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脆弱婴儿对新生儿重症监护病房中婴儿母亲的感知:与母乳喂养自我效能感和母子联系的关系。

Vulnerable Baby Perception of Mothers with Infants in the Neonatal Intensive Care Unit: Relationship with Breastfeeding Self-Efficacy and Bonding.

机构信息

Training And Research Hospital, Ordu University, Ordu, Turkey.

Faculty of Health Sciences, Department of Nursing, Ordu University, Ordu, Turkey.

出版信息

Breastfeed Med. 2024 Aug;19(8):612-623. doi: 10.1089/bfm.2023.0248. Epub 2024 May 15.

Abstract

This study was performed with the aim of investigating the correlation between vulnerable baby perception with breastfeeding self-efficacy and bonding of mothers with infants in the neonatal intensive care unit. The sample for this descriptive and relational search study comprised mothers of 80 healthy infants admitted to the neonatal intensive care unit (NICU) of Ordu University Education and Research Hospital for at least 3 days and at least 1 week past discharge. Collection of data used the Mother and Infant Descriptive Information Form, Vulnerable Baby Scale (VBS), Breastfeeding Self-Efficacy Scale (BSES), and Mother-Infant Bonding Scale (MIBS). The VBS scores for employed mothers were significantly higher than those who were not employed, whereas the VBS scores for mothers with planned pregnancy were significantly higher than those with unplanned pregnancy ( < 0.05). According to the total number of pregnancies, the BSES scores were identified to be statistically significantly different ( < 0.05). The MIBS scores for mothers without mental change related to admission of the infant to NICU were significantly lower than those who were sad/scared ( = 0.015). There was a statistically insignificant correlation between VBS score and BSES score ( > 0.05). There was a positive and very weak statistically significant correlation between VBS score and MIBS score ( = 0.034). As VBS scores increase, MIBS scores increase (higher MIBS = lower bonding). In addition, the effect of VBS score on MIBS score was identified to be statistically significant ( = 0.042). The results of the study found a significant correlation between vulnerable baby perceptions of mothers and mother-infant bonding. As vulnerable baby perceptions increased, mother-infant bonding was identified to decrease. We speculate the breastfeeding self-efficacy and bonding levels of mothers with infants in the NICU should be assessed along with vulnerability perception levels, and necessary support should be provided to reduce vulnerability perceptions by informing mothers about the neonate's status.

摘要

本研究旨在探讨新生儿重症监护病房(NICU)中母亲对脆弱婴儿的感知与母乳喂养自我效能感和母婴联系之间的相关性。本描述性和关系性研究的样本包括至少在奥鲁大学教育与研究医院 NICU 住院 3 天且出院后至少 1 周的 80 名健康婴儿的母亲。数据收集使用了母婴描述性信息表、脆弱婴儿量表(VBS)、母乳喂养自我效能感量表(BSES)和母婴联系量表(MIBS)。有工作的母亲的 VBS 评分明显高于没有工作的母亲,而有计划妊娠的母亲的 VBS 评分明显高于无计划妊娠的母亲(<0.05)。根据妊娠次数的总数,BSES 评分存在统计学差异(<0.05)。未因婴儿入住 NICU 而产生心理变化的母亲的 MIBS 评分明显低于悲伤/恐惧的母亲(=0.015)。VBS 评分与 BSES 评分之间无统计学显著相关性(>0.05)。VBS 评分与 MIBS 评分之间存在正相关且统计学上非常弱的显著相关性(=0.034)。随着 VBS 评分的增加,MIBS 评分也随之增加(较高的 MIBS=较低的联系)。此外,VBS 评分对 MIBS 评分的影响具有统计学意义(=0.042)。研究结果发现母亲对脆弱婴儿的感知与母婴联系之间存在显著相关性。随着脆弱婴儿感知的增加,母婴联系被认为减少了。我们推测,应评估 NICU 中婴儿母亲的母乳喂养自我效能感和母婴联系水平,并通过告知母亲有关新生儿的状况来减少脆弱感知,为其提供必要的支持。

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