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新冠疫情是否影响早产儿母亲的压力水平?现有知识、预防策略和未来方向的叙述性综述。

Did the COVID-19 Pandemic Affect the Stress Levels among the Mothers of Premature Infants? A Narrative Review of the Present State of Knowledge, Prevention Strategies, and Future Directions.

机构信息

Chair and Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin, Poland.

出版信息

Int J Environ Res Public Health. 2024 Aug 19;21(8):1095. doi: 10.3390/ijerph21081095.

Abstract

Understanding COVID-19's effects on susceptible populations remains essential for clinical implementations. Our review aimed to examine whether the pandemic significantly impacted the stress levels in the mothers of premature infants in NICUs. The review of the literature from Google Scholar and PubMed resulted in identifying specific stressors such as the disruption of healthcare systems, limited access to neonatal care, uncertainty due to frequent changes in restrictions, the risk of COVID-19 infection, social isolation, and financial stress. While some quantitative studies concerning this topic did not show a significant increase in the perception of stress in this population compared to the pre-pandemic group, various research has indicated that the COVID-19 pandemic may result in enduring impacts on the emotional and neurological development of children. This article demonstrates a correlation between the repercussions of the COVID-19 pandemic and an elevated incidence of depressive symptoms among the mothers of premature infants. Further studies are needed to assess the long-term impact of pandemic-induced stress.

摘要

了解 COVID-19 对易感人群的影响对于临床实施仍然至关重要。我们的综述旨在研究大流行是否显著影响了 NICU 中早产儿母亲的压力水平。通过在 Google Scholar 和 PubMed 上对文献进行综述,确定了一些特定的应激源,例如医疗保健系统中断、新生儿护理机会有限、由于限制措施频繁变化而导致的不确定性、感染 COVID-19 的风险、社会隔离和经济压力。虽然一些关于这个主题的定量研究表明,与疫情前相比,这一人群对压力的感知并没有显著增加,但各种研究表明,COVID-19 大流行可能会对儿童的情绪和神经发育产生持久影响。本文表明 COVID-19 大流行的影响与早产儿母亲抑郁症状发生率的升高之间存在相关性。需要进一步的研究来评估大流行引起的压力的长期影响。

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