Keterlibatan Orang Tua dalam Perawatan Anak terhadap Stres dan Kecemasan Orang Tua di Ruang Intensif

  • Desi Anggraini Universitas Indonesia
  • Nani Nurhaeni Universitas Indonesia
  • Dessie Wanda Universitas Indonesia


This study aims to evaluate the results of research that has been published regarding the effect of parental involvement in child care on parental stress and anxiety in the intensive care unit. The method used is a systematic review through search strategies on eight electronic databases with the keywords used (Parent involvement OR Parent participation OR Family Integrity Care OR Family Centered Care) AND (pediatric intensive care OR PICU OR NICU) AND (Parent Stress OR Parent anxiety). The search results obtained 12 articles that would be assessed for quality with the guidance of the Joanna Briggs Institute (JBI). Research results show that parental involvement in child care in intensive care can reduce parental stress and anxiety. The highest significance was seen in the Family Integrated Care (FICare) program (p < 0.00043) and Family Centered Care (FCC) (p < 0.001) in the NICU room. In conclusion, all forms of parental involvement can reduce stress and anxiety, but parental involvement in child care in the PICU room is still limited.


Keywords: Anxiety, Engagement, Intensive Room, Stress


Al-Motlaq, M., Neill, S., Foster, M. J., Coyne, I., Houghton, D., Angelhoff, C., Rising-Holmström, M., & Majamanda, M. (2021). Position Statement of the International Network for Child and Family Centered Care: Child and Family Centred Care during the COVID19 Pandemic. Journal of Pediatric Nursing, 61, 140–143.

Alzawad, Z., Lewis, F. M., & Walker, A. (2022). Parents' Challenges Beyond the Pediatric Intensive Care Unit: Fraying at the Seams While Balancing between Two Worlds, Home and Hospital. Children (Basel, Switzerland), 9(2), 267.

Alzawad, Z., Marcus Lewis, F., Ngo, L., & Thomas, K. (2021). Exploratory Model of Parental Stress During Children's Hospitalisation in a Paediatric Intensive Care Unit. Intensive & Critical Care Nursing, 67, 103109.

Ansari, T. F., Wade, P., Singh, V., & Malik, S. (2022). Maternal Stress Experiences with Neonatal Intensive Care Unit Admissions. Egyptian Pediatric Association Gazette, 70(47), 1–8.

Arabzadeh, M., Tirgari, B., Farokhzadian, J., & Mohammadalizadeh, S. (2022). Family Environment, Parental Stressors, and Post-Traumatic Stress Disorder in The arents of Premature nfants in The Neonatal Intensive Care Unit. Journal of Pediatric and Neonatal Individualized Medicine, 11(2), 1–13.

Avçin, E., Can, S., & Yesil, F. (2021). Parents’ Family-Centered Care Perception and Investigating Factors Affecting Such Perception. The Anatolian Journal of Family Medicine, 4(2), 128–133.

Cañadas, D. C., Carreño, T. P., Borja, C. S., & Perales, A. B. (2022). Benefits of Kangaroo Mother Care on the Physiological Stress Parameters of Preterm Infants and Mothers in Neonatal Intensive Care. International Journal of Environmental Research and Public Health, 19(12).

Cheng, C., Franck, L. S., Ye, X. Y., Hutchinson, S. A., Lee, S. K., & O’Brien, K. (2021). Evaluating the Effect of Family Integrated Care on Maternal Stress and Anxiety in Neonatal Intensive Care Units. Journal of Reproductive and Infant Psychology, 39(2), 166–179.

Debelić, I., Mikolčić, A., Tihomirović, J., Barić, I., Lendić, Đ., Nikšić, Ž., Šencaj, B., & Lovrić, R. (2022). Stressful Experiences of Parents in the Paediatric Intensive Care Unit: Searching for the Most Intensive PICU Stressors. International Journal of Environmental Research and Public Health, 19(18), 11450.

Galea, M., Park, T., & Hegadoren, K. (2022). Improving Mental Health Outcomes of Parents of Infants Treated in Neonatal Intensive Care Units: A Scoping Review. Journal of Neonatal Nursing, 28(5), 327–334.

Hall, N., Rousseau, N., Hamilton, D. W., Simpson, A. J., Powell, S., Brodlie, M., & Powell, J. (2023). Providing Care for Children with Tracheostomies: A Qualitative Interview Study with Parents and Health Professionals. BMJ open, 13(1), e065698.

