TY - JOUR
T1 - Stress and stressors experienced by the parents of high-risk neonates admitted in neonatal intensive care unit
T2 - Systematic review and meta-analysis evidence available from India
AU - Siva, N.
AU - Phagdol, Tenzin
AU - S. Nayak, Baby
AU - Glane Mathias, Edlin
AU - Edward S. Lewis, Leslie
AU - Velayudhan, Binil
AU - Shankar N., Ravi
AU - D’Souza, Preethy
N1 - Funding Information:
Authors appreciate the technical assistance and resources provided by the Manipal Academy of Higher Education (MAHE), Manipal, and ICMR SRF for supporting this research work. This paper is a part of an intervention program developed for a study funded by the Indian Council of Medical Research (ICMR) Senior Research Fellowship (IRIS Number–2021–8364).
Publisher Copyright:
© 2023 The Authors. Stress and Health published by John Wiley & Sons Ltd.
PY - 2023
Y1 - 2023
N2 - The aim of the systematic review and meta-analysis is to determine the stress and stressors experienced by the parents of high-risk neonates admitted to the neonatal intensive care unit (NICU) in India. We included both quantitative and qualitative studies. The Joanna Briggs Institute Critical Appraisal Checklist and Critical Appraisal Skill Programme checklist were used to assess the quality of included studies. A systematic search was conducted in PubMed, EMBASE, SCOPUS, EBSCOhost, Web of Science, ProQuest, Microsoft Academic, DOAJ, Indian Citation Index, and J-Gate to identify relevant studies. Additionally, online hand searching was performed on Indian websites of relevant institutions, women and child health departments, repositories, registries, and paediatric journals. Twelve of the 21 quantitative studies found that maternal stress was higher than fathers due to the separation from their babies and the medical condition of the neonate. One qualitative study reported that financial burden, alterations in the parenting role, and concern over domestic issues are significant causes of fathers' stress. A meta-analysis of the included studies assessed the prevalence of maternal, paternal, and parental stress and reported that mothers experienced higher stress levels than fathers across all subscales. The most typical stressors for parents were changes in neonatal looks, behaviour, and altered parental roles. Beyond the immediate NICU care and interactions, other triggering factors of stress among parents must be considered to design multicomponent interventions in a local (Indian) context. Moreover, parental psychological support and regular counselling can be incorporated into the standard neonatal intensive care policy.
AB - The aim of the systematic review and meta-analysis is to determine the stress and stressors experienced by the parents of high-risk neonates admitted to the neonatal intensive care unit (NICU) in India. We included both quantitative and qualitative studies. The Joanna Briggs Institute Critical Appraisal Checklist and Critical Appraisal Skill Programme checklist were used to assess the quality of included studies. A systematic search was conducted in PubMed, EMBASE, SCOPUS, EBSCOhost, Web of Science, ProQuest, Microsoft Academic, DOAJ, Indian Citation Index, and J-Gate to identify relevant studies. Additionally, online hand searching was performed on Indian websites of relevant institutions, women and child health departments, repositories, registries, and paediatric journals. Twelve of the 21 quantitative studies found that maternal stress was higher than fathers due to the separation from their babies and the medical condition of the neonate. One qualitative study reported that financial burden, alterations in the parenting role, and concern over domestic issues are significant causes of fathers' stress. A meta-analysis of the included studies assessed the prevalence of maternal, paternal, and parental stress and reported that mothers experienced higher stress levels than fathers across all subscales. The most typical stressors for parents were changes in neonatal looks, behaviour, and altered parental roles. Beyond the immediate NICU care and interactions, other triggering factors of stress among parents must be considered to design multicomponent interventions in a local (Indian) context. Moreover, parental psychological support and regular counselling can be incorporated into the standard neonatal intensive care policy.
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U2 - 10.1002/smi.3301
DO - 10.1002/smi.3301
M3 - Review article
C2 - 37596955
AN - SCOPUS:85168321379
SN - 1532-3005
JO - Stress and Health
JF - Stress and Health
ER -