Effectiveness of COVID-19 Prevention Training on the Stress of Mothers of Premature Infants Admitted to the Neonatal Intensive Care Unit
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Abstract
Background: Delivery and assuming the parental role, especially for mothers, are often accompanied by anxiety and stress, conditions that are significantly aggravated by the birth of a premature infant. The aim of our study is to "determine the effect of COVID-19 prevention training on the stress levels of mothers with premature infants admitted to the NICU."
Methods: This is a quasi-experimental study. The sample consisted of 100 mothers (50 in the experimental group and 50 in the control group) of premature infants hospitalized in the Neonatal Intensive Care Unit (NICU). Participants were randomly assigned to the two groups. The experimental group received an educational program on preventing respiratory infection transmission, with a focus on the coronavirus, delivered through individual face-to-face sessions lasting between 45 to 90 minutes over three sessions. Data for both groups were collected in two phases, before and after the intervention, using a standard Parental Stress Scale questionnaire. Data were analysed using descriptive and analytical statistical tests and SPSS software.
Results: According to the findings of our study, the mean age of mothers in the control and intervention groups was 26.88±0.32 and 27.10±0.30 years, respectively (T=-3.482, d=9.98, P=0.527). Also, the mean age of infants in the control group was 34.90±0.30 weeks and in the experimental group was 35.12±0.52 weeks (T=-2.582, d=9.98, P=0.114). The overall stress score in the intervention group after the intervention (93.82±7.15) significantly decreased compared to before the intervention (135.98±0.51) (P<0.001), and this significant decrease was also observed in all stress subscales (P<0.001).
Conclusion: Finally, the findings of our study showed that mothers whose infants are hospitalized in the ICU experience high levels of stress. The COVID-19 prevention training leads to a significant reduction in mothers' stress.
[2] Hendy A, El-Sayed S, Bakry S, Mohammed SM, Mohamed H, Abdelkawy A, et al. The stress levels of premature infants' parents and related factors in NICU. SAGE Open Nurs. 2024; 10:23779608241231172.
[3] World Health Organization. Preterm birth [Internet]. 2023 [cited 2024]. Available from: https://www.who.int/news-room/fact-sheets/detail/preterm-birth
[4] Goral E, Geçkil E. The effect of a comprehensive support program on the stress level of mothers in a neonatal intensive care unit. Nurs Pract Today. 2021;9(1):54-61.
[5] Williams KG, Patel KT, Stausmire JM, Bridges C, Mathis MW, Barkin JL. The neonatal intensive care unit: Environmental stressors and supports. Int J Environ Res Public Health. 2018;15(1):60.
[6] Ma RH, Zhang Q, Ni ZH, Lv HT. Transitional care experiences of caregivers of preterm infants hospitalized in a neonatal intensive care unit: A qualitative descriptive study. Nurs Open. 2021;8(6):3484-94.
[7] Ramkumar V, Nagarajan R, Shankarnarayan VC, Kumaravelu S, Hall JW. Implementation and evaluation of a rural community-based pediatric hearing screening program integrating in-person and tele-diagnostic auditory brainstem response (ABR). BMC Health Serv Res. 2019;19(1):1.
[8] Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470-3.
[9] Barzegar M, Salmei S, Kamiab Z. Neonatal and maternal outcomes before and after COVID-19 pandemic: A cross-sectional study. JRUMS. 2024;23(2):157-68.
[10] Abedzadeh-Kalahroudi M, Karimian Z, Nasiri S, Khorshidifard MS. Anxiety and perceived stress of pregnant women towards COVID-19 disease and its related factors in Kashan (2020). Iran J Obstet Gynecol Infertil. 2021;24(5):8-18.
[11] Barzegar M, Janmohammadi S, Seyed Fatemi N, Mehran A. The effect of video interaction guidance of mother-infant interaction on stress in mothers with premature neonates in Neonatal Intensive Care Units. JPEN. 2019;5(2):68-74.
[12] Asadi Noghabi F, Yousefi M, Golalipour E, Zarei A, Yousefi H, Amini E. The effect of educational intervention based on Bandura’s social cognitive theory on breastfeeding behaviors of mothers with premature infants: A quasi-experimental study. J Prev Med. 2022;9(3):256-67.
[13] Barekzaei F, Navidian A, Rezaee N. The effect of Fordyce happiness training on the depression of the mothers of premature infants admitted to the neonatal intensive care unit. Iran J Nurs. 2020;33(124):1-12.
[14] Miles MS, Funk SG, Carlson J. Parental Stressor Scale: neonatal intensive care unit. Nurs Res. 1993;42(3):148-52.
[15] Taheri M, Nikfarid L, Farahani AS, Shakeri N. The effect of a peer-group support intervention program on the tensions of mothers with premature neonates admitted to the intensive care units in Babol, Iran. Adv Nurs Midwifery. 2019;28(1):15-9.
[16] Shomaliahmadabadi M, Tavangar H, Dehghani K. Effect of stress management training on stress and anxiety level of the mothers of premature infants admitted to NICU. Payesh. 2022;21(2):163-71.
[17] Heidarzadeh A, Azizzadeh Forouzi M, Taheri Z, Dehghan M. Study of effect of educational program on stress of parents of premature infants in neonatal intensive care units: A clinical trial. JPEN. 2019;5(4):18-25.
[18] Beheshtipour N, Baharlu SM, Montaseri S, Razavinezhad Ardakani SM. Comparison of parental stress in premature infants admitted in neonatal intensive care unit (NICU). Sadra Med J. 2014;2(4):361-8.
[19] Begjani J, Khoshnavay Fomani F, Asadi N, Ranjbar H, Rajabi MM. The effect of mindfulness exercises on stress of mothers with premature infant: A quasi-experimental study. IJNR. 2024;19(2):1-11.
[20] Pandey D, Dubey P. Mediating effect of social support on stress among parents of children with intellectual disability. Indian J Public Health Res Dev. 2019;10:57-67.
[21] Zeraati H, Nasimi F, Ghorbanzadeh M, Sarani A. Effects of a quiet time protocol implementation on respiratory rate and SpO2 in preterm infants. Shiraz E Med J. 2019;20:e83748.
[22] Khoramirad A, Ansari Shahidi M, Rezaii Jamaloi H, Sadeghimoghaddam P. The effect of mindfulness-based developmental care on maternal stress and bonding with premature infants hospitalized in NICU. Qom Univ Med Sci J. 2020;14(1):61-73.
[23] Neto MLR, Almeida HG, Esmeraldo JD, Nobre CB, Pinheiro WR, De Oliveira CR, et al. When health professionals look death in the eye: The mental health of professionals who deal daily with the 2019 coronavirus outbreak. Psychiatry Res. 2020;288:112972.
[24] Aldini Ardakani TS, Amiri B, Amiri B, Marvastinia G. Investigating the depression of women at reproductive age during the COVID-19 pandemic: A narrative review. J Prev Med. 2024;11(1):8-19.
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