Volume 30, Issue 2 (Spring 2022)                   Avicenna J Nurs Midwifery Care 2022, 30(2): 107-115 | Back to browse issues page


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Derakhshani R, Salmani N, Tavangar H. Effect of Multi-Sensory Stimulation of Neonates on Stress Level of Mothers with Premature Neonate Hospitalized in Neonatal Intensive Care Unit. Avicenna J Nurs Midwifery Care 2022; 30 (2) :107-115
URL: http://nmj.umsha.ac.ir/article-1-2424-en.html
1- School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- School of Meybod Nursing, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , n.salmani@ssu.ac.ir
3- Department of Nursing, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract:   (1979 Views)
Background and Objective: Premature birth is an unexpected event that causes a lot of stress for parents as they are not psychologically and emotionally prepared to face it. Therefore, this study aimed to determine the effect of multi-sensory stimulation of neonates by mothers on the stress level of mothers with premature neonates hospitalized in the Neonatal Intensive Care Unit (NICU).
Materials and Methods: This quasi-experimental study was performed on 80 mothers (in experimental and control groups) who were selected using the census method in the NICU of Shahid Sadoughi Hospital, in Yazd, Iran. The infants in the experimental group were stimulated twice a day from the third to the sixth day. Data were collected using demographic characteristics form and Parental Stress Scale that were completed before and after the intervention. Data were analyzed in SPSS software (version 20) through statistical tests.
Results: There was no significant difference between the mean stress levels in the two study groups before intervention; however, there were significant differences in intervention and control groups post-intervention in the mean±SD score of stress (P<0.001) in areas of scenes and sounds (2.26±0.40 and 2.63±0.47), infant’s appearance and behavior (3.79±0.29 and 4.05±0.25), relationship with the infant and parental role (2.60±0.38 and 3.41±0.33), and overall stress level (4.08±0.64 and 4.88±0.31). No significant difference was observed between the mean stress level in the area of communication and personnel’s behavior (P<0.3).
Conclusion: The use of multi-sensory stimulation had a significant effect on reducing the stress in mothers with premature infants admitted to NICU. Therefore, this method is recommended to be used to improve the mental status of mothers.
Persian Full-Text [PDF 763 kb]   (807 Downloads) |   |   Extended Abstract (HTML)  (901 Views)  
Type of Study: Original Research | Subject: Nursing
Received: 2022/02/10 | Accepted: 2022/05/3 | Published: 2022/05/31

