Impact of Parent Presence and Engagement on Stress in NICU Infants.
In: Advances in Neonatal Care (Lippincott Williams & Wilkins), Jg. 24 (2024-04-01), Heft 2, S. 132-140
academicJournal
Zugriff:
Background: Infants in neonatal intensive care units (NICUs) are exposed to frequent stressors that impact their neurodevelopmental outcomes. Parent presence and engagement are considered critical to improving infant outcomes, yet associations between cumulative NICU parent presence, engagement, and infant stress are infrequently examined. Purpose: To examine associations between NICU infant stress and the amount (hours per week) or frequency (days per week) of parent presence and skin-to-skin care (SSC). Methods: A secondary analysis of a data set representing 78 NICU families was conducted. Infant acuity was measured using Neonatal Medical Index (NMI) scores. Parent presence and SSC data were collected from electronic medical records. Infant stress was measured using resting salivary cortisol levels collected at NICU discharge (median = 33 days of life). Results: More cumulative SSC was associated with lower discharge cortisol in NICU infants for SSC measured in hours per week (P = .03) or days per week (P = .05). Cumulative parent presence was not significantly associated with infant cortisol at discharge. Hierarchical regression analyses examining timing of parent presence supported a model including admission cortisol, NMI score, and parent presence during weeks 1 to 4 of life for explaining infant stress at discharge (R2 = 0.44, P = .004). Analyses examining timing of SSC supported a model including admission cortisol, NMI score, and frequency of SSC during week 1 for explaining infant stress at discharge (R2 = 0.21, P = .04). Implications for Practice and Research: Early, frequent SSC to mitigate stress in NICU infants was supported. Results suggested that timing of parent presence impacts NICU infant stress; however, additional study is recommended. [ABSTRACT FROM AUTHOR]
Copyright of Advances in Neonatal Care (Lippincott Williams & Wilkins) is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
Impact of Parent Presence and Engagement on Stress in NICU Infants.
|
---|---|
Autor/in / Beteiligte Person: | Horner, Susan |
Zeitschrift: | Advances in Neonatal Care (Lippincott Williams & Wilkins), Jg. 24 (2024-04-01), Heft 2, S. 132-140 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 1536-0903 (print) |
DOI: | 10.1097/ANC.0000000000001146 |
Schlagwort: |
|
Sonstiges: |
|