Ahn Young-Mee, Kim Mi-Ran
Department of Nursing, College of Medicine, Inha University, Incheon, Korea.
Taehan Kanho Hakhoe Chi. 2005 Aug;35(5):798-809. doi: 10.4040/jkan.2005.35.5.798.
This study was performed to investigate the quantities of three neo-maternal exposures; visiting frequency, auditory contact and physical contact, and to examine the relationship between the quantities of each exposure and maternal attachment, maternal self-esteem and postpartum depression in 40 mothers of NICU babies during the first week in the NICU.
Each neo-maternal exposure was counted at every mother's visit to the newborn and maternal attachment, maternal self-esteem and postpartum depression were measured using the maternal attachment inventory, the maternal self-report inventory and Edinburgh Postpartum Depression Scale (EPDS) on the first and seventh day in the NICU.
The Mean of each neo-maternal exposure was 8.77(2.81) for the visiting frequency, 5.82(3.66) for the auditory contact and 5.60(2.89) for the physical contact during 7 days in the NICU. No significant changes were found in the scores of maternal attachment, maternal self-esteem and postpartum depression between the first and the seventh day in the NICU. The quantities of neo-maternal exposures were positively related to the scores of maternal attachment and maternal self-esteem but not related to postpartum depression.
The results of the study suggest the lack of early neo-maternal exposure in cases of NICU hospitalization negate its beneficial effects on maternal psychological well-being in increasing maternal attachment and self-esteem. More efforts are needed for the neo-maternal interaction and the reevaluation of NICU visitation hours in order to promote maternal-infant interaction.
本研究旨在调查三种母婴新接触方式的数量,即探视频率、听觉接触和身体接触,并探讨在新生儿重症监护病房(NICU)的第一周内,40名NICU患儿母亲的每种接触方式数量与母婴依恋、母亲自尊及产后抑郁之间的关系。
在每位母亲每次探视新生儿时,统计每种母婴新接触方式的数量,并于NICU的第一天和第七天,使用母婴依恋量表、母亲自我报告量表及爱丁堡产后抑郁量表(EPDS)测量母婴依恋、母亲自尊及产后抑郁情况。
在NICU的7天里,每种母婴新接触方式的均值分别为:探视频率8.77(2.81)、听觉接触5.82(3.66)、身体接触5.60(2.89)。在NICU的第一天和第七天之间,母婴依恋、母亲自尊及产后抑郁的得分未发现显著变化。母婴新接触方式的数量与母婴依恋及母亲自尊得分呈正相关,但与产后抑郁无关。
研究结果表明,NICU住院病例中母婴早期接触不足,否定了其在增强母婴依恋和自尊方面对母亲心理健康的有益影响。为促进母婴互动,需要在母婴互动及重新评估NICU探视时间方面做出更多努力。