Experiência dos pais de prematuros hospitalizados na Unidade de Terapia Intensiva Neonatal durante a pandemia Covid-19

Authors

DOI:

https://doi.org/10.33448/rsd-v11i12.34712

Keywords:

Premature newborn; Parents; Covid-19; Neonatal Intensive Care Unit.

Abstract

Objective: To identify in scientific production the experiences of parents about the experiences in the Neonatal Intensive Care Unit during the Covid-19 pandemic. Methodology: Integrative review of the literature conducted in the Virtual Health Library, PubMed, LILACS, and Scopus databases from May to June 2022. The findings were extracted, analyzed and synthesized in a narrative way. Results: A total of 1,096 studies were recovered; of these, 12 were selected for the review. Qualitative studies prevailed, with level of evidence VI. Parents experienced moments of restricted visits to their children, triggering fear, anxiety and stress. Conclusion: Parents of infants hospitalized in the Neonatal Intensive Care Unit during the Covid-19 pandemic experienced moments of stress, fear, anxiety and were predictors for Other emotional problems. It is also noteworthy that during this period of restrictions on the permanence of parents, there were negative impacts on breastfeeding, limitation of social support after discharge, difficulties of interaction with health professionals, care difficulties and physical contact with the baby.

Author Biographies

Juliane Pagliari Araujo, Universidade Estadual de Londrina

Enfermeira. Mestre em Biociências e Saúde pela Universidade Estadual do Oeste do Paraná. Doutoranda em Enfermagem pela Universidade de Londrina. Docente do Colegiado de enfermagem do Instituto Federal do Paraná – Campus Londrina.  Londrina, Paraná, Brasil.

Adriana Valongo Zani, Universidade Estadual de Londrina

Enfermeira. Doutora em Saúde Coletiva pela Universidade Estadual Paulista Júlio de Mesquita Filho, UNESP.  Professor adjunto da Universidade Estadual de Londrina - UEL no Departamento de Enfermagem na área de saúde da criança e do adolescente, no programa de Pós-graduação em Enfermagem, nível Mestrado e Doutorado.  Coordenadora e docente da Residência em Enfermagem Neonatal da UEL. Londrina, Paraná, Brasil.

References

Araujo, J. P., Silva, R. S., Miranda, L. L., Mathiolli, C., Lago, M. T. G. & Zani, A. V. (2022). A presença do acompanhante no parto e nascimento na pandemia de Covid-19: representações de puérperas. Research, Society and Development, 11 (3), e9611326188. https://doi.org/10.33448/rsd-v11i3.26188.

Adama, E. A., Koliouli, F., Provenzi, L., Feeley, N., Teijlingen, E., Irlanda, J., Salo, F., & Khashu, M. (2022) . COVID-19 restrictions and psychological well-being of fathers with infants admitted to NICU—An exploratory cross-sectional study. Acta Pediátrica, 111(9): 1771-1778. https://doi.org/10.1111/apa.16455.

Banerjee, J., Aloysius, A., Mitchell, K., Silva, I., Rallis, D., Godambe, S., & Deierl, A. (2020). Improving infant outcomes through implementation of a family integrated care bundle including a parent supporting mobile application. Arch Dis Child Fetal Neonatal Ed;105:F172–F177. https://doi.org/10.1136/archdischild-2018-316435.

Bembich, S., Tripani, A., Mastromarino, S., Risio, G., Castelpietra, E., & Risso, F. (2020). Parents experiencing NICU visit restrictions due to COVID-19 pandemic. Acta Pediátrica, 110(3):940-941. https://doi.org/10.1111/apa.15620.

Erdei, C., Feldman, N., Koire, A., Mittal, L., & Liu, C. (2022). COVID-19 Pandemic Experiences and Maternal Stress in Neonatal Intensive Care Units. Children, 9(2): 251. https://doi.org/10.3390/children9020251.

Galeano, S., & Maya, Â. (2021). Experiences of Parents of Preterm Children Hospitalized Regarding Restrictions to Interact with Their Children Imposed Because of the COVID-19 Pandemic. Invest Educ Enferm. 39(2):e10. : https://doi.org/10.17533/udea.iee.v39n2e10.

Garfield, H., Westgate, B., Chaudhary, R., O’Curry, S., & Archibald, S. (2021). Parental and staff experiences of restricted parental presence on a Neonatal Intensive Care Unit during COVID-19. Acta Pediátrica, 110(12): 3308–3314. https://doi.org/10.1111/apa.16085.

Holly, M., Campbell-Yeo, M., & Richardson, B. (2021). The Impact of Restrictive Family Presence Policies in Response to COVID-19 on Family Integrated Care in the NICU: A Qualitative Study. Sage Journals, 15(2): 49–62. https://doi.org/10.1177/19375867211065178.

Kyno, N., Fugelseth, D., knudsen, L., & Tandberg, B. (2021). Starting parenting in isolation a qualitative user-initiated study of parents’ experiences with hospitalization in Neonatal Intensive Care units during the COVID-19 pandemic. PLoS ONE, https://doi.org/10.1371/journal.pone.0258358.

