Dataset Information

Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions.

ABSTRACT:

Objective

To classify NICU interventions for parental distress and quantify their effectiveness.

Study design

We systematically reviewed controlled studies published before 2017 measuring NICU parental distress, defined broad intervention categories, and used random-effects meta-analysis to quantify treatment effectiveness.

Results

Among 1643 unique records, 58 eligible trials predominantly studied mothers of preterm infants. Interventions tested in 22 randomized trials decreased parental distress (p < 0.001) and demonstrated improvement beyond 6 months (p < 0.005). In subgroup analyses, complementary/alternative medicine and family-centered instruction interventions each decreased distress symptoms (p < 0.01), with fathers and mothers improving to similar extents. Most psychotherapy studies decreased distress individually but did not qualify for meta-analysis as a group.

Conclusion

NICU interventions modestly reduced parental distress. We identified family-centered instruction as a target for implementation and complementary/alternative medicine as a target for further study. Investigators must develop psychosocial interventions that serve NICU parents at large, including fathers and parents of full-term infants.

SUBMITTER: Sabnis A

PROVIDER: S-EPMC7067599 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Publications

Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions.

Sabnis Animesh A Fojo Sofia S Nayak Sameera S SS Lopez Elizabeth E Tarn Derjung M DM Zeltzer Lonnie L

Journal of perinatology : official journal of the California Perinatal Association 20190118 3

<h4>Objective</h4>To classify NICU interventions for parental distress and quantify their effectiveness.<h4>Study design</h4>We systematically reviewed controlled studies published before 2017 measuring NICU parental distress, defined broad intervention categories, and used random-effects meta-analysis to quantify treatment effectiveness.<h4>Results</h4>Among 1643 unique records, 58 eligible trials predominantly studied mothers of preterm infants. Interventions tested in 22 randomized trials dec ...[more]

PMID: 30659239

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Project description:BackgroundSatisfaction reflects a consumer's judgment regarding the quality of care received. Satisfaction of parents with healthcare services can serve as a reliable indicator for evaluating the quality of care given to their newborns. The aim of this study is to determine the pooled prevalence of parental satisfaction with neonatal intensive care unit services and its associated factors in Ethiopia.MethodsInternational databases such as PubMed/Medline, African Journals Online, SCOPUS, Web of Science, and Google Scholar were used to identify relevant published articles. Risk of bias was assessed independently by two authors. Funnel plot and Egger regression test were also employed to assess publication bias. A significant p-value of 0.05 or less suggests the presence of publication bias. PROSPERO registration number is CRD42024570971.ResultsThe researchers initially identified a total of 1,264 articles through their search strategy from all databases. Finally, eleven studies met the inclusion criteria and were considered suitable for the final meta-analysis. The pooled prevalence of parental satisfaction with neonatal intensive care unit services in Ethiopia was 55% (95% CI: 49%-60%). There was neither publication bias nor small study impact among the included studies. Based on the subgroup analysis by region, the pooled prevalence in Oromia were slightly higher, 63% (95% CI: 57%-69%). Birth weight, length of hospital stays, place of residence, and availability of necessary information are factors identified as significant predictors for parental satisfaction with neonatal intensive care unit service.ConclusionAccording to the study's findings, there is a lower pooled prevalence of parental satisfaction than in previous research that was published in some countries. By working to raise the satisfaction levels of parents in neonatal intensive care units, healthcare facilities can enhance the overall experience for both parents and infants, leading to improved outcomes and a more positive care environment.

Dataset Information

Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions.

Objective

Study design

Results

Conclusion

Publications

Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions.

Similar Datasets

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