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A Study to Estimate the Level of Stress and Coping Strategies among Mothers Whose Neonates are Admitted in Neonatal Intensive Care Unit (NICU) at Lalla Ded Hospital, Srinagar, Kashmir
Abstract
The study was conducted with the aim to identify and analyze the stressful factors and coping strategies used by mothers whose neonates are admitted in neonatal intensive care unit. Identifying the stressful events and coping strategies used by mothers will help nurses to modify the care provided to the mothers and neonates in such a way to reduce stress and enhance coping strategies.
Title of the study
A study to assess the level of stress and coping strategies among mothers whose neonates are admitted in Neonatal Intensive Care Unit (NICU) at Lalla Ded Hospital Srinagar Kashmir.
Objectives
1. To identify the level of stress among mothers of neonates admitted in neonatal intensive care unit.
2. To identify the coping strategies used by the mothers of neonates admitted in neonatal intensive care unit.
3. To correlate the level of stress with coping strategies used by mothers of neonates admitted in neonatal intensive care unit.
4. To determine the association of level of stress and coping strategies with selected demographic variables (age, educational qualification, parity, area of living, type of family, length of neonate’s hospital stay).
Hypotheses
H1 - There is a significant correlation between the level of stress and coping strategies used by mothers of neonates admitted in neonatal intensive care unit at 0.05 level of significance.
H2 - There is a significant association of the level of stress and coping strategies used by mothers with selected demographic variables at 0.05 level of significance.
Methodology
Quantitative descriptive design was used to assess the level of stress and coping strategies among mothers whose neonates were admitted in neonatal intensive care unit since it aided in attaining first hand information and enhanced obtaining accurate and meaningful information data. Purposive sampling technique was used to collect data from mothers who fulfilled the inclusion criteria. Data was collected using structured interview schedule and interview technique was adopted for recording the responses of the mothers. The tool was validated by 9 experts. Reliability of the tool was established by using karl pearson’s correlation coefficient(“ r” = 0.94). Pilot study was conducted on 6 mothers admitted in postnatal wards whose neonates were admitted in NICU. The main study was conducted on 60 mothers admitted in postnatal wards whose neonates were admitted in neonatal intensive care unit at Lalla ded Hospital Srinagar Kashmir from 16-11-2015 to 05-12-2015. Ethical clearance was obtained and study was found ethically exempted. Data was analyzed using descriptive and inferential statistics.
Results
The result of the study revealed that majority of the subjects 51(85.0%) had moderate stress, 5(8.3%) subjects had severe stress and 4(6.7%) subjects had mild stress which shows that majority of the subjects whose neonates were admitted in neonatal intensive care unit experienced moderate level of stress. Also, majority of the subjects 56(93.3%) had average coping, 4(6.7%) subjects had good coping, and none of the subject in this study had low coping which shows that majority of the subjects used coping strategies moderately to overcome their stress.
Further, there was no significant association found between the level of stress and coping strategies used by subjects with selected demographic variables (age, educational qualification, parity, area of living, type of family, length of neonate’s hospital stay)
Conclusion
The findings of the study concluded that majority of the mothers whose neonates were admitted in neonatal intensive care unit experienced moderate level of stress as they were having less familial support and majority of the mothers used coping strategies moderately to overcome their stress as they were having previous experience of admission of neonate in NICU.
Implication
Identifying the experiences perceived as most stressful and coping strategies used by mothers can help the nurse in anticipating mother’s needs and formulation of policies and interventions.
Key words
Stress; Coping strategies; Mother; Neonate; Postnatal period; Neonatal intensive care unit.
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