

Cho

2024

Child Health Nurs Res

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Purpose: This study aimed to examine the health concerns of parents regarding their premature infants and to identify changes in these concerns during perinatal period and after discharge.Methods: This was a retrospective study performed at a single tertiary center that enrolled 119 premature infants who were discharged from the neonatal intensive care unit (NICU) and visited the outpatient pediatrics department between December 2018 and October 2021. Data on the concerns of 176 parents regarding enrolled premature infants’ health from before birth to 1 week after NICU discharge were obtained from outpatient records. The t test and with the chi-squared test were used to analyze the data for this study.Results: The consistently greatest focus of parents' health concerns was the respiratory system. The second focus of parents' health concerns before discharge was the central nervous system. However, during the first week after NICU discharge, the gastrointestinal system was the second-most frequent focus of parents’ health concerns among parents of infants without diseases related to prematurity and infants with older gestational ages. Conclusion: The results of this study offer insights into the health concerns among parents of premature infants. Parental health concerns about premature infants vary over time, from before birth to post-discharge, necessitating supportive interventions to enhance parental understanding of their child's health status.

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Section: Discussionsupporting

confidence: 83%

Section: Study Setting and Participantsmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

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Changes in parents’ health concerns by post-preterm birth period in South Korea: a cross-sectional study

Jung,

Cho

2024

Child Health Nurs Res

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“…The greater the anxiety, the greater was the utilization of the medical services. Even in non-pandemic conditions, numerous studies have described increased caregiver anxiety in conditions such as asthma, 36 cystic fibrosis (CF), 37 prematurity, and BPD, 38,39 as well as in situations where hospitalization due to respiratory illness is required. 40 Adding a complex, unknown situation of a global pandemic to these conditions may impose a profound effect on caregivers.…”

Section: Discussionmentioning

confidence: 99%

Real‐time effects of COVID‐19 pandemic lockdown on pediatric respiratory patients

Cahal

Amirav

Diamant

et al. 2021

Pediatric Pulmonology

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Objective: A national lockdown was implemented in Israel to slow the viral spread of COVID-19. We assessed the real-time effects of the lockdown on disease expression and lifestyle modifications in pediatric patients with chronic respiratory disorders.Methods: An anonymous electronic questionnaire was distributed during lockdown (March-May 2020) to caregivers of patients with chronic respiratory disorders. The primary outcome was change in disease expression and the secondary outcomes were changes in lifestyle and caregivers' emotional status. Results:The clinical status of one-third of the 445 participating patients (age 0-18 years) reportedly improved, including decreased respiratory symptoms (n = 133, 33%), exacerbation frequency (n = 147, 35%), and use of reliever medications (n = 101, 27.4%). The condition of~10% of the patients worsened. Clinical improvement was noted mostly in young patients <5 years (p = .001), asthmatic patients (p = .033), and patients with multiple underlying respiratory disorders (p = .015). Patients whose condition significantly worsened were more likely to be >5 years (p < .001), had increased screen time, decreased physical activity, and shorter sleep duration compared to their younger counterparts (p = .008, <.001, and .001, respectively). Caregivers' reports (n = 236 [58%]) of their own anxiety levels and perceptions of the patients' elevated health risk were increased, regardless of the children's actual clinical status.Conclusion: COVID-19 lockdown was associated with clinical improvement/stability for most of the surveyed children; however, their caregivers' anxiety level was heightened. An increased sedentary lifestyle was reported mostly in older children.

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“…These symptoms can affect the mother’s emotions and determine her reactions, which are crucial for their interactions and the development of the mother–infant relationship. These emotions, such as depression or post-traumatic stress, are present at higher levels than in term newborns [ 60 ].…”

Section: Resultsmentioning

confidence: 99%

Mapping the Field in Stress, Anxiety, and Postpartum Depression in Mothers of Preterm Infants in Neonatal Intensive Care

et al. 2021

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Objective: The main aim of this study was to describe and conduct a bibliometric analysis of the state of research on stress, anxiety, and postpartum depression in mothers of preterm infants in the Neonatal Intensive Care Unit. Background: Women affected by premature births are particularly exposed to mental health difficulties in the postpartum period. The desire to comprehend and the growing interest in research on stress, anxiety, and postpartum depression in mothers of preterm infants in neonatal intensive care have led to a substantial rise in the number of documents in this field over the last years. Thus, it makes it vital to regularly review the state of knowledge on this phenomenon in order to identify progress and constraints, to stimulate reflection, and to encourage progress in future research. Method: This study examined 366 articles published in the Scopus database (1976–2020). Keyword analysis was also used to identify hot research trends to be developed in future studies. This study complies with the PRISMA-Scr guidelines for quality improvement research in the EQUATOR network. Results: Our results reveal that research in this field is in a period of high production and allows this flourishing body of work to be organized into different periods, highlighting the most important themes. In such a way, our research enriches the lively field by presenting a comprehensive understanding of the field. Discussion: The key contribution of this study is the development of a conceptual map of research on stress, anxiety, and postpartum depression in mothers of preterm infants in neonatal intensive care units.

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Parental anxiety regarding premature infants and factors affecting parental concern

Cited by 9 publications

References 43 publications

Changes in parents’ health concerns by post-preterm birth period in South Korea: a cross-sectional study

Changes in parents’ health concerns by post-preterm birth period in South Korea: a cross-sectional study

Real‐time effects of COVID‐19 pandemic lockdown on pediatric respiratory patients

Mapping the Field in Stress, Anxiety, and Postpartum Depression in Mothers of Preterm Infants in Neonatal Intensive Care

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