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家庭监测对母亲的情绪和健康影响:一项对照前瞻性研究。

Emotional and health impact of home monitoring on mothers: a controlled prospective study.

作者信息

McElroy E, Steinschneider A, Weinstein S

出版信息

Pediatrics. 1986 Nov;78(5):780-6.

PMID:3532017
Abstract

The psychologic and health effects of home monitoring were evaluated in mothers, whose infants (epidemiologically not at high risk for sudden infant death syndrome) were placed on electronic surveillance because of results obtained from a laboratory sleep study conducted at 4 weeks of age. Mothers of these infants were studied prospectively at several periods following the infants' births: 6 weeks, 12 weeks, and 1 year. The initial sample consisted of 56 mothers. Evaluation procedures included the Neonatal Perception Inventories, Anxiety Inventory (State and Trait), Depression Inventory, Brief Symptom Inventory, and a Recent Life Changes Questionnaire. The results obtained from these women were compared with those of women who had delivered at about the same time but whose infants were not placed on a home monitoring program. A total of 57 women started in the control group. Very few statistically significant group differences were observed between the two subject groups: 2 weeks after initiating the home monitoring program, monitor mothers (when compared to nonmonitor mothers) perceived their infant's behavior differently (although not more bothersome) and had an increased degree of situational anxiety (although not to an abnormal degree). There were no statistically significant differences between the two groups 12 weeks or 1 year after giving birth. These results suggest that a home monitoring program, which includes an aggressive and readily available support system, does not impose a marked health hazard to mothers.

摘要

对一些母亲进行了家庭监测的心理和健康影响评估,这些母亲的婴儿(从流行病学角度看并非婴儿猝死综合征的高危人群)因4周龄时实验室睡眠研究的结果而被置于电子监测之下。这些婴儿的母亲在婴儿出生后的几个阶段接受了前瞻性研究:6周、12周和1年。初始样本包括56名母亲。评估程序包括新生儿感知量表、焦虑量表(状态和特质)、抑郁量表、简明症状量表和近期生活变化问卷。将这些女性的结果与大约同时分娩但其婴儿未参加家庭监测项目的女性的结果进行比较。对照组共有57名女性开始参与。在两个受试组之间观察到的统计学上显著的组间差异非常少:在启动家庭监测项目两周后,接受监测的母亲(与未接受监测的母亲相比)对其婴儿行为的感知有所不同(尽管并不更令人烦恼),且情境焦虑程度有所增加(尽管未达到异常程度)。分娩后12周或1年时,两组之间没有统计学上的显著差异。这些结果表明,一个包括积极且随时可用的支持系统的家庭监测项目,不会对母亲造成明显的健康危害。

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引用本文的文献

1
Parental management of infants born following a cot-death victim who were monitored compared to infants who, despite similar histories, were not monitored: a controlled study.与尽管有相似病史但未接受监测的婴儿相比,对猝死婴儿的存活同胞进行监测的父母管理:一项对照研究。
Eur J Pediatr. 1994 Sep;153(9):694-9. doi: 10.1007/BF02190695.
2
Home monitors for infants: use, misuse, and "over-the-counter" use.
Eur J Pediatr. 1990 Feb;149(5):356-8. doi: 10.1007/BF02171567.
3
Home apnea monitoring and disruptions in family life: a multidimensional controlled study.家庭呼吸暂停监测与家庭生活干扰:一项多维度对照研究。
Am J Public Health. 1992 May;82(5):719-22. doi: 10.2105/ajph.82.5.719.