父母在新生儿重症监护病房的适应能力和心理困扰。
Parental resilience and psychological distress in the neonatal intensive care unit.
机构信息
Division of Neonatology, Children's National Hospital, Washington, DC, USA.
The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
出版信息
J Perinatol. 2022 Nov;42(11):1504-1511. doi: 10.1038/s41372-022-01478-3. Epub 2022 Aug 4.
OBJECTIVE
To evaluate the associations between parental resilience and psychological distress during the neonatal intensive care unit (NICU) hospitalization.
STUDY DESIGN
Observational cohort study of parents of preterm infants (n = 45) admitted to a NICU between December 2017-October 2019. Data on resilience and psychological distress were collected using validated scales. Regression analysis was used to evaluate associations.
RESULT
One-third of NICU parents screened positive for depression or anxiety. There were no identified sociodemographic factors or parental engagement activities associated with resilience. Parents with higher resilience had lower scores on depression and anxiety screens. However, resilience alone was not a predictor for a positive depression or anxiety screen (aOR 0.93, CI 0.86-1.00; aOR 0.95, CI 0.89-1.02, respectively).
CONCLUSION
Resilience may be associated with lower scores on depression and anxiety screens but is not an independent predictor for a positive screen during the early NICU hospitalization.
目的
评估新生儿重症监护病房（NICU）住院期间父母韧性与心理困扰之间的关联。
研究设计
对 2017 年 12 月至 2019 年 10 月期间入住 NICU 的早产儿父母（n=45）进行观察性队列研究。使用经过验证的量表收集关于韧性和心理困扰的数据。回归分析用于评估关联。
结果
三分之一的 NICU 父母筛查出抑郁或焦虑。韧性与社会人口统计学因素或父母参与活动无关。韧性较高的父母在抑郁和焦虑筛查中的得分较低。然而，韧性本身并不是抑郁或焦虑筛查阳性的预测因素（aOR 0.93，CI 0.86-1.00；aOR 0.95，CI 0.89-1.02）。
结论
韧性可能与抑郁和焦虑筛查中的较低得分相关，但不是 NICU 早期住院期间阳性筛查的独立预测因素。
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