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COVID-19 大流行期间的分娩和产妇压力:良好婴儿与新生儿重症监护环境的比较。

Infant delivery and maternal stress during the COVID-19 pandemic: a comparison of the well-baby versus neonatal intensive care environments.

机构信息

Shaare Zedek Medical Center, Jerusalem, Israel.

The Faculty of Medicine of the Hebrew University, Jerusalem, Israel.

出版信息

J Perinatol. 2021 Nov;41(11):2614-2620. doi: 10.1038/s41372-021-01016-7. Epub 2021 May 13.

Abstract

OBJECTIVE

To describe impact of COVID-19 pandemic on stress and mood of new mothers, in particular in neonatal intensive care unit (NICU); a secondary objective was to assess whether customary social gender distancing practiced by ultra-religious Jews and Muslims offers built-in anti-stress protection.

METHODS

Cross-sectional, observational survey of mothers of 52 normal newborn nursery (NNB) and 52 NICU infants. In all, 86 filled all the 6 questionnaires (Demographics, COVID-19 virus experience, Mental Health Inventory, Neonatal Satisfaction Survey, Parental Stressor Scale, and Questionnaire of Coping Strategies).

RESULTS

Most mothers stated that COVID-19 pandemic had hurt social and family relationships, maternal role, and expressed stress and loneliness. Mothers of NICU infants had higher degree of helplessness. Religious social distancing was not protective. Background tendency to coping poorly with stress and depression most highly predicted stress.

CONCLUSION

COVID-19 pandemic harms psychosocial well-being of most mothers. Detection of high-risk individuals is necessary to provide appropriate support.

摘要

目的

描述 COVID-19 大流行对新妈妈(尤其是新生儿重症监护病房(NICU)中的新妈妈)的压力和情绪的影响;次要目的是评估极端虔诚的犹太人和穆斯林实行的习惯的社会性别隔离是否提供了内置的抗压保护。

方法

对 52 名正常新生儿病房(NNB)和 52 名 NICU 婴儿的母亲进行横断面、观察性调查。共有 86 名母亲填写了所有 6 份问卷(人口统计学、COVID-19 病毒体验、心理健康量表、新生儿满意度调查、父母应激量表和应对策略问卷)。

结果

大多数母亲表示 COVID-19 大流行损害了社会和家庭关系、母亲角色,并表达了压力和孤独感。NICU 婴儿的母亲无助感程度更高。宗教社会隔离没有起到保护作用。背景上应对压力和抑郁的能力较差的倾向最能预测压力。

结论

COVID-19 大流行损害了大多数母亲的社会心理幸福感。有必要发现高风险个体,为其提供适当的支持。

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