Child Health Nursing Research

  • 제30권2호
  • /
  • Pages.118-128
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  • 2024
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  • 2287-9110(pISSN)
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  • 2287-9129(eISSN)
한국아동간호학회 (Korean Academy of Child Health Nursing)
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Changes in parents' health concerns by post-preterm birth period in South Korea: a cross-sectional study

  • Yu Jin Jung (Department of Pediatrics, Kosin University College of Medicine) ;
  • Hun Ha Cho (College of Nursing, Kosin University)
  • 투고 : 2024.02.15
  • 심사 : 2024.03.31
  • 발행 : 2024.04.30
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초록

Purpose: This study aimed to examine the health concerns of parents regarding their premature infants and to identify changes in these concerns during perinatal period and after discharge. Methods: This was a retrospective study performed at a single tertiary center that enrolled 119 premature infants who were discharged from the neonatal intensive care unit (NICU) and visited the outpatient pediatrics department between December 2018 and October 2021. Data on the concerns of 176 parents regarding enrolled premature infants' health from before birth to 1 week after NICU discharge were obtained from outpatient records. The t test and with the chi-squared test were used to analyze the data for this study. Results: The consistently greatest focus of parents' health concerns was the respiratory system. The second focus of parents' health concerns before discharge was the central nervous system. However, during the first week after NICU discharge, the gastrointestinal system was the second-most frequent focus of parents' health concerns among parents of infants without diseases related to prematurity and infants with older gestational ages. Conclusion: The results of this study offer insights into the health concerns among parents of premature infants. Parental health concerns about premature infants vary over time, from before birth to post-discharge, necessitating supportive interventions to enhance parental understanding of their child's health status.

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과제정보

This study was supported by a grant from the Kosin University College of Medicine (2021).

