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新生儿重症监护室中父母的压力与情绪:确定早期干预的风险因素

Stress and feelings in mothers and fathers in NICU: identifying risk factors for early interventions.

作者信息

Ionio Chiara, Mascheroni Eleonora, Colombo Caterina, Castoldi Francesca, Lista Gianluca

机构信息

CRIdee, Dipartimento di Psicologia, Università Cattolica, Milan, Italy.

NICU, Ospedale dei Bambini V. Buzzi, ASST Fatebenefratelli-Sacco, Milano, Italy.

出版信息

Prim Health Care Res Dev. 2019 Jun 7;20:e81. doi: 10.1017/S1463423619000021.

Abstract

AIMS

The aims of this study were to explore parents' stress levels and negative feelings after premature births and to identify the risk factors related to parents' stress and negative feelings during their children's neonatal intensive care unit (NICU) stay.

BACKGROUND

Preterm birth is a multi-problematic event that may put the babies in danger for both their medical and neurophysiological conditions and could have a negative impact on both the mother-father relationship and the parent-child interactions.

METHODS

The study involved 43 mothers and 38 fathers of preterm infants. All participants filled out the Parental Stressor Scale: Neonatal Intensive Care Unit and the Profile of Mood States.

FINDINGS

The results revealed significant differences between mothers' and fathers' responses to preterm births in terms of both stress and negative feelings. We found that, for mothers, their own young age and the baby's need for respiratory support were significant predictors of stress; for fathers, their own young age and the baby's lower gestational age and worse condition at birth were significant predictors of stress and negative feelings. The NICU may be a stressful place both for mothers and fathers. Identifying which mothers and fathers are at risk immediately after their children are born could help to direct specific interventions that can reduce these parents' stress and prevent them from negative feelings.

摘要

目的

本研究的目的是探讨早产之后父母的压力水平和负面情绪,并确定在其子女入住新生儿重症监护病房(NICU)期间与父母压力和负面情绪相关的风险因素。

背景

早产是一个多问题的事件,可能使婴儿在医疗和神经生理状况方面处于危险之中,并可能对父母关系和亲子互动产生负面影响。

方法

该研究纳入了43名早产婴儿的母亲和38名父亲。所有参与者都填写了《父母压力源量表:新生儿重症监护病房》和《情绪状态剖面图》。

结果

结果显示,母亲和父亲对早产的反应在压力和负面情绪方面存在显著差异。我们发现,对于母亲来说,她们自己年轻以及婴儿对呼吸支持的需求是压力的重要预测因素;对于父亲来说,他们自己年轻、婴儿较低的胎龄以及出生时较差的状况是压力和负面情绪的重要预测因素。新生儿重症监护病房对母亲和父亲来说都可能是一个压力较大的地方。在孩子出生后立即确定哪些母亲和父亲有风险,有助于指导具体的干预措施,以减轻这些父母的压力并防止他们产生负面情绪。

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本文引用的文献

1
Premature birth: complexities and difficulties in building the mother-child relationship.
J Reprod Infant Psychol. 2017 Nov;35(5):509-523. doi: 10.1080/02646838.2017.1383977. Epub 2017 Oct 6.
2
Anxiety affects the relationship between parents and their very low birth weight infants.
Infant Ment Health J. 2007 May;28(3):296-313. doi: 10.1002/imhj.20137.
4
Mothers and Fathers in NICU: The Impact of Preterm Birth on Parental Distress.
Eur J Psychol. 2016 Nov 18;12(4):604-621. doi: 10.5964/ejop.v12i4.1093. eCollection 2016 Nov.
5
Paths of cognitive and language development in healthy preterm infants.
Infant Behav Dev. 2016 Aug;44:199-207. doi: 10.1016/j.infbeh.2016.07.004. Epub 2016 Jul 21.
6
THE EFFECTS OF EXPRESSIVE WRITING ON POSTPARTUM DEPRESSION AND POSTTRAUMATIC STRESS SYMPTOMS.
Psychol Rep. 2015 Dec;117(3):856-82. doi: 10.2466/02.13.PR0.117c29z3. Epub 2015 Nov 23.
7
Parenting in Complex Conditions: Does Preterm Birth Provide a Context for the Development of Less Optimal Parental Behavior?
J Pediatr Psychol. 2015 Jul;40(6):559-71. doi: 10.1093/jpepsy/jsv007. Epub 2015 Feb 19.
8
Behaviour and development in 24-month-old moderately preterm toddlers.
Arch Dis Child. 2015 Jun;100(6):548-53. doi: 10.1136/archdischild-2014-307016. Epub 2015 Jan 14.
9
Stress levels and depressive symptoms in NICU mothers in the early postpartum period.
J Matern Fetal Neonatal Med. 2014 Nov;27(17):1738-43. doi: 10.3109/14767058.2014.942626. Epub 2014 Jul 30.
10
Very preterm birth: maternal experiences of the neonatal intensive care environment.
J Perinatol. 2014 Jul;34(7):555-61. doi: 10.1038/jp.2014.43. Epub 2014 Mar 20.

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