Kara S, Tan S, Aldemir S, Yılmaz Ae, Tatlı Mm, Dilmen U
Department of Neonatology, School of Medicine, Fatih University.
Department of Psychiatry, School of Medicine, Fatih University.
Hippokratia. 2013 Apr;17(2):130-5.
To identify the degree of perceived social support by mothers of infants hospitalized in neonatal intensive care unit (NICU) and to investigate effects depression and anxiety levels on the perceived social support.
The study included 50 mothers of infants hospitalized in NICU. Demographic and clinical characteristics of the mothers were collected using a personal data form designed by the study researchers via face-to-face interviews. The Multidimensional Scale of Perceived Social Support Scale (MSPSS) was used to evaluate the degree of perceived social support by the mothers and Hospital Anxiety and Depression (HAD) Scale was used to assess their anxiety and depression levels.
The mean age of the mothers was 29.1 ± 4.2 years. There was a significant correlation between the scores of the anxiety and depression subscales (r=0.772; p<0.001), whereas these scores were not significantly correlated with MSPSS total score. The scores MSPSS subscales were significantly correlated with each other, as well as with MSPSS total score. Friend subscale score and depression subscale score were positively correlated with education level (r=0.295, p=0.038 and r=0.407, p=0.003, respectively). The family and spouse subscale scores and MSPSS total score were significantly higher assisted conception technique group compared with the spontaneous conception group (p=0.020, p=0.010 and p=0.016, respectively). The family and spouse subscale scores and MSPSS total score were significantly lower in the mothers with depression subscale score of ≥7 than in the mothers with depression subscale score of <7 (p=0.010, p=0.038 and p=0.018, respectively). In the linear regression model, only education level was found to be a significant factor affecting depression level (p=0.006).
The mothers of infants hospitalized in the NICU with higher education levels had higher depression level and perceived social support from friends. Informing the family members and providing psychological support independent from the duration of gestation are of paramount importance.
确定新生儿重症监护病房（NICU）住院婴儿母亲所感知到的社会支持程度，并调查抑郁和焦虑水平对所感知社会支持的影响。
该研究纳入了50名NICU住院婴儿的母亲。通过研究人员设计的个人数据表，经面对面访谈收集母亲的人口统计学和临床特征。使用多维感知社会支持量表（MSPSS）评估母亲所感知到的社会支持程度，并使用医院焦虑抑郁量表（HAD）评估她们的焦虑和抑郁水平。
母亲的平均年龄为29.1±4.2岁。焦虑和抑郁子量表得分之间存在显著相关性（r = 0.772；p<0.001），而这些得分与MSPSS总分无显著相关性。MSPSS子量表得分之间以及与MSPSS总分之间均存在显著相关性。朋友子量表得分和抑郁子量表得分与教育水平呈正相关（分别为r = 0.295，p = 0.038和r = 0.407，p = 0.003）。与自然受孕组相比，辅助受孕技术组的家庭和配偶子量表得分以及MSPSS总分显著更高（分别为p = 0.020，p = 0.010和p = 0.016）。抑郁子量表得分≥7的母亲的家庭和配偶子量表得分以及MSPSS总分显著低于抑郁子量表得分<7的母亲（分别为p = 0.010，p = 0.038和p = 0.018）。在线性回归模型中，仅发现教育水平是影响抑郁水平的显著因素（p = 0.006）。
NICU住院婴儿的母亲中，教育水平较高者抑郁水平较高且从朋友处感知到的社会支持较多。告知家庭成员并提供与孕周无关的心理支持至关重要。
