Holditch-Davis Diane, Schwartz Todd, Black Beth, Scher Mark
School of Nursing, Duke University, Durham, NC 27710, USA.
Res Nurs Health. 2007 Jun;30(3):333-46. doi: 10.1002/nur.20190.
This study's purpose was to examine whether child characteristics, child illness severity, maternal characteristics, maternal psychological well-being, and paternal support influenced interactions between 108 premature infants and their mothers. Mothers with singletons or more infant illness stress showed more positive involvement. Mothers with less infant illness stress, less education, or less participation in caregiving by fathers showed more negative control. First-time mothers and mothers of singletons provided more developmental stimulation. Children of younger and White mothers showed more social behaviors. Less maternal education and shorter period of mechanical ventilation were associated with greater developmental maturity. Greater maternal worry was related to more child irritability. These findings are consistent with the developmental science view that the mother-premature relationship is a complex, reciprocal process.
本研究的目的是检验儿童特征、儿童疾病严重程度、母亲特征、母亲心理健康状况以及父亲的支持是否会影响108名早产儿与其母亲之间的互动。生育单胞胎或婴儿疾病压力更大的母亲表现出更多积极参与。婴儿疾病压力较小、受教育程度较低或父亲较少参与照料的母亲表现出更多消极控制。初为人母者和单胞胎母亲提供了更多的发展刺激。母亲年龄较小且为白人的孩子表现出更多社交行为。母亲受教育程度较低和机械通气时间较短与更高的发育成熟度相关。母亲更多的担忧与孩子更多的易怒情绪有关。这些发现与发展科学的观点一致,即母亲与早产儿的关系是一个复杂的、相互作用的过程。