Safa Ahmad Al.Ashram
Jordan
Title: THE IMPACT OF IMPLEMENTING DEVELOPMENTAL SUPPORTIVE CARE ON PRETERM NEONATAL HEALTH STATUS AND MATERNAL STRESS IN NICUS IN JORDAN
Biography
Biography: Safa Ahmad Al.Ashram
Abstract
Developmental Supportive Care (DSC) is a professional practice, education and research opportunity that nurses need to assess, evaluate and develop continuously within the advance changes in technological environment of the NICU to promote the health status for preterm neonates. The purposes of the study were to examine the effect of cover incubator and voice of mother on the physiological and behavioral health status of preterm neonates and explore the impact of DSC environment on preterm maternal stress level related to alterations in their maternal role, the appearance and behavior of their neonate, and sights and sounds of the unit.
This study used a repeated measure design. Convenience sampling was used to recruit 30 low risk preterm neonates who admitted to NICU in three private hospitals in Jordan. Data were collected through observation sheet of physiological and behavioral responses and self administered questionnaire for maternal stress. The instruments used were physiological and behavioral observational sheet (PBOS) and Parental Stress Scale .PSS NICU.
The results of this study showed that that there was significant effect of interventions on Respiratory Rate (RR) (p =0.001) , Quiet sleep (P=0.001) , Tremor (0.002) and Rapid Eye Movement (REM) (P= 0.001) , on other hand there was no significant impact on O2 saturation (P= 0.7) , HR (P= 0.13 and Motor activity( P=0.12) with two exceptions for low base line HR and first response of movement had significant changes after implementing the intervention. Maternal stress level (PSS.NICU) assessed before and after implementing DSC ,the intervention have significant impact on decrease general stress level(P=0.003) , but for subscales there were only significant impact for parental role (P=0.02) and appearance and behavior(P=0.002) while there was no significant impact on sights and sounds (P=0.1)
The findings of this study revealed that preterm neonates exhibited significant short term orienting benefit from DSC in relation to some physiological and behavioral variables due to immaturity of preterm systems responses and their maternal short term stress improved after implementing DSC.
Key Words, preterm neonate, developmental supportive care, physiological, behavioral, maternal stress.