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Effect of NIDCAP home care follow-up program of preterm newborns on maternal anxiety and stress.

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BACKGROUND Birth of the preterm babies creates a huge amount of stress in mothers and makes it hard for them to contribute to the care of their off springs. The… Click to show full abstract

BACKGROUND Birth of the preterm babies creates a huge amount of stress in mothers and makes it hard for them to contribute to the care of their off springs. The Newborn Individualized Developmental Care and Assessment Program (NIDCAP)is designed to empower the parents in comprehensively caring for their preterm baby after discharge from the hospital. The present research was intended to study the effects of NIDCAP follow up on the stress and anxiety of the mothers. METHODS In this clinical trial, 20 mothers of preterm babies with the gestational age of 26 to 32 weeks were studied at Omolbanin Hospital, Mashhad, Iran. The NIDCAP was performed during the hospital stay and two times after discharge. The control group received routine care without the NIDCAP. Anxiety and stress of the mothers were assessed through the Spielberger and Cohen questionnaires. Data were analyzed by Independent t-test, Chi-square and Fisher's Exact test in SPSS 20 software. RESULTS At the baseline, there were no statistically significant differences between the experimental and the control group. After the intervention, the average score of anxiety was significantly lower among mothers in the experimental group compared to the control group(P=0.009). NIDCAP and its follow up also reduced the stress of the mothers in the experiment group (P=0.033). CONCLUSIONS Implementation of the NIDCAP and its home follow up was effective in reducing the stress and the anxiety of the mothers of preterm babies. Execution of the NIDCAP is recommended to all hospital of the country for mothers of preterm babies.

Keywords: anxiety; preterm babies; group; stress; care; nidcap

Journal Title: Annali di igiene : medicina preventiva e di comunita
Year Published: 2020

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