一项关于母婴依恋预测因素的荟萃分析研究。
A meta-analytic study of predictors of maternal-fetal attachment.
作者信息
Yarcheski Adela, Mahon Noreen E, Yarcheski Thomas J, Hanks Michele M, Cannella Barbara L
机构信息
College of Nursing, Rutgers, The State University of New Jersey, Newark, NJ 07102, USA.
出版信息
Int J Nurs Stud. 2009 May;46(5):708-15. doi: 10.1016/j.ijnurstu.2008.10.013. Epub 2008 Dec 9.
OBJECTIVES
To identify predictors of maternal-fetal attachment (MFA) through a comprehensive review of the literature, and to use quantitative meta-analysis to determine the magnitude of the relationship between each predictor and MFA.
DESIGN
The literature reviewed included 183 studies of MFA, published and unpublished, between 1981 and 2006.
METHODS
Seventy-two studies met the inclusion criteria and yielded 14 predictors of MFA. A meta-analysis was performed on each of the 14 predictors in relation to MFA.
RESULTS
The results indicated that gestational age had a moderate to substantial effect size. Two predictors (social support and prenatal testing) had moderate effect sizes; 10 predictors (anxiety, self-esteem, depression, planned pregnancy, age, parity, ethnicity, marital status, income, and education) had low effect sizes. High-risk pregnancy had a trivial effect size.
CONCLUSIONS
The most powerful predictors of MFA using meta-analysis were identified to direct future research and evidence-based practice.
目的
通过全面的文献综述确定母婴依恋（MFA）的预测因素，并使用定量荟萃分析来确定每个预测因素与MFA之间关系的强度。
设计
所综述的文献包括1981年至2006年间发表和未发表的183项关于MFA的研究。
方法
72项研究符合纳入标准，得出了14个MFA的预测因素。对这14个预测因素与MFA的关系分别进行了荟萃分析。
结果
结果表明，孕周的效应量为中等至较大。两个预测因素（社会支持和产前检查）的效应量为中等；10个预测因素（焦虑、自尊、抑郁、计划妊娠、年龄、产次、种族、婚姻状况、收入和教育程度）的效应量较低。高危妊娠的效应量微不足道。
结论
通过荟萃分析确定了MFA最有力的预测因素，以指导未来的研究和循证实践。
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