Queensland Children's Hospital, Children's Health Queensland, South Brisbane, QLD, Australia.
College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia.
Aust J Rural Health. 2022 Jun;30(3):373-384. doi: 10.1111/ajr.12841. Epub 2022 Feb 2.
This study aimed to report the prevalence of adverse psychological symptoms and health behaviours of parents who had a baby admitted to a regional neonatal intensive care unit to spotlight mental health care in these unique settings.
This was a prospective, prevalence-based study using quantitative data.
The study was conducted at the Townsville University Hospital, Queensland.
Participants comprised 114 parents of 79 infants enrolled in the study (mothers = 69 and fathers = 45).
Trauma, depression, anxiety, stress, alcohol and drug use, prior mental health history and bonding experience were assessed by standardised self-report questionnaires and a structured diagnostic interview within 2 weeks and at 3 months post-admission to neonatal intensive care unit.
Clinically significant acute trauma symptoms (16% of mothers only), depression (22% mothers; 4% of fathers), anxiety (27% mothers; 11% fathers) and stress (24% mothers; 13% fathers) were reported within the first 2 weeks after their baby was admitted to the neonatal intensive care unit. Notably, 18% of parents reported engaging in harmful alcohol use behaviour within 2 weeks post-birth; 29% of fathers continued to report risky drinking at 3 months. At 3 months, 21%, 8% and 6% of mothers met diagnostic criteria for generalised anxiety disorder, major depressive disorder and post-traumatic stress disorder, respectively.
Screening for psychological distress and alcohol use of parents of neonatal intensive care unit babies can ensure that support services are made available post-discharge to optimise family function and development of the preterm infant.
本研究旨在报告入住区域性新生儿重症监护病房（NICU）婴儿的父母出现不良心理症状和健康行为的比例，以突显这些独特环境下的心理健康护理。
这是一项使用定量数据的前瞻性、基于患病率的研究。
昆士兰州汤斯维尔大学医院。
该研究纳入了 79 名婴儿的 114 名父母（母亲 69 名，父亲 45 名）。
创伤、抑郁、焦虑、压力、酒精和药物使用、既往心理健康史和依恋体验通过标准化自我报告问卷和结构化诊断访谈在入院后 2 周和 3 个月内进行评估。
在新生儿重症监护病房入院后 2 周内，母亲中 16%出现明显的急性创伤症状，22%的母亲（4%的父亲）患有抑郁，27%的母亲（11%的父亲）患有焦虑，24%的母亲（13%的父亲）患有压力。值得注意的是，18%的父母在出生后 2 周内报告有有害的饮酒行为；29%的父亲在 3 个月时仍有风险饮酒。在 3 个月时，分别有 21%、8%和 6%的母亲符合广泛性焦虑障碍、重度抑郁症和创伤后应激障碍的诊断标准。
对新生儿重症监护病房婴儿的父母进行心理困扰和酒精使用筛查，可以确保在出院后提供支持服务，以优化家庭功能和早产儿的发育。
