Home oxygen therapy in infants with bronchopulmonary dysplasia: assessment of parental anxiety☆
Section snippets
Material and methods
In the immediate pre-discharge period, and then twice subsequently, a week after the discharge of the infant and at the discontinuation of oxygen therapy, a questionnaire was given to all parents of oxygen-dependent prematures with bronchopulmonary dysplasia [3] admitted from birth in NICU at the Department of Pediatrics of Padua University, Italy for medical and surgical cares and enrolled in a prospective home O2 therapy program [5]. Parents were separately asked to complete the questionnaire
Results
In the Department of Pediatrics of Padua University within over a 24-month period from January 1998 to December 1999, 12 infants with bronchopulmonary dysplasia were discharged from NICU receiving supplemental O2 via nasal cannula. In the case of two of them, parental acceptance was not considered adequate.
Twenty parents of 10 prematures, 10 mothers and 10 fathers, aged 33.5±0.5 and 37±0.4 years, respectively, participated in the pre-, post-discharge, and in the final STAI-Y form test after
Discussion
Advances in medical knowledge and technology have contributed in improving survival rates among critically ill prematures with respiratory distress syndrome, creating an increasing number of children with unresolved acute lung disease that remain O2-dependent for long periods. In the past, it was a clinical practice to wean preterm infants from additional O2 when average Sat O2 was at 90% or higher. This attitude was favored because of the unavailability of suitable portable delivery systems
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Cited by (48)
Predicting the duration of supplemental home oxygen in prematurely-born infants at discharge from neonatal care
2021, Early Human DevelopmentCitation Excerpt :In the United Kingdom, during a recent five year period, 29.4% of all infants born before 28 completed weeks of gestation and admitted to a neonatal unit, went home on supplemental oxygen [1] and in a recent single centre study from the United States 37% of infants with a diagnosis of BPD required home supplemental oxygen for a median period of 10.1 months after initial hospital discharge [2]. Home oxygen therapy following premature birth is associated with significant healthcare implications [3,4], impaired maternal mental health, parental anxiety [5,6] and increased use of medical resources [7]. A recent study reported that the cost of care for the first two years of life of a preterm infant with BPD on home oxygen could exceed 180,000 € compared to 45,000–118,000 € in infants with BPD who were not on home oxygen or had other complications [8].
Parent Preferences Regarding Home Oxygen Use for Infants with Bronchopulmonary Dysplasia
2019, Journal of PediatricsThe optimization of home oxygen weaning in premature infants trial: Design, rationale, methods, and lessons learned
2018, Contemporary Clinical TrialsManagement of chronic lung disease infants in the community
2018, Journal of Neonatal NursingLiving and managing with the long-term implications of neonatal chronic lung disease: The experiences and perspectives of children and their parents
2015, Heart and Lung: Journal of Acute and Critical CareSleep quality, stress, caregiver burden, and quality of life in maternal caregivers of young children with bronchopulmonary dysplasia
2014, Journal of Pediatric NursingCitation Excerpt :Sleep quality has not been assessed in maternal caregivers of young children with BPD. However, maternal caregivers of young children with BPD may be at risk for poor sleep for a number of reasons, including elevated feelings of anxiety (Zanardo and Freato, 2001), equipment alarms at night, needing to change formula bags, medications or treatments to be given at night, along with child awakenings (Deakins, 2009; Singer, Yamashita, Lilien, Collin, and Baley, 1997). Previous literature on children with chronic illnesses and conditions has found that caregivers often report poor sleep quality and restricted sleep duration (sleeping between 4–6 hours per night) (Cottrell and Khan, 2005; Meltzer, Boroughs, and Downes, 2010; Meltzer and Mindell, 2006).
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Presented in part as Abstract (#282) at the 2000 Pediatric Academic Societies and American Academy of Pediatrics Joint Meeting in Boston.