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Symptoms of depression in parents after discharge from NICU associated with family-centred care
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, SWEDESD - Sustainability Learning and Research Centre. Department of Nursing Science, University of Turku, Turku, Finland.ORCID iD: 0000-0003-2743-3589
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2022 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 78, no 6, p. 1676-1687Article in journal (Refereed) Published
Abstract [en]

AIMS: The aim of this study was to examine the potential association of family-centred care as perceived by parents during a NICU stay with parents' depressive symptoms at discharge and at 4 months corrected for infant age.

DESIGN: A longitudinal, multicentre cohort study was conducted from 2018 to 2020 in 23 NICUs across 15 countries.

METHODS: Parents (n = 635 mothers, n = 466, fathers) of infants (n = 739) born before 35 weeks of gestation and admitted to the participating NICUs were enrolled to the study during the first weeks of their infants' hospitalizations. They responded to Digi-FCC daily text messages inquiring about their perception of family-centred care provided by NICU staff. In addition, they completed a questionnaire assessing their overall perception of family-centred care at discharge. Parents' depressive symptoms were measured by the Edinburgh Postnatal Depression Scale at discharge and again after discharge when their infants were at 4 months corrected for age.

RESULTS: The mothers' and the fathers' perceptions of family-centred care were associated with their depressive symptoms at discharge and at 4 months corrected age, controlling for gestational age, multiple birth, parent education and relationship status. Parents' participation in infant care, care-related decisions and emotional support provided to parents by staff explained the variation in the parents' perceptions of family-centred care. The factors facilitating the implementation of family-centred care included unlimited access to the unit for the parents and for their significant others, as well as amenities for parents.

CONCLUSIONS: Our study shows that family-centred NICU care associates with parents' depressive symptoms after a NICU stay.

IMPACT: Depression is common in parents of preterm infants. The provision of family-centred care may protect the mental well-being of parents of preterm infants.

Place, publisher, year, edition, pages
Wiley John Wiley & Sons, 2022. Vol. 78, no 6, p. 1676-1687
Keywords [en]
depression, family-centred care, health promotion, intensive care units, longitudinal study, neonatal parents, nursing, predictive research, preterm infant, prospective cohort
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-463831DOI: 10.1111/jan.15128ISI: 000729480500001PubMedID: 34897769OAI: oai:DiVA.org:uu-463831DiVA, id: diva2:1626582
Available from: 2022-01-11 Created: 2022-01-11 Last updated: 2024-01-15Bibliographically approved

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Axelin, AnnaThernström Blomqvist, Ylva

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