Sleep quality of mothers of newborns admitted to the Neonatal Intensive Care Unit
DOI:
https://doi.org/10.33448/rsd-v9i9.7987Keywords:
Sleep; Postpartum period; Neonatal Intensive Care Unit.Abstract
Objective: To verify the quality of sleep of mothers who have a newborn admitted to the Neonatal Intensive Care Unit. Methodology: This is a descriptive, exploratory, cross-sectional study, with a quantitative approach to the variables. It took place in a maternity hospital in the city of Manaus, with the participation of 120 women over the age of 18 years, with a minimum of 72 hours postpartum and with newborns in intensive care. This study used the Pittsburgh Sleep Quality Index, the State Anxiety Inventory and the Edinburgh Postpartum Depression Scale, using a structured questionnaire. The data were analyzed using SPSS software version 21, a descriptive analysis was performed considering the measures of central tendency. An analysis was performed associating sleep quality scores with the variables of anxiety and postpartum depression. Results: It was found that about 79.2% (n = 95) of the participants had problems regarding sleep quality. Among the most cited sleep problems are: waking up in the middle of the night or very early in the morning, getting up to use the bathroom, feeling very hot and not being able to sleep within half an hour. About 70% (n = 84) had pathological anxiety, however, only 33% (n = 40) were likely to have postpartum depression. Conclusion: The hospitalization of a newborn, linked to other environmental and social factors, influences the sleep of these mothers, affecting the quality of life of this puerperal woman, in order to be associated with anxiety and may contribute to the probability of postpartum depression.
References
Alves, J. S., Siqueira, H. C. H., & Pereira, Q. L. C. (2018). Inventário de ansiedade Traço-Estado de gestantes. J nurs health, 8(3), 1-11. https:////dx.doi.org/10.15210/jonah.v8i3.13621.
Araújo, P. A. B., Sties, S. W., Wittkopf, P. G., Netto, A. S., Gonzáles, A. I., Lima, D. P., Guimarães, S. N., Aranha, E. E., Andrade, A., & Carvalho, T. (2015). Índice da Qualidade do Sono de Pittsburgh para uso na reabilitação cardiopulmonar e metabólica. Revista Brasileira de Medicina do Esporte, 21(6), 472-475. https://doi.org/10.1590/1517-869220152106147561.
Baseggio, D. B., Dias, M. P. S., Brusque, S. R., Donelli, T. M. S., & Mendes, P. (2017). Vivências de mães e bebês prematuros durante a internação neonatal. Temas em Psicologia, 25(1), 153-167. https://dx.doi.org/10.9788/TP2017.1-10 16-44462004000400009.
Baumgartel, K., & Facco, F. (2018). An Integrative Review of the Sleep Experiences of Mothers of Hospitalized Preterm Infants. Nursing for Women's Health, 22(4), 310-326. https://doi.org/10.1016/j.nwh.2018.05.003
Bei, B., Coo, S., & Trinder, J. (2015). Sleep and mood during pregnancy and the postpartum period. Sleep Med Clin, 10(1), 25-33. http://dx.doi.org/10.1016 /j.jsmc.2014.11.011.
Blomqvist, Y. T., Nyqvist, K. H., Rubertsson, C., & Funkquist, E. L. (2017). Parents need support to find ways to optimise their own sleep without seeing their preterm infant's sleeping patterns as a problem. Acta Paediatr, 106(2), 223-228. https://doi.org/ 10.1111/apa.13660
Boska, G. A., Wisniewski, D., & Lentsck, M. H. (2016). Sintomas depressivos no período puerperal: identificação pela escala de depressão pós-parto de Edinburgh. J Nurs Health., 1(1), 38-50. http://dx.doi.org/10.15210/jonah.v6i1.5525.
Doering, J. J., Sims, D. A., & Miller, D.D. (2017). How postpartum women with depressive symptoms manage sleep disruption and fatigue. Res Nurs, 40(2), 132-142. https://doi.org/10.1002/nur.21782.
Esperón, J. M. T. (2017). Pesquisa Quantitativa na Ciência da Enfermagem. Escola Anna Nery, 21(1), 1-2. doi: https://doi.org/10.5935/1414-8145.20170027.
