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伊朗新生儿重症监护病房中父母压力的评估:一项全国性研究。

Evaluation of parental stress in neonatal intensive care unit in Iran: a national study.

作者信息

Heidarzadeh Mohammad, Heidari Haydeh, Ahmadi Ali, Solati Kamal, Sadeghi Narges

机构信息

Zahedan University of Medical Sciences, Zahedan, Iran.

Faculty of Nursing and Midwifery, Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.

出版信息

BMC Nurs. 2023 Feb 15;22(1):41. doi: 10.1186/s12912-023-01200-4.

Abstract

BACKGROUND

More attention is paid to the survival and treatment of the sick infant in the neonatal intensive care unit (NICU) and parental stress is not considered. The purpose of this study was to determine samples of the level of parental stress in the NICU.

METHOD

This study is a descriptive-analytical study in which Parental Stress and General Health were used in an analytical national survey in Iran. The research sample consists of 2456 parents of infants admitted to NICU. The sampling method was multi-stage random. We used 11- item parental stress questionnaire and 28-item general health questionnaire for the data collection.

RESULT

Baloch ethnicity with an average of 11.52 had the highest level of stress. The mean stress score of mothers was higher than fathers. The mean score of all dimensions of physical symptoms, anxiety, social functioning, depression, and total mental health score in mothers was higher than fathers. There was a statistically significant difference in the length of hospitalization in terms of different levels of parental stress scores (p < 0.002). Lack of decisive response to parents was one of the most stressful issues (8.1%).

CONCLUSION

Our result shows mothers' stress was higher than fathers. So that health policymakers should pay attention to stress risk factors to provide appropriate interventions according stress risk factors Future studies should design appropriate interventions to reduce parental stress, especially in high-risk mothers.

摘要

背景

新生儿重症监护病房(NICU)中更多关注患病婴儿的生存和治疗,而未考虑父母的压力。本研究的目的是确定NICU中父母压力水平的样本。

方法

本研究是一项描述性分析研究,在伊朗的一项全国性分析调查中使用了父母压力和总体健康状况。研究样本包括2456名入住NICU的婴儿的父母。抽样方法为多阶段随机抽样。我们使用11项父母压力问卷和28项总体健康问卷进行数据收集。

结果

平均压力水平为11.52的俾路支族压力水平最高。母亲的平均压力得分高于父亲。母亲在身体症状、焦虑、社会功能、抑郁以及总体心理健康得分的所有维度上的平均得分均高于父亲。就不同水平的父母压力得分而言,住院时间存在统计学上的显著差异(p < 0.002)。对父母缺乏决定性回应是最具压力的问题之一(8.1%)。

结论

我们的结果表明母亲的压力高于父亲。因此,卫生政策制定者应关注压力风险因素,以便根据压力风险因素提供适当的干预措施。未来的研究应设计适当的干预措施来减轻父母的压力,尤其是高危母亲的压力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72cd/9930338/92b62a6ae8f4/12912_2023_1200_Fig1_HTML.jpg

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