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墨西哥人群中早产儿母亲在新生儿重症监护病房中抑郁和焦虑的流行情况及其相关因素。

Prevalence and Associated Factors to Depression and Anxiety in Women with Premature Babies Hospitalized in a Neonatal Intensive-Care Unit in a Mexican Population.

机构信息

Hospital General de Durango, Departamento de Salud Mental, Durango, Durango, Mexico.

Universidad Juárez Autónoma de Tabasco, División Académica Multidisciplinaria de Comalcalco, Comalcalco, Tabasco, Mexico.

出版信息

J Pediatr Nurs. 2019 Mar-Apr;45:e53-e56. doi: 10.1016/j.pedn.2019.01.004. Epub 2019 Jan 14.

Abstract

PURPOSE

The aims of this study were to investigate the frequency of depression and anxiety in mothers of children hospitalized in a neonatal intensive care unit, and to determine the characteristics associated with depression and anxiety in a sample of Mexican mothers.

METHOD

We studied 188 mothers who had premature babies in a neonatal intensive-care. Sociodemographic and clinical characteristics were collected through a face to face interview performed by professional staff. We assessed depression using the Beck Depression Inventory (BDI) and clinical anxiety using the Hamilton Anxiety Rating Scale (HAM-A).

RESULTS

Clinical anxiety was reported in more than one-third of women (34.0%, n = 64) followed by depression (19.7%, n = 37), while twenty-six women reported both significant depression and anxiety (13.8%). Women with both clinical symptoms were younger, they were more frequently students and were living within extended families. Women who presented only symptoms of depression reported lower educational level (elementary school 29.7%, n = 11).

CONCLUSION

Our results show a high incidence of anxiety, depression, and both emotional disorders in Mexican mothers of premature babies hospitalized in a neonatal intensive care unit. Demographic features such as occupation or age may impact the occurrence and severity of joint symptoms of depression and anxiety which should be monitored by the health team and referred to a mental health service.

摘要

目的

本研究旨在调查住院于新生儿重症监护病房的儿童的母亲中抑郁和焦虑的发生率,并确定墨西哥母亲样本中与抑郁和焦虑相关的特征。

方法

我们研究了 188 名在新生儿重症监护病房中有早产儿的母亲。通过专业人员进行的面对面访谈收集社会人口统计学和临床特征。我们使用贝克抑郁量表(BDI)评估抑郁,使用汉密尔顿焦虑量表(HAM-A)评估临床焦虑。

结果

超过三分之一的女性(34.0%,n=64)报告有临床焦虑,其次是抑郁(19.7%,n=37),而 26 名女性同时报告有明显的抑郁和焦虑(13.8%)。有两种临床症状的女性更年轻,她们更常是学生,并且与大家庭一起生活。仅报告有抑郁症状的女性受教育程度较低(小学 29.7%,n=11)。

结论

我们的结果显示,住院于新生儿重症监护病房的墨西哥早产儿母亲中,焦虑、抑郁和两种情绪障碍的发生率均较高。人口统计学特征,如职业或年龄,可能会影响抑郁和焦虑联合症状的发生和严重程度,这些症状应由医疗团队监测,并转介到心理健康服务机构。

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