Parental stress in a paediatric intensive care unit in <scp>P</scp>unjab, <scp>I</scp>ndia

Pooni, Puneet A; Singh, Daljit; Bains, Harmesh Singh; Misra, Bholeshwar Prasad; Soni, RK

doi:10.1111/jpc.12127

Cited by 20 publications

(27 citation statements)

References 15 publications

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“…There are only a few studies of this kind done in India. 7,8 Hence this study was taken to determine the clinical and sociodemographic factors leading to stress among parents whose children were admitted in PICU of a tertiary care hospital in Mangalore.…”

Section: Introductionmentioning

confidence: 99%

Parental stress: a study from a pediatric intensive care unit in Mangalore

Kumar

Avabratha²

2015

Int J Contemp Pediatr

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INTRODUCTIONPediatric intensive care unit (PICU) is a highly stressful environment to most parents. Having one's child admitted to a PICU is difficult for parents. The very criteria for admission to a PICU are frightening and can realistically prompt fear that their child could die or become severely disabled. 1The intensive care setting is a busy and frightening place dominated by sick children, medical personnel, advanced medical equipments, bright lights and shrill monitors. Initially, parents experience extreme levels of anxiety that approach near-panic level, followed by a reduction of anxiety in the following days.2 One of the greatest stressors for parents in the PICU is the alteration or loss of the parental role, including physical separation, limited opportunities to care for the child, and no longer being ABSTRACT Background: Pediatric intensive care unit (PICU) is a highly stressful environment to most parents. Knowledge of stress allows us to plan counselling strategies for the suffering parents. The objectives were to identify common parental stressors during their child's critical illness and to examine the relationship of demographic variables with their stress. Methods: It was a prospective observational study done in PICU of a tertiary care medical college hospital in Mangalore. One hundred parents of children (1 month to 15 years) admitted to PICU for at least 24 hours were interviewed using the Parental Stress Scale (PSS: PICU), which rates 22 factors on a scale from 1 (not stressful) to 5 (extremely stressful). The demographic and clinical characteristics of children were also recorded and analysed statistically. Results: The average parental stress score was 3.5. The main causes of extremely stressful situations were the sight of their child being unresponsive, sight of monitors & equipment in PICU, other sick children in PICU, crises in other children in the PICU. Parents of children who got admitted in PICU for the first time were more stressed. Younger parents were more stressed than older parents, irrespective of the illness and clinical status. Age of the child, sex, socioeconomic status, urban/rural, father/mother did not vary stress levels, all had similar stress level (score>3). Among the procedures, majority (52%) parents felt intravenous cannulation as more stressful followed by blood sampling (43%). Conclusions: Young parents and first PICU admission were more stressful. Socioeconomic status, residential area and age of children did not affect level of stress. Many of these stress factors can be looked into and remedial steps can be taken to relieve some of these stressors.

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Section: Introductionmentioning

confidence: 99%

Parental stress: a study from a pediatric intensive care unit in Mangalore

Kumar

Avabratha²

2015

Int J Contemp Pediatr

View full text Add to dashboard Cite

show abstract

“…Studies in India have found that families with low socioeconomic status and low literacy rates have less awareness about their child's disability (Verma & Kishore, 2009;Prakash, 2010;Pooni et al, 2013). This study suggests that lack of knowledge about their child's disability is commonly identified among all families, regardless of their socioeconomic status and literacy level.…”

Section: Discussionmentioning

confidence: 75%

“…Recent evidence suggests that due to the burden of care, parents of children with disabilities are stressed and frustrated (Cherry, 1989;Verma & Kishore, 2009;Pooni et al, 2013). Cultural beliefs about disability and socioeconomic status also affect parental perceptions (Cherry, 1989;Pooni et al, 2013). Educating parents about their child's disability is now becoming an integral part of the treatment plan for the paediatric physiotherapist (Crais et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

“…Educating parents about their child's disability is now becoming an integral part of the treatment plan for the paediatric physiotherapist (Crais et al, 2006). While studies have explored perceptions of parents who have a child with disability, the perceptions of paediatric physiotherapists about their practice and the barriers and facilitators to family-centred care in India have not been examined (Gupta et al, 2012;Pooni et al, 2013). An understanding of the perceptions of paediatric physiotherapists would help to overcome the barriers and strengthen the physiotherapist-family relationship, in order to maximise the child's outcome at home.…”

Section: Introductionmentioning

confidence: 99%

“…Most of the paediatric physiotherapists in India provide their follow-up treatment at the child's home, where parents are encouraged to be involved in the treatment session and are taught specific exercises and the correct methods of handling the child (Cherry, 1989;Broggi & Sabatelli, 2010). Recent evidence suggests that due to the burden of care, parents of children with disabilities are stressed and frustrated (Cherry, 1989;Verma & Kishore, 2009;Pooni et al, 2013). Cultural beliefs about disability and socioeconomic status also affect parental perceptions (Cherry, 1989;Pooni et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

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