Liu, W., Yang, Q., Xu, Z., Hu, Y., Wang, y., Liu, Z & et al. (2022). Impact of the COVID-19 pandemic on neonatal admissions in a tertiary children’s hospital in southwest China: An interrupted time-series study. PLoS ONE, 17(1): e0262202. https://doi.org/ 10.1371/journal.pone.0262202.

Mendes, k., Silveira., R., & Galvão, C. (2017). Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto & Contexto - Enferm, 28: e20170204. https://doi.org/10.1590/1980-265X-TCE-2017-0204.

Meesters, N., Dijk, M., Carvalho, F., Simons, S., Bosch, G & et al. (2021). COVID-19 lockdown impacts the wellbeing of parents with infants on a Dutch neonatal intensive care unit. Journal of Pediatric Nursing, 62: 106-112. https://doi.org/10.1016/j.pedn.2021.09.024.

Mengesha, E., Amare, D., Asfaw, L., Tesfa, M., Debela, M., & Getahun, F. (2022). Parental experiences in neonatal intensive care unit in Ethiopia: a phenomenological study. Annals of medicine, 54(1): 121-131. https://doi.org/10.1080/07853890.2021.2004320.

Miranda, L.L., Silva, R.S.,Ferrari, R.A.P., Assunção, R.C., & Zani, A.V. (2021). Fatos em fotos: significado paterno sobre o filho prematuro na unidade neonatal. Brazilian Journal of Development, 7(1), 2-15. https://doi.org/10.34117/bjdv7n1-001.

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoSMed, 6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097.

Muniraman, H., Ali, M., Cawley, P., Hillyer, J., Heathcote, A., Ponnusamy, V & et al. (2020). Parental perceptions of the impact of neonatal unit visitation policies during COVID-19 pandemic. BMJ Journals, 4: e000899. https://doi.org/10.1136/bmjpo-2020-000899.

Nazareth, I., Santos, I., Silva, L., Moraes, S., Silva, Í (2019). Riscos gestacionais e o nascimento prematuro: enfrentamento para a maternagem. Rev de Enferm, 13(4): 1030-1039. https://doi.org/10.5205/1981-8963-v13i04a237875p1030-1039-2019.

Nourani, A., Aiatolá, H., & Mirnia, K. (2019). A Smart Phone Application for the Mothers of Premature Infants. IRBM 40. 263–269 doi :https://doi.org/10.1016/j.irbm.2019.04.006.

Pang, E., Sey, R., Beritto, T., Lee, H., & Powell, C. (2022). Advancing Health Equity by Translating Lessons Learned from NICU Family Visitations During the COVID-19 Pandemic. Neoreviews, 22(1):e1-e6. https://doi.org/10.1542/neo.22-1-e1.

Polloni, L., Cavallin, F., Lolli, E., Schiavo, R., Bua, M., Volpe, B., & Trevisanuto, D. (2021). Psychological Wellbeing of Parents with Infants Admitted to the Neonatal Intensive Care Unit during SARS-CoV-2 Pandemic. Children, 8 (9), 755; https://doi.org/10.3390/children8090755.

Reichert, A., Guedes, A., Soares, A., Brito, P., Bezerra, I., Silva, L., & Santos, N. (2022). Repercussões da pandemia da Covid-19 no cuidado de lactentes nascidos prematuros. Escola Anna Nery. 26, e20210179. https://doi.org/10.1590/2177-9465-EAN-2021-0179.

Rodrigues, A. R. M., Rodrigues, D. P., Silveira, M. A., Paiva, A. M., Fialho, A.V., & Queiroz, A. B. (2020). Hospitalização na gravidez de alto risco: representações sociais das gestantes. Revista de Enfermagem Referência, 5(3), e20040. https://doi.org/10.12707/RV20040.

Souza, K., Schneck, S., Pena, É., Duarte, E., & Alves, V. (2020). Direitos humanos das mulheres no parto frente à pandemia de covid-19: o que fazer da enfermagem obstétrica. Cogitare Enfermagem, 25. http://dx.doi.org/10.5380/ce.v25i0.73148.

Vance, A., Malin, K., Miller, J., Shuman, C., Moore, T., & Benjamin, A. (2021). Parents’ pandemic NICU experience in the United States: a qualitative study. BMC Pediatrics, 21(1): 558. https://doi.org/10.1186/s12887-021-03028-w.

Downloads

Published

18/09/2022

How to Cite

SIQUEIRA, F. A.; ARAUJO, J. P. .; ZANI, A. V. . Experiência dos pais de prematuros hospitalizados na Unidade de Terapia Intensiva Neonatal durante a pandemia Covid-19. Research, Society and Development, [S. l.], v. 11, n. 12, p. e384111234712, 2022. DOI: 10.33448/rsd-v11i12.34712. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/34712. Acesso em: 15 nov. 2024.

Issue

Vol. 11 No. 12

Section

Health Sciences

License

Copyright (c) 2022 Fernanda Agner Siqueira; Juliane Pagliari Araujo; Adriana Valongo Zani

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.