| dc.description.abstract | Abstract Introduction: Becoming a parent is one of the unique human experiences; With the birth of a premature newborn, the parent's role is challenged. This study was conducted with the aim of investigating the coping strategies of parents with the perceived stress of accepting the parental role in parents with premature newborns hospitalized in the neonatal intensive care unit. methods: This cross-sectional study was conducted on 246 parents of newborns hospitalized in neonatal intensive care, al-Zahra and Taleghani educational centers in Tabriz city in 2019. After obtaining a written informed consent, the participants were asked to complete the questionnaire of personal-social characteristics, parental stress PSS: NICU (Parental stress scale), in the morning shift and adaptation to the parental role (Coping Health Inventory for Parents) CHIP in the same evening shift. They completed the day. After collecting the data, it was analyzed with SPSS software version 24. The data were analyzed using independent t-tests, analysis of variance, and multiple linear regression. Findings: The average stress of both parents was average and there was no statistically significant difference between all dimensions of stress in fathers and mothers. The most stressful situation for both parents was the baby's behavior and appearance, then the change of parental role, and finally the environment and light. The average score of strategies for adapting to the parental role in fathers and mothers did not have a statistically significant difference. In this study, the highest score for both parents was related to the dimension of family integrity/optimization. After that, it was social support/self-esteem, and finally communication and medical advice. In mothers, history of infertility [B=15.4 CI95%: 3.9-26.8 P=0.009] and unwanted pregnancy [B=8.11 CI95%: 0.6-15.6 P=0.034] were predictors of stress. In fathers, no variable had a predictive relationship with father's stress. Regarding the predictors of parental adjustment, none of the variables were predictors of maternal role adjustment, and the variables of vaginal delivery [B=5.1 CI95%: 2.3-6.4 P=0.05] and being under CPAP/Ventilator newborn [B=-5.6 CI95%: -3.11 to -7.3 P=0.0 5] were among the predictive factors of father's role matching. Conclusion: In the present study, there was no significant difference in the level of stress between fathers and mothers and it was moderate. Since parental stress can have a harmful effect on the health of the baby, it is better for health care providers to pay special attention to parents whose baby was under ventilator/CPAP, the mother gave birth by cesarean section, and mothers who have a history of infertility, and They had an unwanted pregnancy. | en_US |
