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对入住三级护理新生儿重症监护病房(NICU)的新生儿父母的压力和焦虑评估。

Assessment of Stress and Anxiety in Parents of Neonates Admitted in a Tertiary Care Neonatal Intensive Care Unit (NICU).

作者信息

Joshi Aayushi, Agarwal Bindu, Saini Vasu, Javvaji Chaitanya Kumar

机构信息

Pediatrics, Graphic Era Institute of Medical Sciences, Dehradun, IND.

Pediatrics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, IND.

出版信息

Cureus. 2024 Aug 3;16(8):e66100. doi: 10.7759/cureus.66100. eCollection 2024 Aug.

DOI:10.7759/cureus.66100
PMID:39229424
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11370969/
Abstract

Background A newborn's admission into the Neonatal Intensive Care Unit (NICU) is one unexpected event capable of causing much stress and anxiety among parents. The current study aims to evaluate and compare parental stress and anxiety levels between mothers and fathers. Methodology This cross-sectional study was conducted in the NICU of a tertiary care center, in Uttarakhand where a total of 306 mothers and fathers were enrolled. Data was compiled using a questionnaire consisting of demographic details of parents and infants' clinical profiles, Parental Stressor Scale (PSS) NICU, and State-Trait Anxiety Inventory (STAI) scales were used to evaluate stress and anxiety, respectively. Results Mothers mean stress levels were greater and statistically significant. The most affected subscale in both parents was the change in parental role (M: 4.4/F: 3.3; p < 0.001). Parents with high trait anxiety also had high state anxiety (M: 51.3/F: 45.5; p < 0.001). Mothers were found to have higher trait and state anxiety than fathers. Conclusion Parents of newborns admitted in the NICU experience significant stress and anxiety. Mothers had higher levels of stress and anxiety; similar findings have been recorded previously in Indian and western literature.

摘要

背景

新生儿入住新生儿重症监护病房(NICU)是一件意想不到的事情,会给父母带来很大的压力和焦虑。本研究旨在评估和比较父母之间的压力和焦虑水平。方法:本横断面研究在北阿坎德邦一家三级护理中心的新生儿重症监护病房进行,共纳入306名母亲和父亲。使用一份包含父母人口统计学细节和婴儿临床资料的问卷收集数据,分别采用父母压力源量表(PSS)NICU和状态-特质焦虑量表(STAI)评估压力和焦虑。结果:母亲的平均压力水平更高且具有统计学意义。父母双方受影响最大的分量表是父母角色的变化(母亲:4.4/父亲:3.3;p<0.001)。特质焦虑高的父母状态焦虑也高(母亲:51.3/父亲:45.5;p<0.001)。发现母亲的特质焦虑和状态焦虑高于父亲。结论:入住新生儿重症监护病房的新生儿父母经历了显著的压力和焦虑。母亲的压力和焦虑水平更高;此前印度和西方文献也有类似的发现。

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本文引用的文献

1
Assessment of stress among parents of neonates admitted in the neonatal intensive care unit of a tertiary care hospital in Eastern India.对印度东部一家三级护理医院新生儿重症监护病房收治的新生儿父母的压力评估。
J Educ Health Promot. 2020 Oct 30;9:288. doi: 10.4103/jehp.jehp_169_20. eCollection 2020.
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Very preterm birth influences parental mental health and family outcomes seven years after birth.极早产会对婴儿出生 7 年后的父母心理健康和家庭状况产生影响。
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Adv Neonatal Care. 2010 Aug;10(4):200-3. doi: 10.1097/ANC.0b013e3181e946f0.
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Parenting stress in mothers after very preterm birth and the effect of the Infant Behavioural Assessment and Intervention Program.极早产母亲的育儿压力及婴儿行为评估与干预项目的效果
Child Care Health Dev. 2011 Mar;37(2):195-202. doi: 10.1111/j.1365-2214.2010.01119.x.
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Anxiety levels of mothers whose infants have been cared for in unit level-I of a neonatal intensive care unit in Turkey.土耳其一家新生儿重症监护病房 I 级护理单元中婴儿的母亲的焦虑水平。
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Parent stress in the neonatal intensive care unit and the influence of parent and infant characteristics.新生儿重症监护病房中的父母压力以及父母和婴儿特征的影响。
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