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婴儿入住新生儿重症监护病房后父母的创伤后成长

Post-traumatic growth in parents after infants' neonatal intensive care unit hospitalisation.

作者信息

Aftyka Anna, Rozalska-Walaszek Ilona, Rosa Wojciech, Rybojad Beata, Karakuła-Juchnowicz Hanna

机构信息

Department of Nursing Anesthesia and Intensive Care, Medical University of Lublin, Lublin, Poland.

Department of Applied Mathematics, Lublin University of Technology, Lublin, Poland.

出版信息

J Clin Nurs. 2017 Mar;26(5-6):727-734. doi: 10.1111/jocn.13518. Epub 2016 Dec 6.

Abstract

AIMS AND OBJECTIVES

To determine the incidence and severity of post-traumatic growth in a group of parents of children hospitalised in the intensive care unit in the past.

BACKGROUND

A premature birth or a birth with life-threatening conditions is a traumatic event for the parents and may lead to a number of changes, some of which are positive, known as post-traumatic growth.

METHOD

The survey covered 106 parents of 67 infants aged 3-12 months. An original questionnaire and standardised research tools were used in the study: Impact Event Scale - Revised, Perceived Stress Scale, COPE Inventory: Positive Reinterpretation and Growth, Coping Inventory for Stressful Situations, Post-traumatic Growth Inventory and Parent and Infant Characteristic Questionnaire.

RESULTS

Due to a stepwise backward variables selection, we found three main factors that explain post-traumatic growth: post-traumatic stress symptoms, positive reinterpretation and growth and dichotomic variable infants' survival. This model explained 29% of the post-traumatic growth variation. Similar models that were considered separately for mothers and fathers showed no significantly better properties.

CONCLUSION

Post-traumatic growth was related to a lesser extent to sociodemographic variables or the stressor itself, and related to a far greater extent to psychological factors.

RELEVANCE TO CLINICAL PRACTICE

Our study highlights the fact that post-traumatic growth in the parents of neonates hospitalised in the neonatal intensive care units remains under-evaluated.

摘要

目的与目标

确定过去在重症监护病房住院儿童的一组家长中创伤后成长的发生率和严重程度。

背景

早产或患有危及生命疾病的出生对父母来说是一个创伤性事件,可能会导致一些变化,其中一些是积极的,即所谓的创伤后成长。

方法

该调查涵盖了67名3至12个月大婴儿的106名家长。研究中使用了一份原创问卷和标准化研究工具:修订后的冲击事件量表、感知压力量表、应对量表:积极重新诠释与成长、应激情境应对量表、创伤后成长量表以及亲子特征问卷。

结果

通过逐步向后变量选择,我们发现了三个解释创伤后成长的主要因素:创伤后应激症状、积极重新诠释与成长以及婴儿存活这一二分变量。该模型解释了29%的创伤后成长变异。分别为母亲和父亲考虑的类似模型并未显示出明显更好的特性。

结论

创伤后成长在较小程度上与社会人口统计学变量或应激源本身相关,而在更大程度上与心理因素相关。

与临床实践的相关性

我们的研究突出了一个事实,即在新生儿重症监护病房住院的新生儿家长的创伤后成长仍未得到充分评估。

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