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Adv Neonatal Care. 2005 Dec;5(6):315-28.

Acculturation and stress in Chinese-American parents of infants cared for in the intensive care unit.

Author information

1
Byridine F. Lewis School of Nursing, College of Health and Human Science, Georgia State University, Atlanta 30302, USA. slee29@gsu.edu

Abstract

PURPOSE:

To describe the stressful experiences of Chinese-American parents who have an infant in the intensive care unit (ICU), and to assess the influence of acculturation, parents' characteristics, and social supports on parental stress.

DESIGN:

A cross-sectional, descriptive, correlational study.

SAMPLE/SETTING:

A convenience sample of 30 Chinese-American families (30 mothers, 25 fathers) who had an infant hospitalized in 3 ICU sites in the San Francisco area.

METHODOLOGY:

Measures included: (1) Infant's health data from the medical records and parents' demographic data, and (2) Parental Stressor Scale: Infant Hospitalization, Suinn-Lew Asian Self-Identity Acculturation Scale, and Family Support Scale.

MAIN OUTCOME MEASURE:

The dependent variable was mothers' and fathers' stress levels. Independent variables included personal/family characteristics, acculturation, uncertainty regarding infants' illness, and social supports.

PRINCIPAL RESULTS:

The ICU stressors were ranked by both mothers and fathers in the following order: infant's appearance, parental role alteration, staff communication and behaviors, and ICU environment. The combined effects of uncertainty about their infant's illness and its future impact, a strong belief in Asian family values, and lack of support from healthcare providers accounted for 26% and 55% of the variance in parental stress for mothers and fathers, respectively.

CONCLUSIONS:

Findings from this study suggest implications for the education of both families and the ICU staffs.

PMID:
16338670
DOI:
10.1016/j.adnc.2005.08.011
[Indexed for MEDLINE]

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