Parent stress and coping in NICU and PICU.

The purpose of this study was to identify and compare parental perceptions of their stress and coping experiences with children in pediatric intensive care units (PICU) and the neonatal intensive care units (NICU). The sample consisted of 31 NICU and 20 PICU parents. Parents in both units experienced the most stress from alteration in their parenting role and in their infants' behavior and appearance. Parents of children in PICU found assistance with parenting role more helpful than parents of children in NICU. Parents with children in the PICU perceived problems-focused coping more helpful than parents with children in the NICU; parents of children in NICU found emotion-focused coping more helpful than parents of children in PICU. Parents in both units considered problem-focused coping more helpful than appraisal- or emotion-focused coping.

[1]  L. Mayberry,et al.  Stressors reported by mothers of hospitalized premature infants. , 1992, Neonatal network : NN.

[2]  J. Hennessey,et al.  The pediatric intensive care unit environment as a source of stress for parents. , 1989, Maternal-child nursing journal.

[3]  M. Miles,et al.  Assessing Parental Stress In Intensive Care Units , 1983 .

[4]  F. Carnevale,et al.  A description of stressors and coping strategies among parents of critically ill children--a preliminary study. , 1990, Intensive care nursing.

[5]  M. Miles,et al.  Sources of parental stress in pediatric intensive care units. , 1982, Children's health care : journal of the Association for the Care of Children's Health.

[6]  L. Heuer Parental stressors in a pediatric intensive care unit. , 1993, Pediatric nursing.

[7]  M. Miles,et al.  The Parental Stressor Scale: Pediatric Intensive Care Unit. , 1989, Maternal-child nursing journal.

[8]  M. Curley,et al.  Effects of the nursing Mutual Participation Model of Care on parental stress in the pediatric intensive care unit--a replication. , 1992, Journal of pediatric nursing.

[9]  M. Miles,et al.  Parental Environmental Stress in Pediatric Intensive Care Units , 1985, Dimensions of critical care nursing : DCCN.

[10]  Nyamathi Am,et al.  Parents of children in the pediatric intensive care unit: what are their needs? , 1988 .

[11]  L. L. LaMontagne,et al.  Stress and coping of parents of children in a pediatric intensive care unit. , 1990, Heart & lung : the journal of critical care.

[12]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[13]  M. Miles Parents of critically ill premature infants: Sources of stress , 1989, Critical care nursing quarterly.

[14]  L. Philichi Family adaptation during a pediatric intensive care hospitalization. , 1989, Journal of pediatric nursing.

[15]  M. Miles,et al.  Maternal and paternal stress reactions when a child is hospitalized in a pediatric intensive care unit. , 1984, Issues in comprehensive pediatric nursing.

[16]  S. Funk,et al.  Sources of support reported by mothers and fathers of infants hospitalized in a neonatal intensive care unit. , 1996, Neonatal network : NN.

[17]  D. Sheftel,et al.  How parents cope with the experience of neonatal intensive care. , 1994, Children's health care : journal of the Association for the Care of Children's Health.

[18]  M. Miles,et al.  Coping strategies used by parents during their child's hospitalization in an intensive care unit. , 1985, Children's health care : journal of the Association for the Care of Children's Health.

[19]  M. Fisher Identified needs of parents in a pediatric intensive care unit. , 1994, Critical care nurse.

[20]  M. Curley,et al.  Effects of the nursing mutual participation model of care on parental stress in the pediatric intensive care unit. , 1988, Heart & lung : the journal of critical care.

[21]  S G Funk,et al.  Parental Stressor Scale: Neonatal Intensive Care Unit , 1993, Nursing research.

[22]  R. Lazarus,et al.  Stress-Related Transactions between Person and Environment , 1978 .

[23]  H. Selye The Stress of Life , 1958 .

[24]  S. Funk,et al.  The stress response of mothers and fathers of preterm infants. , 1992, Research in nursing & health.

[25]  G. Affleck,et al.  Infants in Crisis , 1991 .

[26]  Shelomo Breznitz,et al.  Handbook of Stress: Theoretical and Clinical Aspects , 1993 .

[27]  L. Lewandowski Stresses and coping styles of parents of children undergoing open-heart surgery. , 1980, CCQ. Critical care quarterly.

[28]  S G Funk,et al.  The neonatal intensive care unit environment: sources of stress for parents. , 1991, AACN clinical issues in critical care nursing.

[29]  L S Bass,et al.  What do parents need when their infant is a patient in the NICU? , 1991, Neonatal network : NN.