以家庭为中心的教育对入住新生儿重症监护病房（NICU）的早产儿母亲创伤后应激症状的影响。
The effect of family-centered education on posttraumatic stress symptoms in mothers of premature infants hospitalized in the NICU.
作者信息
Rajabzadeh Zahra, Yoosefi Naser, Navidian Ali, Kordsalarzehi Fatemeh
机构信息
Department of Midwifery, Nursing and Midwifery School, Zahedan University of Medical Sciences, Zahedan, Iran.
Department of Counseling and Psychology, University of Kurdistan, Kurdistan, Iran.
出版信息
J Educ Health Promot. 2024 Jul 5;13:173. doi: 10.4103/jehp.jehp_332_23. eCollection 2024.
BACKGROUND
Premature infant hospitalization in the neonatal intensive care unit (NICU) is considered a traumatic event for mothers. It is critical to provide instructions and support to couples to help them emotionally adapt and reduce posttraumatic stress. The aim of the present study was to determine the effect of family-centered education on posttraumatic stress in mothers of premature infants hospitalized in the NICU.
MATERIALS AND METHODS
The present study was a quasiexperimental study. The parents of 80 premature infants admitted to the NICU ward of a hospital in southeastern of Iran in 2020 were divided into two groups of 40 intervention and control. The intervention group received five sessions of family-centered program on daily basis with an average of 60 minutes per session; sessions were held in the presence of both couples and for each couple separately. The control group received only training and usual care. Six weeks after intervention, information was collected using the posttraumatic stress disorder checklist. Data were analyzed using the paired -test, independent -test, Chi-square test, and covariance analysis.
RESULTS
The intervention and control groups' mean posttraumatic stress scores before family-centered care were 49.65 ± 8.73 and 55.45 ± 10.39, respectively. Six weeks after the intervention the score decreased significantly to 32.75 ± 6.05 and 44.82 ± 6.53. Also, the mean score changes in the intervention group (-16.90 ± 7.69) were significantly higher than those in the control group (-10.63 ± 6.12).
CONCLUSIONS
Family-centered education has a positive effect on reducing the severity of posttraumatic stress in mothers of premature infants admitted to NICU.
背景
新生儿重症监护病房（NICU）中早产儿的住院治疗被认为对母亲来说是一个创伤性事件。为夫妻提供指导和支持以帮助他们在情感上适应并减轻创伤后应激至关重要。本研究的目的是确定以家庭为中心的教育对入住NICU的早产儿母亲创伤后应激的影响。
材料与方法
本研究为半实验性研究。2020年入住伊朗东南部一家医院NICU病房的80名早产儿的父母被分为干预组和对照组，每组40人。干预组每天接受五节以家庭为中心的课程，平均每节60分钟；课程在夫妻双方在场以及单独为每对夫妻授课的情况下进行。对照组仅接受培训和常规护理。干预六周后，使用创伤后应激障碍检查表收集信息。数据采用配对t检验、独立t检验、卡方检验和协方差分析进行分析。
结果
在以家庭为中心的护理之前，干预组和对照组的创伤后应激平均得分分别为49.65±8.73和55.45±10.39。干预六周后，得分显著下降至32.75±6.05和44.82±6.53。此外，干预组的平均得分变化（-16.90±7.69）显著高于对照组（-10.63±6.12）。
结论
以家庭为中心的教育对降低入住NICU的早产儿母亲创伤后应激的严重程度有积极作用。
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