TY  - JOUR
PY  - 2009//
TI  - Psychological stress of parents of preterm infants enrolled in an early discharge programme from the neonatal intensive care unit: a prospective randomised trial
JO  - Archives of disease in childhood: fetal and neonatal edition
A1  - Sáenz, P.
A1  - Cerdá, M.
A1  - Díaz, J. L.
A1  - Yi, P.
A1  - Gorba, M.
A1  - Boronat, N.
A1  - Barreto, P.
A1  - Vento, M.
SP  - F98
EP  - F104
VL  - 94
IS  - 2
N2  - BACKGROUND: Psychological stress of parents of preterm infants is aggravated by prolonged hospitalisation. Early discharge programmes (EDPs) have been implemented to alleviate this situation. <br><br>OBJECTIVE: To evaluate parental psychological stress in an EDP for the first 3 months after neonatal intensive care unit (NICU) discharge. DESIGN/METHODS: Prospective randomised trial comparing parents of preterm infants assigned to EDP (n = 72) or standard discharge programme (SDP) (standard discharge) (n = 68). At discharge, parents were evaluated using the Hospital Anxiety and Depression Scale (HAD), and the Likert Scale for well-being every 10 days for 3 months. Parental narrative of Worrying and Helping issues was assessed using a semi-structured interview. <br><br>RESULTS: Length of stay was greater in the SDP group (p<0.01). HAD showed no differences in anxiety, but SDP mothers scored higher in depression (p<0.05). Altogether, parents reported a worrisome emotional condition (EDP 87.2%; SDP 80%), which decreased at the end of the study (EDP 45.2%; SDP 34.5%). Their baby's physical well-being was the most relevant issue in the narrative for Worrying and Helping issues at discharge (EDP 69.2%; SDP 67.5%); however, it decreased at the end of the study (EDP 22.6%; SDP 24.1%). At discharge, the paediatrician's support was more for the SDP group. No differences on the Well-Being Scale were found, but the EDP group always scored better. <br><br>CONCLUSIONS: Vulnerability of parents enrolled in an EDP did not increase after hospital discharge. Physical well-being of the baby was the most important issue for both groups. EDP parents requested less paediatric support and scored higher in the Well-being verbatim.<p /> <p>Language: en</p>
LA  - en
SN  - 1359-2998
UR  - http://dx.doi.org/10.1136/adc.2007.135921
ID  - ref1
ER  -