참고문헌

  1. Walani SR. Global burden of preterm birth. International Journal of Gynaecology and Obstetrics. 2020;150(1):31-33. https://doi.org/10.1002/ijgo.13195
  2. Statistics Korea. Birth statistics in 2021 [Internet]. 2021 [cited 2022 August 28]. Available from: https://kostat.go.kr/board.es?mid=a10301020300&bid=204
  3. Behrman RE, Butler AS. Preterm birth: causes, consequences, and prevention. National Academies Press; 2007. p. 31-52.
  4. Pravia CI, Benny M. Long-term consequences of prematurity. Cleveland Clinic Journal of Medicine. 2020;87(12):759-767. https://doi.org/10.3949/ccjm.87a.19108
  5. Pinto F, Fernandes E, Virella D, Abrantes A, Neto MT. Born preterm: a public health issue. Portuguese Journal of Public Health. 2019;37(1):38-49. https://doi.org/10.1159/000497249
  6. Brady JM, Barnes-Davis ME, Poindexter BB. The high-risk infant. In: Kliegman RM, St. Geme JW 3rd, Editors. Nelson textbook of pediatrics. 21st ed. Elsevier; 2020. p.897-909.
  7. Gardon L, Picciolini O, Squarza C, Frigerio A, Gianni ML, Gangi S, et al. Neurodevelopmental outcome and adaptive behaviour in extremely low birth weight infants at 2 years of corr ected age. Early Human Development. 2019;128:81-85. https://doi.org/10.1016/j.earlhumdev.2018.12.013
  8. Ionio C, Mascheroni E, Colombo C, Castoldi F, Lista G. Stress and feelings in mothers and fathers in NICU: identifying risk factors for early interventions. Primary Health Care Research & Development. 2019;20:e81. https://doi.org/10.1017/s1463423619000021
  9. Lee IH, Norr KF, Oh K. Emotional adjustment and concerns of Korean mothers of premature infants. International Journal of Nursing Studies. 2005;42(1):21-29. https://doi.org/10.1016/j.ijnurstu.2004.05.004
  10. Dudek-Shriber L. Parent stress in the neonatal intensive care unit and the influence of parent and infant characteristics. American Journal of Occupational Therapy. 2004;58(5):509-520. https://doi.org/10.5014/ajot.58.5.509
  11. Franck LS, Cox S, Allen A, Winter I. Measuring neonatal intensive care unit-related parental stress. Journal of Advanced Nursing. 2005;49(6):608-615. https://doi.org/10.1111/j.1365-2648.2004.03336.x
  12. Sikorova L, Kucova J. The needs of mothers to newborns hospitalised in intensive care units. Biomedical Papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia. 2012;156(4):330-336. https://doi.org/10.5507/bp.2011.046
  13. Whittingham K, Boyd RN, Sanders MR, Colditz P. Parenting and prematurity: understanding parent experience and preferences for support. Journal of Child and Family Studies. 2014;23(6):1050-1061. https://doi.org/10.1007/s10826-013-9762-x
  14. Osorio Galeano SP, Salazar Maya AM. Preparing parents for discharge from the neonatal unit, the transition, and care of their preterm children at home. Investigacion y Educacion en Enfermeria. 2023;41(1):e04. https://doi.org/10.17533/udea.iee.v41n1e04
  15. Park JH, Lee H, Cho H. Analysis of the supportive care needs of the parents of preterm children in South Korea using big data text-mining: topic modeling. Child Health Nursing Research. 2021;27(1):34-42. https://doi.org/10.4094/chnr.2021.27.1.34
  16. Kim DJ, Kil SY, Son J, Lee HS. How to conduct well-designed clinical research. Kosin Medical Journal. 2022;37(3):187-191. https://doi.org/10.7180/kmj.22.122
  17. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. British Medical Journal. 2007;335(7624):806-808. https://doi.org/10.1136/bmj.39335.541782.ad
  18. Lee JY, Lee JH, Yeon GM, Jung YJ. Parental anxiety regarding premature infants and factors affecting parental concern. Journal for Specialists in Pediatric Nursing. 2019;24(4):e12266. https://doi.org/10.1111/jspn.12266
  19. Baia I, Amorim M, Silva S, Kelly-Irving M, de Freitas C, Alves E. Parenting very preterm infants and stress in neonatal intensive care units. Early Human Development. 2016;101:3-9. https://doi.org/10.1016/j.earlhumdev.2016.04.001
  20. Kang G, Kim SE. How to write an original article in medicine and medical science. Kosin Medical Journal. 2022;37(2):96-101. https://doi.org/10.7180/kmj.22.105
  21. van Vonderen JJ, Roest AA, Siew ML, Walther FJ, Hooper SB, te Pas AB. Measuring physiological changes during the transition to life after birth. Neonatology. 2014;105(3):230-242. https://doi.org/10.1159/000356704
  22. Helin I. Mother-infant relationships in the NICU: a multiple case study approach [dissertation]. Chicago: Loyola University; 2015. p. 1-280.
  23. Tefera M, Assefa N, Mengistie B, Abrham A, Teji K, Worku T. Elective cesarean section on term pregnancies has a high risk for neonatal respiratory morbidity in developed countries: a systematic review and meta-analysis. Frontiers in Pediatrics. 2020;8:286. https://doi.org/10.3389/fped.2020.00286
  24. Srivastav D, Lal Mathur MN. Helicopter parenting and adolescent development: from the perspective of mental health. In: Benedetto L, Ingrassia M, Editors. Parenting - studies by an ecocultural and transactional perspective. IntechOpen; 2020. p. 71-90.
  25. 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 Behavior & Development. 2015;41:154-163. https://doi.org/10.1016/j.infbeh.2015.10.004
  26. Leahy-Warren P, Coleman C, Bradley R, Mulcahy H. The experiences of mothers with preterm infants within the first-year post discharge from NICU: social support, attachment and level of depressive symptoms. BMC Pregnancy and Childbirth. 2020;20(1):260. https://doi.org/10.1186/s12884-020-02956-2
  27. Young PC, Korgenski K, Buchi KF. Early readmission of newborns in a large health care system. Pediatrics. 2013;131(5):e1538-e1544. https://doi.org/10.1542/peds.2012-2634
  28. Ray KN, Lorch SA. Hospitalization of early preterm, late preterm, and term infants during the first year of life by gestational age. Hospital Pediatrics. 2013;3(3):194-203. https://doi.org/10.1542/hpeds.2012-0063
  29. Green J, Fowler C, Petty J, Whiting L. The transition home of extremely premature babies: an integrative review. Journal of Neonatal Nursing. 2021;27(1):26-32. https://doi.org/10.1016/j.jnn.2020.09.011