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新生儿入住重症监护病房对母亲“生活质量”的影响:印度视角

Effect of newborn's admission to intensive care unit on "quality of life" of mother: an Indian perspective.

作者信息

Rai Pooja, Rani Usha

机构信息

a Prasanna School of Public Health , Manipal Academy of Higher Education , Manipal , Karnataka , India.

出版信息

J Matern Fetal Neonatal Med. 2019 Jul;32(13):2188-2193. doi: 10.1080/14767058.2018.1428550. Epub 2018 Jan 25.

Abstract

BACKGROUND

Newborn hospitalized in the neonatal intensive care unit (NICU) raises a mother's risk of reduced health-related quality of life (QoL). We explored the contributors inducing stress among mothers related to NICU.

METHODOLOGY

One hundred thirty-five mothers, whose newborn has completed 48 hours of NICU stay, were interviewed using parental stress scale: neonatal intensive care unit and SF-36 health survey questionnaire for further assessment.

RESULTS

The look and behavior of the baby were predominant contributor to the decreased QoL among mothers (p= <.001). A moderate negative association between parental stresses related to the NICU environment and their QoL = -.467 was observed.

CONCLUSION

It is required to look back at the interiors of the Intensive Care Unit (ICU), the duration provided for the mother and child's physical bonding, the unnecessary noise of the alarms and the jungle of wires around the baby to optimize the QoL of mothers. The further policy requires focusing on building a relation of the mother and child, especially when a child needs supportive care.

摘要

背景

新生儿入住新生儿重症监护病房(NICU)会增加母亲健康相关生活质量(QoL)下降的风险。我们探讨了导致母亲在NICU相关压力的因素。

方法

对135名新生儿已在NICU住院48小时的母亲进行访谈,使用父母压力量表:新生儿重症监护病房以及SF-36健康调查问卷进行进一步评估。

结果

婴儿的外观和行为是导致母亲生活质量下降的主要因素(p = <.001)。观察到与NICU环境相关的父母压力与其生活质量之间存在中度负相关 = -0.467。

结论

需要审视重症监护病房(ICU)的内部环境、母婴身体亲密接触的时长、警报器不必要的噪音以及婴儿周围杂乱的线路,以优化母亲的生活质量。进一步的政策需要注重建立母婴关系,尤其是当孩子需要支持性护理时。

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