{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:26:49Z","timestamp":1777865209466,"version":"3.51.4"},"reference-count":61,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Maternal mental health issues such as depression, anxiety and stress are prevalent among mothers of neonates in the neonatal intensive care unit (NICU). These psychological challenges can impact both maternal well\u2010being and the mother\u2013neonate bond.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This meta\u2010analysis aims to evaluate the effectiveness of nursing interventions in improving maternal mental health outcomes, including depression, anxiety, stress, mother\u2013neonate interaction and sleep quality in NICU settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>\n                      Systematic review and meta\u2010analysis were conducted in databases including PubMed, Scopus, Cochrane Library, CINAHL and PsycINFO. Data were pooled using standardised mean differences (SMDs) and analysed using a random effects model. Heterogeneity was assessed using\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      statistics, and publication bias was evaluated with funnel plots and Egger's test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Final number of included studies was 36. Nursing interventions significantly reduced maternal depression (SMD\u2009=\u2009\u22120.296,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), stress (SMD\u2009=\u2009\u22121.326,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and anxiety (SMD\u2009=\u2009\u22120.694,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). However, no significant effects were observed for mother\u2013neonate interaction (SMD\u2009=\u20090.071,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.903). Heterogeneity was high for stress (\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200995.0%) and anxiety (\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200989.2%), while there was no publication bias detected for depression, anxiety or stress.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nursing interventions significantly reduce maternal depression, anxiety and stress in the NICU. However, their impact on mother\u2013neonate interaction and sleep quality remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Given the substantial impact of stress and anxiety on maternal well\u2010being, implementing structured interventions such as psychoeducation, stress management and mindfulness could significantly reduce the psychological burden on mothers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70351","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T10:29:42Z","timestamp":1769768982000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Nursing Intervention on Maternal Mental Health Symptoms Among Patients Admitted to Neonatal Intensive Care Unit: A Meta\u2010Analysis"],"prefix":"10.1111","volume":"31","author":[{"given":"Xiaodong","family":"Xiao","sequence":"first","affiliation":[{"name":"Medical College Zhengzhou University of Industrial Technology  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yali","family":"Bai","sequence":"additional","affiliation":[{"name":"Medical College Zhengzhou University of Industrial Technology  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dongyan","family":"Yin","sequence":"additional","affiliation":[{"name":"Medical College Zhengzhou University of Industrial Technology  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5240-6844","authenticated-orcid":false,"given":"Monica","family":"Karunakaran","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Dr MGR Educational and Research Institute  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishnu Shankar","family":"Hariharan","sequence":"additional","affiliation":[{"name":"Consultant Physician Kauvery Hospital  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajan","family":"Rushender","sequence":"additional","affiliation":[{"name":"Department of Community Medicine St Peter's Medical College, Hospital &amp; Research Institute  Hosur India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3559-9378","authenticated-orcid":false,"given":"Yuan","family":"Tian","sequence":"additional","affiliation":[{"name":"Medical College Zhengzhou University of Industrial Technology  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40746-018-0112-5"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S543911"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2018.03.009"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-024-03599-1"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.41381"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372\u2010021\u201001016\u20107"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423619000021"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737\u2010023\u201001332\u20101"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-023-01661-0"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41390\u2010021\u201001751\u20109"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.70071"},{"key":"e_1_2_13_13_1","first-page":"99","volume-title":"The Role of Nurses in Improving Health Care Access and Quality","author":"National Academies of Sciences, Engineering, and Medicine","year":"2020"},{"key":"e_1_2_13_14_1","first-page":"301","article-title":"Supporting the Health and Professional Well\u2010Being of Nurses","volume":"2030","author":"National Academies of Sciences Engineering and Medicine","year":"2020","journal-title":"Future of Nursing"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S446490"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"issue":"10","key":"e_1_2_13_19_1","article-title":"Updated Guidance for Trusted Systematic Reviews: A New Edition of the Cochrane Handbook for Systematic Reviews of Interventions","volume":"2019","author":"Cumpston M.","year":"2019","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2020.06.003"},{"issue":"1","key":"e_1_2_13_21_1","first-page":"1","article-title":"The Effectiveness of an Educational Intervention on Maternal Role Adaptation and Anxiety Among Mothers With Preterm Infants in Neonatal Intensive Care Unit","volume":"23","author":"Abed M. 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