Hoffmann, M., Jeitziner, M. M., Riedl, R., Eller, P., Amrein, K., Hoffmann, M., Schefold, J. C., von Lewinski, D., Verheyen, N., Heindl, P., Bachlechner, A., Holl, A. K., Pieber, T. R., & Sendlhofer, G. (2020). Psychological Symptoms in Relatives of Critically Ill Patients (ICU Families): A Prospective Multicenter Study. Intensive Care Medicine, 46(5), 1060–1062.

Imelda, I., Nurhaeni, N., & Wanda, D. (2023). Model Edukasi terhadap Peningkatan Kemampuan Orang Tua Melakukan Perawatan Stoma di Rumah: Sistematic Review. Malayahati Nursing Journal, 5(1), 1–13.

Jerofke-Owen, T. A., McAndrew, N. S., Gralton, K. S., Totka, J. P., Weiss, M. E., Fial, A. V., & Sawin, K. J. (2022). Engagement of Families in the Care of Hospitalized Pediatric Patients: A Scoping Review. JOURNAL of Family Nursing, 28(2), 151–171.

Kim, A. R., Tak, Y. R., Shin, Y. S., Yun, E. H., Park, H. K., & Lee, H. J. (2020). Mothers’ Perceptions of Quality of Family-Centered Care and Environmental Stressors in Neonatal Intensive Care Units: Predictors of and Relationships with Psycho-Emotional Outcomes and Postpartum Attachment. Maternal and Child Health Journal, 24(5), 601–611.

Kubicka, Z., Fiascone, J., Williams, D., Zahr, E., Ditzel, A., Perry, D., Rousseau, T., Lacy, M., & Arzuaga, B. (2023). Implementing Modified Family Integrated Care in a U.S. Neonatal Intensive Care Unit: Nursing Perspectives and Effects on Parents. Journal of Perinatology : Official Journal of the California Perinatal Association, 43(4), 503–509.

Moe, A. M., Kurilova, J., Afzal, A. R., & Benzies, K. M. (2022). Effects of Alberta Family Integrated Care (FICare) on Preterm Infant Development: Two Studies at 2 Months and between 6 and 24 Months Corrected Age. Journal of Clinical Medicine, 11(6), 1684.

Oelstrom, M., Gabor, R., Lee, K. J., & Mussatto, K. (2022). Parent Activation and Traumatic Stress in the Pediatric Intensive Care Unit. Critical Care Medicine, 50(1), 426–426.

Phiri, P. G. M. C., Chan, C. W. H., & Wong, C. L. (2020). The Scope of Family-Centred Care Practices, and the Facilitators and Barriers to Implementation of Family-Centred Care for Hospitalised Children and their Families in Developing Countries: An Integrative Review. Journal of Pediatric Nursing, 55, 10–28.

Phiri, P. G. M. C., Chan, C. W. H., Wong, C. L., & Choi, K. C. (2022). Discrepancies between Nurses’ Current and Perceived Necessary Practices of Family-Centred Care for Hospitalised Children and Their Families : A Cross-Sectional Study. Journal of Pediatric Nursing, 62, e25–e31.

Riley, A. R., Williams, C. N., Moyer, D., Bradbury, K., Leonard, S., Turner, E., Holding, E., & Hall, T. A. (2021). Parental Posttraumatic Stress Symptoms in the Context of Pediatric Post Intensive Care Syndrome: Impact on the Family and Opportunities for Intervention. Clinical Practice in Pediatric Psychology, 9(2), 156–166.

Terp, K., Weis, J., & Lundqvist, P. (2021). Parents' Views of Family-Centered Care at a Pediatric Intensive Care Unit-A Qualitative Study. Frontiers in Pediatrics, 9, 725040.

Utario, Y., Rustina, Y., & Efendi, D. (2021). Family Centered Care Intervention Effectively Reduces Parental Anxiety in Perinatology Ward. Dunia Keperawatan, 9(1), 143–151.

van den Hoogen, A., & Ketelaar, M. (2022). Parental Involvement and Empowerment in Paediatric Critical Care: Partnership is Key!. Nursing in Critical Care, 27(3), 294–295.

Yoo, S. Y., Cho, H., Kim, Y. Y., & Park, J. H. (2020). Levels of Partnership between Nurses and Parents of Hospitalized Children and the Quality of Pediatric Nursing Care as Perceived by Nurses. Child Health Nursing Research, 26(1), 64–71.
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