Toly Valerie Boebel, Blanchette Julia E, Liu Wei, Sattar Abdus, Musil Carol M, Bieda Amy, Em Sarah
Frances Payne Bolton School of Nursing (Drs Toly, Musil, and Bieda and Mss Blanchette and Em), and Department of Epidemiology and Biostatistics, School of Medicine (Dr Sattar), Case Western Reserve University, Cleveland, Ohio; and Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio (Ms Liu).
J Perinat Neonatal Nurs. 2019 Apr/Jun;33(2):149-159. doi: 10.1097/JPN.0000000000000409.
Mothers of infants in the neonatal intensive care unit (NICU) face stressors including turbulent emotions from their pregnancy/unexpected preterm delivery and their infant's unpredictable health status. The study purpose was to examine the psychological state of mothers prior to the discharge of their technology-dependent infants (eg, feeding tubes, supplemental oxygen) from the NICU to home. The study sample consisted of mothers (N = 19) of infants dependent on medical technology being discharged from a large Midwest NICU. A descriptive, correlational design using convenience sampling was employed to recruit mothers to examine associations of infant and maternal factors, resourcefulness, and stress with psychological state (depressive symptoms, posttraumatic stress symptoms). Forty-two percent of mothers were at high risk for clinical depression, with 37% in the clinical range for posttraumatic stress disorder. Increased maternal depressive symptoms were significantly associated with the increased frequency and perceived difficulty of their stress and posttraumatic stress symptoms. Increased posttraumatic stress symptoms were significantly associated solely with elevated depressive symptoms. This study identified factors associated with the mothers' increased psychological distress, providing beginning evidence for future interventions to employ prior to their technology-dependent infant's NICU discharge.
新生儿重症监护病房（NICU）中婴儿的母亲面临着诸多压力源，包括孕期的情绪波动/意外早产以及婴儿不可预测的健康状况。本研究的目的是调查在依赖技术的婴儿（如鼻饲管、辅助氧气）从NICU出院回家之前母亲的心理状态。研究样本包括来自美国中西部一家大型NICU的依赖医疗技术的婴儿的母亲（N = 19）。采用便利抽样的描述性、相关性设计来招募母亲，以研究婴儿和母亲因素、应变能力以及压力与心理状态（抑郁症状、创伤后应激症状）之间的关联。42%的母亲有临床抑郁症的高风险，37%处于创伤后应激障碍的临床范围。母亲抑郁症状的增加与压力和创伤后应激症状的频率增加及感知到的困难显著相关。创伤后应激症状的增加仅与抑郁症状的升高显著相关。本研究确定了与母亲心理困扰增加相关的因素，为未来在依赖技术的婴儿从NICU出院前进行干预提供了初步证据。