Haddad, S., Dennis, C. L., Shah, P. S., & Stremler, R. (2019). Sleep in parents of preterm infants: a systematic review. Midwifery, 73, 35–48. https://doi.org/10.1016/j.m idw.2019.01.009
Kegler, J. J., Neves, E. T., Silva, A. M., Jantsch, L. B., Bertoldo, C. S., & Silva, J. H. (2019). Estresse em pais de recém-nascidos em uma Unidade de Terapia Intensiva Neonatal. Escola Anna Nery, 23(1), 1-6. https://doi.org/10.1590/2177-9465-ean-2018-0178
Konrad, L. M. (2005). Efeito agudo do exercício físico sobre a qualidade de vida de mulheres com síndrome da fibromialgia. Dissertação de mestrado, Universidade Federal de Santa Catarina, Florianópolis, Brasil. Recuperado de https://repositorio.ufsc.br/handle/123456789/102189.
Maghaireh, D. F. A., Abdullah, K. L., Chong, M. C., Chua, P. Y., & Kawafha, M. M. A. (2017). Stress, anxiety, depression and sleep disturbance among jordanian mothers and fathers of infants admitted to Neonatal Intensive Care Unit: a preliminary study. Journal of Pediatric Nursing, 36, 132-140. https://doi.org/10.1016/j.pedn.2017.06.007.
Okun, M. L. (2016). Disturbed sleep and postpartum depression. Curr Psychiatry Rep, 18(66), 1-7. https://doi.org/10.1007/s11920-016-0705-2.
Okun, M. L., Mancuso, R. A., Hobel, C. J., Schetter, C. D., & Coussons-Read, M. (2018). Poor sleep quality increases symptoms of depression and anxiety in postpartum women. J Behav Med, 41, 703–710. https://doi.org/10.1007/s10865-018-9950-7.
Penjvini, S., Hejrani, M. S., & Mansouri, M. (2015). Lived experiences of hope in mothers with NICU infant (a phenomenological study). Journal of Chemical and Pharmaceutical Sciences, 8(2), 162-167. Recuperado de https://www.researchgate.net/publication/28268 2610_Lived_experiences_of_hope_in_mothers_with_NICU_infant_A_phenomenological_study
Ponse, C. E. M., Lipinski, J. M., Prates, L. A., Siniak, D. S., Escobal, A. P. L., & Santos, K. M. (2020). Conhecimento sobre depressão pós-parto na perspectiva de enfermeiros da Estrategia da Saúde da Família de um Município da Fronteira Oeste do RS. Research, Society and Development, 9(9), 1-19. https://doi.org/10.33448/rsd-v9i9.7232
Sharkey, K. M., Iko, I. N., Machan, J. T., Thompson-Westra, J., & Pearlstein, T. B. (2016). Infant sleep and feeding patterns are associated with maternal sleep, stress, and depressed mood in women with a history of major depressive disorder (MDD). Archives of women’s mental health, 19(2), 209–218. https://doi.org/10.1007/s00737-015-0557-5.
Sit, D., Luther, J., Buysse, D., Dills, J. L., Eng, H., Okun, M., Wisniewski, S., & Wisner, K. L. (2015). Suicidal ideation in depressed postpartum women: associations with childhood trauma, sleep disturbance and anxiety. J.Psychiatr.Res., 66(67), 95-104. doi: https://doi.org/10.1016/j.jpsychires.2015.04.021.
Song, J. E., Chae, H. J., & Kim, C. H. (2014). Changes in perceived health status, physical symptoms, and sleep satisfaction of postpartum women over time. Nursing and Health Sciences, 16(3), 335-342. https://doi.org/10.1111/nhs.12109.
Tikotzky, L. (2016). Postpartum maternal sleep, maternal depressive symptoms and self-perceived mother-infant emotional relationship. Behavioral Sleep Medicine, 14(1), 5-22. https://doi.org/10.1080/15402002.2014.940111.
Zanfolim, L. C., Cerchiari, E. A. N., & Ganassin, F. M. H. (2018). Dificuldades Vivenciadas pelas Mães na Hospitalização de seus Bebês em Unidades Neonatais. Psicologia: Ciência e Profissão, 38(1), 22-35. https://doi.org/10.1590/1982-3703000292017.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Maísa Silva de Castro; Raquel Faria da Silva Lima; Marialda Moreira Christoffel; Ana Gabriela Lucena Brito; Andressa Menescal Coelho Azevedo
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.
