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NICU 患儿父母在出生后第一年的夫妻关系质量及其相关因素。

Quality of couple relationship and associated factors in parents of NICU-cared infants during the first year after birth.

机构信息

School of Health and Welfare, Dalarna University, Falun, Sweden.

Centre for Clinical Research Dalarna, Uppsala University, Uppsala, Sweden.

出版信息

J Perinatol. 2024 Dec;44(12):1738-1745. doi: 10.1038/s41372-024-02076-1. Epub 2024 Aug 3.

DOI:10.1038/s41372-024-02076-1
PMID:39097668
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11606921/
Abstract

OBJECTIVE

To describe factors associated with quality of couple relationships among parents of infants cared for in neonatal intensive care units (NICUs) 1 year after birth and examine the trajectory of the relationship quality compared to parents from maternity units (MUs).

STUDY DESIGN

Longitudinally comparative cohort design. Parents answered surveys during the first year after discharge about the couple relationship, social support, and depressive symptoms.

RESULTS

Better social support and a hospital stay of 7-14 days were positively associated with the couple relationship in NICU mothers, whereas not having slept together with the partner and infant during hospitalization were negatively associated. Depressive symptoms were negatively associated with the relationship among NICU fathers. There were no differences in trajectory of the relationship quality between NICU and MU parents.

CONCLUSION

To strengthen couple relationships, it could be important to improve social support, facilitate space and time for support, and enable togetherness during hospitalization.

摘要

目的

描述新生儿重症监护病房(NICU)中婴儿的父母在出生后 1 年内的夫妻关系质量的相关因素,并与来自产科病房(MUs)的父母进行比较,以观察其关系质量的变化轨迹。

研究设计

纵向比较队列设计。父母在出院后第一年期间回答了有关夫妻关系、社会支持和抑郁症状的调查。

结果

NICU 母亲的社会支持较好和住院时间为 7-14 天与夫妻关系呈正相关,而住院期间未与伴侣和婴儿同睡则呈负相关。抑郁症状与 NICU 父亲的关系呈负相关。NICU 和 MU 父母的关系质量变化轨迹没有差异。

结论

为了加强夫妻关系,可以通过改善社会支持、为支持提供空间和时间,并在住院期间促进团聚来实现。

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本文引用的文献

1
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Acta Paediatr. 2023 May;112(5):954-966. doi: 10.1111/apa.16735. Epub 2023 Mar 15.
2
Handling missing data in clinical research.临床研究中缺失数据的处理。
J Clin Epidemiol. 2022 Nov;151:185-188. doi: 10.1016/j.jclinepi.2022.08.016. Epub 2022 Sep 21.
3
Parents' friends and families in neonatal intensive care units: A cross-national qualitative study on staff perceptions and experiences.
新生儿重症监护病房中患儿父母的朋友和家人:一项关于医护人员认知与经历的跨国质性研究
J Clin Nurs. 2022 Nov;31(21-22):3120-3129. doi: 10.1111/jocn.16139. Epub 2021 Nov 23.
4
Fathers' experiences of supporting their partners during their preterm infant's stay in the neonatal intensive care unit: a multi-method study.父亲在早产婴儿入住新生儿重症监护病房期间支持伴侣的经历:一项多方法研究。
J Perinatol. 2022 Jun;42(6):714-722. doi: 10.1038/s41372-021-01195-3. Epub 2021 Sep 1.
5
Predictors of parental stress from admission to discharge in the neonatal special care unit.新生儿重症监护病房住院至出院期间父母压力的预测因素。
Child Care Health Dev. 2021 Mar;47(2):243-251. doi: 10.1111/cch.12829. Epub 2020 Nov 18.
6
Fair enough? Decreased equity of dyadic coping across the transition to parenthood associated with depression of first-time parents.说得通吗?与首次为人父母的抑郁相关的,是向为人父母过渡过程中二元应对能力的公平性下降。
PLoS One. 2020 Feb 19;15(2):e0227342. doi: 10.1371/journal.pone.0227342. eCollection 2020.
7
The Experiences of Parents in the Neonatal Intensive Care Unit: An Integrative Review of Qualitative Studies Within the Transactional Model of Stress and Coping.新生儿重症监护病房中父母的经历:基于压力与应对交互模型的质性研究的综合综述
J Perinat Neonatal Nurs. 2019 Oct/Dec;33(4):340-349. doi: 10.1097/JPN.0000000000000436.
8
Preterm birth as a risk factor for postpartum depression: A systematic review and meta-analysis.早产作为产后抑郁症的一个风险因素:一项系统评价和荟萃分析。
J Affect Disord. 2019 Dec 1;259:392-403. doi: 10.1016/j.jad.2019.08.069. Epub 2019 Aug 21.
9
Facilities for presence and provision of support to parents and significant others in neonatal units.新生儿病房中为父母和其他重要照顾者提供支持的设施。
Acta Paediatr. 2019 Dec;108(12):2186-2191. doi: 10.1111/apa.14948. Epub 2019 Sep 2.
10
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BMC Health Serv Res. 2019 Jan 15;19(1):37. doi: 10.1186/s12913-018-3854-7.