Post-discharge family resilience in premature infants and their mothers: A longitudinal study

Background: Upon discharge, very low birth weight infants pose significant caregiving challenges for families. Family resilience is vital for managing stress and adapting to this new situation. However, research focussing on the resilience of families with premature infants returning home has been limited. Understanding these factors is crucial for improving care quality.

Aim: To investigate the influence of family resilience on very low birth weight (VLBW) and extremely low birth weight (ELBW) infants, specifically examining social support, family functioning and parenting stress at 3 and 6 months of corrected age.

Study design: In this longitudinal study, we collected data from two medical centres in Northern Taiwan through convenience sampling. From December 2019 to September 2020, 51 mothers of VLBW or ELBW infants (birth weight = 540-1490 g) were included; they were assessed at 3 and 6 months of corrected age. The mothers completed questionnaires measuring family resilience, social support, family functioning and parenting stress. The data were analysed through multiple linear regression.

Results: At 3 and 6 months of corrected age, the mothers demonstrated moderate-to-high levels of family resilience. The family resilience levels demonstrated no significant differences between the two follow-ups. Social support and parenting stress strongly predicted family resilience levels at both follow-ups.

Conclusion: This study sheds light on the crucial role of family resilience in coping with challenges during this critical period.

Relevance to clinical practice: Nursing professionals' early recognition and support for family resilience can ensure post-discharge well-being for premature infants and their families.