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对患有早产儿视网膜病变的婴儿母亲的母婴依恋、自我效能感、抑郁水平和焦虑水平的评估。

Evaluation of maternal attachment, self-efficacy, levels of depression, and anxiety in mothers who have babies diagnosed with retinopathy of prematurity.

作者信息

Özyurt Gonca, Özyurt Ayhan, Ozturk Taylan, Yaman Aylin, Berk A Tulin

机构信息

a Child and Adolescent Psychiatry Unit , Nevsehir State Hospital , Nevsehir , Turkey.

b Ophthalmology Unit , Nevşehir State Hospital , Nevsehir , Turkey.

出版信息

Ophthalmic Epidemiol. 2018 Apr;25(2):140-146. doi: 10.1080/09286586.2017.1372487. Epub 2017 Sep 25.

Abstract

PURPOSE

The aim of this study is to evaluate the emotional stress and its effects on parental self-efficacy and mother-infant attachment in mothers whose babies were diagnosed with retinopathy of prematurity (ROP).

METHODS

Study sample was consisted of voluntarily participating 82 mothers whose babies were first diagnosed with ROP, 83 mothers of preterm babies without ROP, and 85 mothers of term babies admitting for their routine visits. Sociodemographic data form maternal attachment scale, state-trait anxiety inventory, Edinburgh postnatal depression scale, and parental self-efficacy scale were applied to study participants, and the overall results of three groups were statistically compared.

RESULTS

The sociodemographic features of three study groups were similar. Statistical significant differences were found in depression and state anxiety levels among study groups, while maternal attachment scale and trait anxiety level scores and parental self-efficacy scale total score were similar in study groups. Maternal depression and state-anxiety levels were tend to be higher in mother of children diagnosed with ROP and prematurity; however, there were no statistically significant differences between levels of mothers' of premature children with or without ROP.

CONCLUSION

This is the first study in literature assessing the additional effect of ROP on the anxiety and depression levels of recent mothers, as well as mother-infant attachment and parental self-efficacy. Supporting of mothers having an infant with diagnosed ROP is crucial because of feeling themselves inefficient and responsible for all interventions applied to their babies.

摘要

目的

本研究旨在评估婴儿被诊断为早产儿视网膜病变(ROP)的母亲的情绪压力及其对父母自我效能感和母婴依恋的影响。

方法

研究样本包括82名自愿参与的母亲,其婴儿首次被诊断为ROP;83名早产儿但无ROP的母亲;以及85名因常规检查前来就诊的足月儿母亲。向研究参与者发放社会人口统计学数据表格、母亲依恋量表、状态-特质焦虑量表、爱丁堡产后抑郁量表和父母自我效能感量表,并对三组的总体结果进行统计学比较。

结果

三个研究组的社会人口统计学特征相似。研究组之间在抑郁和状态焦虑水平上存在统计学显著差异,而母亲依恋量表、特质焦虑水平得分和父母自我效能感量表总分在研究组中相似。被诊断患有ROP和早产的儿童的母亲的抑郁和状态焦虑水平往往较高;然而,有或没有ROP的早产儿母亲的水平之间没有统计学显著差异。

结论

这是文献中第一项评估ROP对初为人母者的焦虑和抑郁水平以及母婴依恋和父母自我效能感的额外影响的研究。由于觉得自己效率低下且要对应用于其婴儿的所有干预措施负责,因此支持患有被诊断为ROP的婴儿的母亲至关重要。

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