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新生儿重症监护病房住院对母亲压力和依恋的影响:新生儿重症监护病房环境效应

The Effect of Hospitalization in the Neonatal Intensive Care Unit on Maternal Stress and Attachment: Neonatal Intensive Care Unit Environment Effect.

作者信息

Şahbudak Begüm, Karabulut Birol

机构信息

Department of Child and Adolescent Psychiatry, Manisa City Hospital, Manisa, Türkiye.

Neonatal Intensive Care Unit, Çamlıca Medicana Hospital, İstanbul, Türkiye.

出版信息

Alpha Psychiatry. 2024 Jun 1;25(3):344-349. doi: 10.5152/alphapsychiatry.2024.231497. eCollection 2024 Jun.

Abstract

OBJECTIVE

This study investigated the effects of hospitalization in the neonatal intensive care unit (NICU) due to congenital pneumonia (CP) on maternal stress and attachment, focusing on how the duration of invasive and noninvasive mechanical ventilation, length of NICU stay, and postpartum breastfeeding initiation time influence mother-infant attachment.

METHODS

Conducted among 30 mothers of 3-month-old infants admitted to the NICU with CP and a control group (n = 30), it analyzed the impact of medical intervention durations and breastfeeding initiation on maternal stress and attachment using statistical methods.

RESULTS

The maternal stress in the NICU group was significantly higher than in the control group ( = .014). However, there was no significant difference between the groups in attachment scores ( = .141). The study revealed that longer invasive mechanical ventilation ( < .001) and NICU stay ( < .001) significantly increased maternal stress. Maternal stress ( < .001) and breastfeeding initiation time( < .001) exhibit a negative correlation with attachment scores ( < .001).

CONCLUSION

It is crucial to implement interventions aimed at reducing maternal stress and fostering maternal-infant attachment for mothers of newborns admitted to the NICU. The sustained application of these interventions post discharge holds significance for the mental health of mothers and mother-infant attachment.

摘要

目的

本研究调查了因先天性肺炎(CP)入住新生儿重症监护病房(NICU)对母亲压力和母婴依恋的影响,重点关注有创和无创机械通气的持续时间、NICU住院时间以及产后开始母乳喂养的时间如何影响母婴依恋。

方法

对30名因CP入住NICU的3个月大婴儿的母亲和一个对照组(n = 30)进行研究,使用统计方法分析医疗干预持续时间和开始母乳喂养对母亲压力和母婴依恋的影响。

结果

NICU组母亲的压力显著高于对照组(P = 0.014)。然而,两组在依恋得分上没有显著差异(P = 0.141)。研究表明,较长的有创机械通气时间(P < 0.001)和NICU住院时间(P < 0.001)显著增加了母亲的压力。母亲压力(P < 0.001)和开始母乳喂养时间(P < 0.001)与依恋得分呈负相关(P < 0.001)。

结论

对于入住NICU的新生儿母亲,实施旨在减轻母亲压力和促进母婴依恋的干预措施至关重要。出院后持续应用这些干预措施对母亲的心理健康和母婴依恋具有重要意义。

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The Role of Antenatal and Postnatal Maternal Bonding in Infant Development.产前和产后母婴结合对婴儿发育的作用。
J Am Acad Child Adolesc Psychiatry. 2022 Jun;61(6):820-829.e1. doi: 10.1016/j.jaac.2021.08.024. Epub 2021 Sep 20.

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