Maternal Coping with Baby Hospitalization at a Neonatal Intensive Care Unit

espanolResumen: Enfrentamiento son las acciones de autorregulacion de la emocion, de la cognicion, del comportamiento y de la orientacion motivacional en condiciones de estres. Este estudio analizo el proceso de enfrentamiento materno de la hospitalizacion de bebes prematuros y con bajo peso internados en Unidad de Terapia Intensiva Neonatal (UTIN). Fueron aplicados un cuestionario, una escala y una entrevista a 25 madres en tres momentos, del nacimiento hasta despues del alta hospitalaria. Los resultados mostraron que la primera visita materna a la UTIN tuvo gran impacto emocional. Un mayor numero de dias de internacion se correlaciono con la disminucion en la Delegacion. Y tras el alta, aumento la Busqueda de Soporte. Madres multiparas y que trabajaban fuera de casa presentaron mayor vulnerabilidad al estres. Predominaron respuestas adaptativas de enfrentamiento, incluso entre las dos madres cuyos bebes fallecieron, con la presencia de estrategias de Autoconfianza, mediadas por creencias religiosas. EnglishAbstract: Coping is defined by actions of self-regulation of emotions, cognitions, behaviors, and motivational orientation under stress. This study analyzed the maternal coping with hospitalization of premature and low birth weight infants at the Neonatal Intensive Care Unit (NICU), using the Motivational Theory of Coping. A questionnaire, a scale and an interview were applied to 25 mothers three times between birth and hospital discharge. The results showed that the mothers’ first visit to the NICU had strong emotional impact; longer hospitalization periods were linked to the decrease in Delegation coping strategies. There was more Support Seeking after the hospital discharge. Multiparous mothers and those who had a job appeared to be more vulnerable to stress. Predominantly adaptive coping responses were identified, even among two mothers whose babies had died, including Self-Reliance strategies, which were mediated by religious beliefs. portuguesResumo: O coping e definido por acoes de autorregulacao emocional, cognitiva, comportamental e motivacional sob condicoes de estresse. Este estudo analisou, segundo a Teoria Motivacional do Coping, o processo de enfrentamento materno da hospitalizacao de bebes prematuros e com baixo peso, internados em Unidade de Terapia Intensiva Neonatal (UTIN). Aplicou-se em 25 maes questionario, escala e entrevista, em tres momentos, do nascimento ate apos a alta hospitalar. Os resultados mostraram que a primeira visita materna a UTIN teve grande impacto emocional. Um maior numero de dias de internacao se correlacionou com a diminuicao no enfrentamento por Delegacao. E, apos a alta hospitalar, houve aumento na Busca de Suporte. Maes multiparas e aquelas que trabalhavam fora de casa apresentaram maior vulnerabilidade ao estresse. Houve predominio de respostas adaptativas de coping, mesmo entre as duas maes cujos bebes morreram, com a presenca de estrategias de Autoconfianca, mediadas por crencas religiosas.

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