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Symptoms of depression in parents after discharge from NICU associated with family-centred care

Symptoms of depression in parents after discharge from NICU associated with family-centred care


Title: Symptoms of depression in parents after discharge from NICU associated with family-centred care
Author: Separation, Closeness Experiences in Neonatal Environment (SCENE) research group
Date: 2021
Language: English
Scope:
Department: Faculty of Nursing
Series: Journal of Advanced Nursing; ()
ISSN: 0309-2402
DOI: https://doi.org/10.1111/jan.15128
Subject: Þunglyndi; Fyrirburar; Gjörgæsla; Fjölskylduhjúkrun; Hjúkrun; depression; family-centred care; health promotion; intensive care units; longitudinal study; neonatal parents; nursing; predictive research; preterm infant; prospective cohort; Nursing (all)
URI: https://hdl.handle.net/20.500.11815/2808

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Citation:

Separation, Closeness Experiences in Neonatal Environment (SCENE) research group 2021 , ' Symptoms of depression in parents after discharge from NICU associated with family-centred care ' , Journal of Advanced Nursing . https://doi.org/10.1111/jan.15128

Abstract:

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.

Description:

Funding information The funding was secured through organizational research positions. Publisher Copyright: © 2021 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.

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