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Parental experiences during the first period at the neonatal unit after two developmental care interventions

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Author: Pal, S.M. van der · Maguire, C. · Cessie, S. le · Wit, J. · Walther, F. · Bruil, J.
Type:article
Date:2007
Institution: TNO Kwaliteit van Leven
Source:Acta Paediatrica, 11, 69, 1611-1616
Identifier: 278329
doi: doi:10.1111/j.1651-2227.2007.00487.x
Keywords: Health · Developmental care · Neonatal care · Parental stress · Child behavior · Clinical trial · Comparative study · Conservative treatment · Controlled clinical trial · Controlled study · Gestational age · Hospital admission · Incubator · Infant · Intervention study · Major clinical study · Newborn · Newborn intensive care · Nursing · Personal experience · Prematurity · Randomization · Randomized controlled trial · Adaptation, Psychological · Child Development · Family Nursing · Female · Humans · Incubators, Infant · Infant Behavior · Infant, Newborn · Infant, Premature · Intensive Care Units, Neonatal · Intensive Care, Neonatal · Male · Netherlands · Observation · Parents · Professional-Family Relations · Questionnaires · Sex Factors · Social Support · Stress, Psychological

Abstract

Aim: Developmental care has gained increased attention in the individualized care for preterm infants. This study was designed to explore the effect of a basic form of developmental care and the more extended Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on parental stress, confidence and perceived nursing support. Methods : Two consecutive randomized controlled trials (RCT's) comparing (1) standard care versus basic developmental care (standardized nests and incubator covers) (n = 133) and (2) basic developmental care versus NIDCAP, including behavioural observations (n = 150). Parents of infants born <32 weeks gestational age (GA) received questionnaires after the first week of admission in the neonatal unit and on average these 2 weeks after the birth of their infant. Results : No significant differences were found in confidence, perceived nursing support or parental stress. The difference in parental stress between mother and father was less in the NIDCAP intervention group (p = .03), although not significant