2.50
Hdl Handle:
http://hdl.handle.net/10755/163804
Category:
Abstract
Type:
Presentation
Title:
NICU Correlates Of Later Cognitive Development Low-Birth-Weight Premature Infants
Author(s):
Melnyk, Bernadette
Author Details:
Bernadette Melnyk, PhD, Associate Dean for Research and Direcotr of Center for Research & Evidence-Based, University of Rochester, School of Nursing, Rochester, New York, USA, email: Bernadette_Melnyk@urmc.rochester.edu
Abstract:
Although the mortality rate of low-birth-weight (LBW) premature infants has declined dramatically over recent years, morbidity remains high as the result of negative cognitive, neurodevelopmental, and behavioral sequelae. Although parents of LBW premature infants experience high levels of stress while their infants are in the neonatal intensive care unit (NICU), most parent-targeted interventions have not commenced until the time of or after discharge from the hospital. There also is a paucity of information regarding specific parenting and clinical variables during the NICU stay that correlate with later infant cognitive development. This secondary data analysis was conducted as part of a larger study that demonstrated the positive effects of the COPE (Creating Opportunities for Parent Empowerment) program on the outcomes of 42 LBW premature infants and their mothers. Self-regulation theory and control theory comprised the theoretical framework for the study. The purpose of this analysis was to determine which clinical and parenting variables during the NICU stay correlated with later infant cognitive development. Valid and reliable measures of maternal trait and state anxiety, total negative mood state, parenting stress, and parental beliefs were administered at selected times during hospitalization. Demographic and clinical variables also were collected throughout the NICU stay. In addition, the Mental Development Index of the Bayley Scales of Infant Development was obtained by non-biased observers at the infants' 6-month corrected ages. Findings revealed significant correlations between the COPE program, the mothers' own hospitalizations, transfer status, maternal trait and state anxiety, maternal negative mood state, parenting stress, parental beliefs regarding their infants and their role, and later infant cognitive development. Specifically: (a) mothers who received the COPE program as well as those who had stronger beliefs about what to expect of their premature infants and their ability to parent them had infants with higher cognitive development; (b) mothers with lower trait and state anxiety as well as lower negative mood state during hospitalization had infants with higher cognitive development; (c) mothers with less NICU parenting stress and fewer of their own hospitalizations had infants with higher cognitive development; and (d) infants who were not transferred to another hospital before discharge had higher cognitive development at 6-months corrected age. A unique contribution of this secondary data analysis is that it provides empirical support for specific parenting and clinical variables during NICU hospitalization that correlate with cognitive development of LBW premature infants at 6-months corrected age. Findings support the need for early assessment of these variables as well as for early NICU interventions with parents to decrease their anxiety and negative mood state as well as to increase their confidence in parenting their LBW premature infants.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2001
Conference Name:
ENRS 13th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Atlantic City, New Jersey, USA
Sponsors:
This secondary data analysis was conducted on a study funded by Mead Johnson Nutritionals/Sigma Theta Tau International, the University of Pittsburgh School of Nursing, and the University of Rochester School of Medicine and Dentistry.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleNICU Correlates Of Later Cognitive Development Low-Birth-Weight Premature Infantsen_GB
dc.contributor.authorMelnyk, Bernadetteen_US
dc.author.detailsBernadette Melnyk, PhD, Associate Dean for Research and Direcotr of Center for Research & Evidence-Based, University of Rochester, School of Nursing, Rochester, New York, USA, email: Bernadette_Melnyk@urmc.rochester.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163804-
dc.description.abstractAlthough the mortality rate of low-birth-weight (LBW) premature infants has declined dramatically over recent years, morbidity remains high as the result of negative cognitive, neurodevelopmental, and behavioral sequelae. Although parents of LBW premature infants experience high levels of stress while their infants are in the neonatal intensive care unit (NICU), most parent-targeted interventions have not commenced until the time of or after discharge from the hospital. There also is a paucity of information regarding specific parenting and clinical variables during the NICU stay that correlate with later infant cognitive development. This secondary data analysis was conducted as part of a larger study that demonstrated the positive effects of the COPE (Creating Opportunities for Parent Empowerment) program on the outcomes of 42 LBW premature infants and their mothers. Self-regulation theory and control theory comprised the theoretical framework for the study. The purpose of this analysis was to determine which clinical and parenting variables during the NICU stay correlated with later infant cognitive development. Valid and reliable measures of maternal trait and state anxiety, total negative mood state, parenting stress, and parental beliefs were administered at selected times during hospitalization. Demographic and clinical variables also were collected throughout the NICU stay. In addition, the Mental Development Index of the Bayley Scales of Infant Development was obtained by non-biased observers at the infants' 6-month corrected ages. Findings revealed significant correlations between the COPE program, the mothers' own hospitalizations, transfer status, maternal trait and state anxiety, maternal negative mood state, parenting stress, parental beliefs regarding their infants and their role, and later infant cognitive development. Specifically: (a) mothers who received the COPE program as well as those who had stronger beliefs about what to expect of their premature infants and their ability to parent them had infants with higher cognitive development; (b) mothers with lower trait and state anxiety as well as lower negative mood state during hospitalization had infants with higher cognitive development; (c) mothers with less NICU parenting stress and fewer of their own hospitalizations had infants with higher cognitive development; and (d) infants who were not transferred to another hospital before discharge had higher cognitive development at 6-months corrected age. A unique contribution of this secondary data analysis is that it provides empirical support for specific parenting and clinical variables during NICU hospitalization that correlate with cognitive development of LBW premature infants at 6-months corrected age. Findings support the need for early assessment of these variables as well as for early NICU interventions with parents to decrease their anxiety and negative mood state as well as to increase their confidence in parenting their LBW premature infants.en_GB
dc.date.available2011-10-27T11:14:07Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:14:07Z-
dc.conference.date2001en_US
dc.conference.nameENRS 13th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationAtlantic City, New Jersey, USAen_US
dc.description.sponsorshipThis secondary data analysis was conducted on a study funded by Mead Johnson Nutritionals/Sigma Theta Tau International, the University of Pittsburgh School of Nursing, and the University of Rochester School of Medicine and Dentistry.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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