Dür Mona, Röschel Anna, Oberleitner-Leeb Christiane, Herrmanns Verena, Pichler-Stachl Elisabeth, Mattner Barbara, Pernter Silvia-Desiree, Wald Martin, Urlesberger Berndt, Kurz Herbert, Frischer Thomas, Zwiauer Karl, Matter Inu Sarah, Berger Angelika
Department of Health Sciences, IMC University of Applied Sciences Krems, Krems, Austria.
Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Front Pediatr. 2022 Mar 1;10:816221. doi: 10.3389/fped.2022.816221. eCollection 2022.
Very low birthweight (VLBW) infants have an increased risk of mortality and frequently suffer from complications, which affects parental occupational balance. Occupational balance is the satisfaction with one's meaningful activities, which include everyday activities that people need to, want to, and are expected to do. In contrast to work-life balance, the construct of occupational balance addresses different activities equally and it applies to all persons, regardless of whether they are working or not. Parental occupational balance might be related to parents' and VLBW infants' health. Therefore, the objective of this study was to investigate associations between parental occupational balance, subjective health, and clinical characteristics of VLBW infants.
A cross-sectional multicenter study was conducted in six Austrian neonatal intensive care units. Occupational balance and subjective health of parents of VLBW infants were assessed with six self-reported questionnaires. The following clinical characteristics of VLBW infants were extracted from medical records: gestational age, birthweight, Apgar scores, Clinical Risk for Babies II Score, and complications of prematurity. Spearman's rank coefficients were calculated.
In total, 270 parents, 168 (62%) female and their VLBW infants, 120 (44%) female, were included in this study. Parents' mean age was 33.7 (±6.0) years, mean gestational age of VLBW infants was 27 + 3 (±2) weeks. Associations between parental occupational balance, subjective health, and clinical characteristics of VLBW infants were identified ( = 0.13 - 0.56; ≤ 0.05), such as the correlation between occupational areas ( = 0.22, p ≤ 0.01), occupational characteristics ( = 0.17, = 0.01), and occupational resilience ( = 0.18, ≤ 0.01) with bronchopulmonary dysplasia of VLBW infants.
Occupational balance is associated with parents' and VLBW infants' health. Interventions to strengthen parental occupational balance might increase parental health and thereby also improve health and developmental outcomes of their VLBW infants.
极低出生体重（VLBW）婴儿的死亡风险增加，且经常出现并发症，这会影响父母的职业平衡。职业平衡是指对个人有意义活动的满意度，这些活动包括人们需要、想要且预期会去做的日常活动。与工作 - 生活平衡不同，职业平衡这一概念平等地涵盖了不同活动，适用于所有人，无论其是否工作。父母的职业平衡可能与父母及极低出生体重婴儿的健康有关。因此，本研究的目的是调查父母职业平衡、主观健康与极低出生体重婴儿临床特征之间的关联。
在奥地利的六个新生儿重症监护病房进行了一项横断面多中心研究。通过六份自我报告问卷评估极低出生体重婴儿父母的职业平衡和主观健康状况。从医疗记录中提取极低出生体重婴儿的以下临床特征：胎龄、出生体重、阿氏评分、婴儿临床风险 II 评分以及早产并发症。计算斯皮尔曼等级系数。
本研究共纳入 270 名父母，其中 168 名（62%）为女性，以及他们的极低出生体重婴儿，其中 120 名（44%）为女性。父母的平均年龄为 33.7（±6.0）岁，极低出生体重婴儿的平均胎龄为 27 + 3（±2）周。确定了父母职业平衡、主观健康与极低出生体重婴儿临床特征之间的关联（ = 0.13 - 0.56； ≤ 0.05），例如职业领域（ = 0.22，p ≤ 0.01）、职业特征（ = 0.17， = 0.01）和职业复原力（ = 0.18， ≤ 0.01）与极低出生体重婴儿支气管肺发育不良之间的相关性。
职业平衡与父母及极低出生体重婴儿的健康相关。加强父母职业平衡的干预措施可能会增进父母的健康，从而也改善其极低出生体重婴儿的健康和发育结局。
