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

Anna Axelin; Nancy Feeley; Marsha Cambell‐Yeo; Bente Silnes Tandberg; Tomasz Szczapa; Joke Wielenga; Janne Weis; Anita Pavicic Bosnjak; Rakel B Jonsdottir; Kendall George; Ylva T Blomqvist; Kajsa Bohlin; Liisa Lehtonen; Separation, Closeness Experiences in Neonatal Environment (SCENE) research group

doi:10.1111/jan.15128

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

Journal article

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

Anna Axelin, Nancy Feeley, Marsha Cambell‐Yeo, Bente Silnes Tandberg, Tomasz Szczapa, Joke Wielenga, Janne Weis, Anita Pavicic Bosnjak, Rakel B Jonsdottir, Kendall George, …

Journal of Advanced Nursing, Vol.78(6), pp.1676-1687

2022

DOI: https://doi.org/10.1111/jan.15128

PMCID: PMC9299776

PMID: 34897769

Appears in UniSC Diversity and Inclusion Research Collection

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Abstract

Health promotion

Nursing

depression

family-centred care

intensive care units

longitudinal study

neonatal parents

predictive research

preterm infant

prospective cohort

UniSC Diversity Area - Life Stages

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.

Details

Title: Symptoms of depression in parents after discharge from NICU associated with family‐centred care
Authors: Anna Axelin (Corresponding Author) - University of Turku
Nancy Feeley (Author) - Jewish General Hospital
Marsha Cambell‐Yeo (Author) - Dalhousie University
Bente Silnes Tandberg (Author) - Vestre Viken Hospital Trust
Tomasz Szczapa (Author) - Poznan University of Medical Sciences
Joke Wielenga (Author) - Amsterdam UMC - Vrije Universiteit Amsterdam
Janne Weis (Author) - Copenhagen University Hospital
Anita Pavicic Bosnjak (Author) - University Hospital Centre Zagreb
Rakel B Jonsdottir (Author) - University of Iceland
Kendall George (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Ylva T Blomqvist (Author) - Uppsala University
Kajsa Bohlin (Author) - Karolinska University Hospital
Liisa Lehtonen (Author) - Turku University Hospital
Separation, Closeness Experiences in Neonatal Environment (SCENE) research group (Author)
Publication details: Journal of Advanced Nursing, Vol.78(6), pp.1676-1687
Publisher: Wiley-Blackwell Publishing Ltd.
Date published: 2022
DOI: 10.1111/jan.15128
ISSN: 1365-2648
PMID: 34897769; PMC9299776
Copyright note: This is an open access article under the terms of the Creative Commons Attribution NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. © 2021 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Organisation Unit: University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99597008602621
Output Type: Journal article

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