Lisanti Amy Jo, Allen Lois Ryan, Kelly Lynn, Medoff-Cooper Barbara
Amy Jo Lisanti is a postdoctoral fellow at the University of Pennsylvania School of Nursing, and a clinical nurse specialist/nurse researcher at Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Lois Ryan Allen and Lynn Kelly are professors emeritus of nursing, Widener University School of Nursing, Chester, Pennsylvania. Barbara Medoff-Cooper is a professor, University of Pennsylvania School of Nursing, and a nurse scientist at Children's Hospital of Philadelphia.
Am J Crit Care. 2017 Mar;26(2):118-125. doi: 10.4037/ajcc2017266.
Mothers whose infants are born with complex congenital heart disease (CCHD) experience stress during their infant's hospitalization in a pediatric cardiac intensive care unit (PCICU).
This study addressed 2 research questions: (1) What are the parental stressors for mothers whose infants with CCHD are in the PCICU? And (2) What are the relationships of trait anxiety and 3 parental stressors to the parental stress response of state anxiety in mothers whose infants with CCHD are in the PCICU?
This descriptive correlational study included 62 biological mothers of infants admitted to a PCICU within 1 month of birth who had undergone cardiac surgery for CCHD. Maternal and infant demographics and responses to the Parental Stressor Scale: Infant Hospitalization and the State-Trait Anxiety Inventory were collected at 3 major PCICUs across the United States.
Mothers' scores revealed that infant appearance and behavior was the greatest stressor, followed by parental role alteration, then sights and sounds. The combination of trait anxiety and parental role alteration explained 26% of the variance in maternal state anxiety. Mothers with other children at home had significantly higher state anxiety than did mothers with only the hospitalized infant.
Results from this study revealed factors that contribute to the stress of mothers whose infants are born with CCHD and are hospitalized in a PCICU. Nurses are in a critical position to provide education and influence care to reduce maternal stressors in the PCICU, enhance mothers' parental role, and mitigate maternal state anxiety.
婴儿患有复杂性先天性心脏病（CCHD）的母亲在其婴儿于儿科心脏重症监护病房（PCICU）住院期间会经历压力。
本研究解决了两个研究问题：（1）婴儿患有CCHD且在PCICU的母亲面临的父母压力源有哪些？（2）在婴儿患有CCHD且在PCICU的母亲中，特质焦虑和三种父母压力源与状态焦虑的父母压力反应之间的关系是什么？
这项描述性相关性研究纳入了62名亲生母亲，她们的婴儿在出生后1个月内被收治入PCICU并因CCHD接受了心脏手术。在美国的3个主要PCICU收集了母婴人口统计学数据以及对《父母压力源量表：婴儿住院》和《状态-特质焦虑量表》的回答。
母亲的得分显示，婴儿的外貌和行为是最大的压力源，其次是父母角色改变，然后是视觉和声音。特质焦虑和父母角色改变的组合解释了母亲状态焦虑变异的26%。家中有其他孩子的母亲的状态焦虑显著高于只有住院婴儿的母亲。
本研究结果揭示了导致婴儿患有CCHD且在PCICU住院的母亲压力的因素。护士处于关键位置，可提供教育并影响护理，以减少PCICU中的母亲压力源，增强母亲的父母角色，并减轻母亲的状态焦虑。
