<b>Maternal Coping with Baby Hospitalization at a Neonatal Intensive Care Unit</b>

Ramos, Fabiana Pinheiro; Enumo, Sônia Regina Fiorim; Paula, Kely Maria Pereira de

doi:10.1590/1982-43272767201702

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Article • Paidéia (Ribeirão Preto) 27 (67) • May-Aug 2017 • https://doi.org/10.1590/1982-43272767201702 copy

Maternal Coping with Baby Hospitalization at a Neonatal Intensive Care Unit ¹ ¹ Paper deriving from the doctoral dissertation by the first author, under the advice of the second author and co-advice of the third author, defended in the Graduate Program in Psychology at the Universidade Federal do Espírito Santo. Support: National Council of Scientific and Technological Development (CNPq, Grant # nº 485564/2006-8; 481483/2009-8; doctorate schoolarship: 142308/2009-9).

Enfrentamento Materno da Hospitalização do Bebê na Unidade de Terapia Intensiva Neonatal

Enfrentamiento Materno de la Hospitalización del Bebé en Unidad de Terapia Intensiva Neonatal

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract:

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.

Keywords
coping behavior; premature birth; motherhood; hospitalization

Human Psychological Needs	Stressor perception	Coping Family	WCPS			T-test
Human Psychological Needs	Stressor perception	Coping Family	S1 M (SE)	S3 M (SE)	t	*p-value
Relatedness	Challenge	Self-reliance	4.35 (.13)	4.16 (.15)	1.264	.227
	Challenge	Support seeking	3.88 (.19)	3.98 (.20)	-.538	.599
	Threat	Delegation	4.40 (.21)	3.50 (.31)	2.946	.011*
	Threat	Isolation	2.37 (.28)	2.40 (.31)	-.109	.915
Competence	Challenge	Problem-solving	3.34 (.22)	3.48 (.18)	-.792	.441
	Challenge	Information seeking	4.00 (.34)	3.60 (.32)	1.103	.288
	Threat	Helplessness	2.80 (.31)	3.00 (.30)	-.581	.571
	Threat	Escape	2.76 (.24)	3.22 (.21)	-2.276	.039*
Autonomy	Challenge	Accommodation	3.89 (.17)	4.05 (.12)	-.925	.371
	Challenge	Negotiation	4.07 (.38)	4.47 (.22)	-.878	.395
	Threat	Submission	2.82 (.26)	2.48 (.25)	1.512	.153
	Threat	Opposition	1.84 (.20)	1.81 (.20)	.145	.887

Human Psychological Needs	Stressor perception	Coping Family	WCPS			T-test
Human Psychological Needs	Stressor perception	Coping Family	S1 M (SE)	S3 M (SE)	t	*p-value
Relatedness	Challenge	Self-reliance	4.29 (.14)	4.04 (.15)	1.441	.175
	Challenge	Support seeking	3.80 (.20)	3.97 (.23)	-.921	.375
	Threat	Delegation	4.31 (.23)	3.62 (.35)	2.213	.047*
	Threat	Isolation	2.38 (.31)	2.31 (.27)	.245	.811
Competence	Challenge	Problem-solving	3.14 (.20)	3.39 (.18)	-1.657	.123
	Challenge	Information seeking	3.85 (.37)	3.54 (.37)	.743	.472
	Threat	Helplessness	2.65 (.33)	3.08 (.33)	-1.184	.259
	Threat	Escape	2.72 (.28)	3.19 (.24)	-2.052	.063
Autonomy	Challenge	Accommodation	3.75 (.16)	4.02 (.13)	-1.477	.165
	Challenge	Negotiation	3.92 (.43)	4.54 (.22)	-1.262	.231
	Threat	Submission	2.71 (.29)	2.42 (.28)	1.187	.258
	Threat	Opposition	1.89 (.23)	1.75 (.21)	.626	.543

Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em Psicologia Av.Bandeirantes 3900 - Monte Alegre, 14040-901 Ribeirão Preto - São Paulo - Brasil, Tel.: (55 16) 3315-3829 - Ribeirão Preto - SP - Brazil
E-mail: paideia@usp.br

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[1] * Correspondence address: Fabiana Pinheiro Ramos. Universidade Federal do Espírito Santo, Departamento de Psicologia, Avenida Fernando Ferrari, nº 514, Goiabeiras. CEP: 29075-910. Vitória, ES. E-mail: fabiana.ramos@ufes.br