References
1. Soon BT. The Global Action Report on Preterm Birth. Geneva: World Health Organization. 2012.p.2.
2. Behrman RE, Butler AS. Preterm birth: causes, consequences, and prevention. Washington, DC. 2007. [DOI] [PubMed]
3. Holditch‐Davis D, Bartlett TR, Blickman AL, Miles MS. Posttraumatic stress symptoms in mothers of premature infants. J Obstet Gynecol Neonatal Nurs. 2003;32(2):161-71. [DOI] [PubMed]
4. Shaw RJ, Sweester CJ, St John N, Lilo E, Corcoran JB, Jo B, et al. Prevention of postpartum traumatic stress in mothers with preterm infants: manual development and evaluation. Issues Ment Health Nurs. 2013;34(8):578-86. [DOI] [PubMed]
5. Holditch-Davis D, Santos H, Levy J, White-Traut R, O'Shea TM, Geraldo V, et al. Patterns of psychological distress in mothers of preterm infants. Infant Behav Dev. 2015;41:154-63. [DOI] [PubMed]
6. D'Souza SRB, Karkada S, Lewis LE, Mayya S, Guddattu V. Relationship between stress, coping and nursing support of parents of preterm infants admitted to tertiary level neonatal intensive care units of Karnataka, India: A cross-sectional survey. J Neonatal Nurs. 2009;15(5):152-8. [DOI]
7. Parker L. Mothers’ experience of receiving counselling/psychotherapy on a neonatal intensive care unit (NICU). J Neonatal Nurs. 2011;17(5):182-9. [DOI]
8. Trombini E, Surcinelli P, Piccioni A, Alessandroni R, Faldella G. Environmental factors associated with stress in mothers of preterm newborns. Acta paediatrica. 2008;97(7):894-8. [DOI] [PubMed]
9. Lee SNC, Long A, Boore J. Taiwanese women’s experiences of becoming a mother to a very-low-birth-weight preterm infant: A grounded theory study. Int J Nurs Stud. 2009;46(3):326-36. [DOI] [PubMed]
10. Ionio C, Mascheroni E, Banfi A, Olivari MG, Colombo C, Confalonieri E, et al. The impact of paternal feelings and stress on mother–child interactions and on the development of the preterm newborn. Early Child Dev Care. 2018;190(7):1005-16. [DOI]
11. White-Traut R, Norr KF, Fabiyi C, Rankin KM, Li Z, Liu L. Mother–infant interaction improves with a developmental intervention for mother–preterm infant dyads. Infant Behav Dev. 2013;36(4):694-706. [DOI] [PubMed]
12. Lotzin A, Lu X, Kriston L, Schiborr J, Musal T, Romer G, et al. Observational tools for measuring parent–infant interaction: a systematic review. Clin Child Fam Psychol Rev. 2015;18(2):99-132. [DOI] [PubMed]
13. Topping K, Dekhinet R, Zeedyk S. Parent–infant interaction and children’s language development. Educ Psychol. 2013;33(4):391-426. [DOI]
14. Osborne S. Early intervention of parent-infant interactions inpreterm infants: A systematic review.[Thesis] University of Medical Sciences. Faculty of Health, Engineering and Science; 2015.
15. Ravn IH, Smith L, Smeby NA, Kynoe NM, Sandvik L, Bunch EH, et al. Effects of early mother–infant intervention on outcomes in mothers and moderately and late preterm infants at age 1 year: A randomized controlled trial. Infant Behav Dev. 2012;35(1):36-47. [DOI] [PubMed]
16. Benzies KM, Magill-Evans J, Kurilova J, Nettel-Aguirre A, Blahitka L, Lacaze-Masmonteil T. Effects of video-modeling on the interaction skills of first-time fathers of late preterm infants. Infants Young Child. 2013;26(4):333-48. [DOI] [PubMed]
17. Spittle AJ, Anderson PJ, Lee KJ, Ferretti C, Eeles A, Orton J, et al. Preventive care at home for very preterm infants improves infant and caregiver outcomes at 2 years. Pediatrics. 2010;126(1):171-8. [DOI] [PubMed]
18. Holditch-Davis D, White-Traut RC, Levy JA, O'Shea TM, Geraldo V, David RJ. Maternally administered interventions for preterm infants in the NICU: Effects on maternal psychological distress and mother–infant relationship. Infant Behav Dev. 2014;37(4):695-710. [DOI] [PubMed]
19. Nasimi F, Zeraati H, Shahinfar J, Boskabadi H, Ghorbanzade M. The effect of multisensory stimulation on weight gain of preterm infants. J Babol Univ Medical Sci. 2016;18(12):13-8. [DOI]
20. Burns K, Cunningham N, White‐Traut R, Silvestri J, Nelson MN. Infant stimulation: Modification of an intervention based on physiologic and behavioral cues. J Obstet Gynecol Neonatal Nurs. 1994,23(7):581-9. [DOI] [PubMed]
21. White-Traut R, Wink T, Minehart T, Holditch-Davis D. Frequency of premature infant engagement and disengagement behaviors during two maternally administered interventions. Newborn Infant Nurs Rev. 2012;12(3):124-31. [DOI] [PubMed]
22. Kashaninia Z, Dehghan M, Sajedi F, Rezasoltani P. The assessment effect of kangaroo care on maternal stress of premature infants hospitalized in neonatal intensive care units. Hayat. 2014;20(3):74-84. [in persian]
23. Miles MS. Parents of critically ill premature infants: Sources of stress. Crit Care Nurs Q. 1989;12(3):69-74. [DOI] [PubMed]
24. Mianaei SJ, Karahroudy FA, Rassouli M, Tafreshi MZ. The effect of Creating opportunities for parent empowerment program on maternal stress, anxiety, and participation in NICU wards in Iran. Iran J Nurs Midwifery Res. 2014;19(1):94-100. [PubMed]
25. Afand N, Keshavarz M, Fatemi NS, Montazeri A. Effects of infant massage on state anxiety in mothers of preterm infants prior to hospital discharge. J Clin Nurs. 2017;26(13-14):1887-92. [DOI] [PubMed]
26. Feijó L, Hernandez-Reif M, Field T, Burns W, Valley-Gray S, Simco E. Mothers’ depressed mood and anxiety levels are reduced after massaging their preterm infants. Infant Behav Dev. 2006;29(3):476-80. [DOI] [PubMed]
27. Lotfalipour B, Tirgari B, Pouraboli B, Mirzaee M. Effect of preterm infant massage by the mother on the mood of mothers having preterm infants. J Chiropr Med. 2019;18(1):67-76. [DOI] [PubMed]
28. Rahmatnezhad L, Sheikhi S, Didarloo A, Fakoor Z, Iranidokht M. The impact of baby massage training on awareness, perceived stress and breastfeeding self-efficacy of mothers with hospitalized neonate. Int J Pediatr. 2018;6(10):8297-306. [DOI]
29. Holditch-Davis D, White-Traut R, Levy J, Williams KL, Ryan D, Vonderheid S. Maternal satisfaction with administering infant interventions in the neonatal intensive care unit. J Obstet Gynecol Neonatal Nurs. 2013;42(6):641-54. [DOI] [PubMed]
30. Feeley N, Zelkowitz P, Westreich R, DunkleyD. The evidence base for the cues program for mothers of very low birth weight infants: an innovative approach to reduce anxiety and support sensitive interaction. J Perinat Educ. 2011;20(3):142-53. [DOI] [PubMed]
31. Schmücker G, Brisch KH, Köhntop B, Betzler S, Österle M, Pohlandt F, et al. The influence of prematurity, maternal anxiety, and infants' neurobiological risk on mother–infant interactions. Infant Ment Health J. 2005,26(5):423-441. [DOI] [PubMed]
32. Wigert H, Hellström AL, Berg M. Conditions for parents' participation in the care of their child in neonatal intensive care–a field study. BMC pediatrics. 2008;8(1):1-9. [DOI] [PubMed]
33. Salmani N, Dabirifard M, Maghsoudi Z, Dabirifard A, Karjo Z. Comparing perception of nurse-mother communication between neonatal intensive care nurses and mothers of hospitalized neonates. Hayat. 2016; 22(3):291-9.[in persian]
34. Goulet C, Bell L, St‐Cyr D, Paul D, Lang A. A concept analysis of parent–infant attachment. J Adv Nurs. 1998;28(5):1071-81. [DOI] [PubMed]

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