Stress dos pais com filhos internados numa unidade de cuidados intensivos neonatais

: uma revisão sistemática da literatura

Abstract

The hospitalization of a child in a NICU is a critical event, where there is a break of the traditional symbolism of birth and with negative consequences in the process of transition to this reality. Most parents with children admitted to the NICU continue to suffer from severe emotional stress problems. Nurses are the professionals best able to deal with stressful situations, as they are the closest to the parents. Therefore, nurses should use the results of scientific evidence to diagnose stress (for example through the PSS:NICU scale), as well as to plan nursing interventions to reduce stress. Consequently, we intended to answer the following research question: Which are the nursing interventions to reduce the stress of parents with children admitted to a NICU?”. The nursing interventions used in the different studies were from different natures, and for a systematic analysis, they were organized into the following categories: music therapy; expressive writing; group discussion; intervention programs (COPE program; HUG Your Baby; REBT program; and Intervention Package); telenursing; organizational interventions (flexible visits, parental welcome, consistency of care, appropriate ratios, involvement in care); paternal support. Parental stress reduction interventions address the factors identified as very stressful for them during the hospitalization of their child in an NICU and allow them to evolve in the care of the newborn, responding to the processes of transition to parenthood. The interventions identified in the literature are low-cost, and easily feasible, however, some require a great amount of time from nurses and, hence, the importance of adequate ratios.

Date of Award	16 May 2022
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Constança Festas (Supervisor)