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家庭访视出院教育对新生儿重症监护病房(NICU)患儿母亲的自尊、母婴依恋、产后抑郁及家庭功能的影响

The effects of a home-visiting discharge education on maternal self-esteem, maternal attachment, postpartum depression and family function in the mothers of NICU infants.

作者信息

Ahn Young-Mee, Kim Mi-Ran

机构信息

Department of Nursing, College of Medicine Inha University, Incheon 402-751, Korea.

出版信息

Taehan Kanho Hakhoe Chi. 2004 Dec;34(8):1468-76. doi: 10.4040/jkan.2004.34.8.1468.

Abstract

PURPOSE

A quasi-experimental study was performed to investigate the effects of a home visiting discharge education program on the maternal self-esteem, attachment, postpartum depression and family function in 35 mothers of neonatal intensive care unit (NICU) infants.

METHODS

Twenty-three mothers in the intervention group received the home visiting discharge education while 12 mothers in the control group received the routine, hospital discharge education. Baseline data was collected in both groups one day after delivery. The intervention group received the home visiting discharge education while the control group did the routine hospital-based discharge education. The questionnaire including the data on maternal self-esteem, attachment, postpartum depression and family function were collected within 1 week after the discharge by mail.

RESULTS

The scores of maternal self-esteem, and attachment were significantly increased, and the postpartum depression and the family function score were decreased after the home visiting discharge education in intervention group. There were no changes in these variables before and after the routine hospital-based discharge education in control group.

CONCLUSION

These results support the beneficial effects of home visiting discharge education on the maternal role adaptation and family function of the mothers of NICU infants.

摘要

目的

开展一项准实验研究,以调查家访出院教育项目对35名新生儿重症监护病房(NICU)患儿母亲的自尊、依恋、产后抑郁及家庭功能的影响。

方法

干预组的23名母亲接受家访出院教育,而对照组的12名母亲接受常规的医院出院教育。两组均在分娩后一天收集基线数据。干预组接受家访出院教育,而对照组进行常规的医院出院教育。出院后1周内通过邮寄方式收集包含母亲自尊、依恋、产后抑郁及家庭功能数据的问卷。

结果

干预组在家访出院教育后,母亲自尊和依恋得分显著提高,产后抑郁及家庭功能得分降低。对照组在常规医院出院教育前后,这些变量没有变化。

结论

这些结果支持家访出院教育对NICU患儿母亲的母亲角色适应和家庭功能具有有益影响。

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