Abstract

BackgroundIn this study, we explored the impact of client-centered, written and visual reporting based on the Newborn Individualized Care and Assessment Program (NIDCAP) approach on stress levels and attachment among mothers with neonates hospitalized in Neonatal Intensive Care Unit following open heart surgery. MethodsThe clinical trial involved 70 mothers with an infant in the neonatal intensive care unit following heart surgery at Children's Medical Center in Tehran. Eligible participants were randomly assigned to either the control group (35 mothers) or the intervention group (35 mothers). While the control group adhered to regular daily visits to their sick infant as part of the hospital routine, the intervention group in addition to these visits, received daily written and visual reports, based on the NIDCAP approach standards for a week through WhatsApp messenger. Maternal Stress levels and attachment were assessed on the 7th day and again two weeks post-intervention. Data analysis was conducted using SPSS software. ResultsThe intervention group experienced a significant reduction in stress levels. Mean stress levels decreased from 102.57 ± 30.8 to 72.25 ± 15.81 on the day 7th. Two weeks post-intervention, the average stress level further decreased to 62.08 ± 15.00(p < 0.05). Interestingly there was a slight increase in attachment score in the intervention group after one week. However, at the end of the study, there was no significant difference between the intervention and control groups. ConclusionClient-centered reporting based on the NIDCAP approach could substantially reduce stress levels among mothers with hospitalized newborns in neonatal cardiac surgery units. Especially when the constant presence of parents at the newborn's bedside is not possible, this approach could be considered a practical, innovative, and effective method to reduce maternal stress levels in the NICUs after heart surgery.

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