袋鼠式母亲护理联合护士辅助正念训练对减轻早产儿母亲 NICU 住院压力的效果：一项随机对照试验。

Effects of kangaroo mother care combined with nurse-assisted mindfulness training for reducing stress among mothers of preterm infants hospitalized in the NICU: a randomized controlled trial.

机构信息

Department of Neonatology, Fujian Children's Hospital, Fujian Branch of Shanghai Children's Medical Center, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.

Department of Neonatology, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.

出版信息

BMC Pediatr. 2024 Oct 2;24(1):628. doi: 10.1186/s12887-024-05075-5.

DOI:10.1186/s12887-024-05075-5

PMID:39358677

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11446036/

Abstract

BACKGROUND

Kangaroo mother care (KMC) can have a positive effect on the mental well-being of a mother. However, there are specific challenges associated with the process that may contribute to increased anxiety for the mother. By integrating nurse-assisted mindfulness training alongside KMC guidance, nurses may effectively alleviate maternal stress to a greater extent.

METHODS

A single-centre randomized controlled trial was conducted to investigate the effects of KMC combined with nurse-assisted mindfulness training. The study included preterm infants with a gestational age of less than 32 weeks or a birth weight of less than 1500 g and their mothers, who were randomly divided into two groups. The intervention group consisted of mothers who received KMC combined with nurse-assisted mindfulness training for 14 days. The control group comprised mothers who received only KMC for 14 days. Data from both groups were collected and compared for analysis.

RESULTS

Forty-seven infants and their mothers were included in the intervention group, whereas 44 pairs were included in the control group. After the intervention, the parental stressor scale scores for the neonatal intensive care unit (PSS: NICU) (3), PSS: NICU (4), and Hospital Anxiety and Depression Scale (HADS) scores for the intervention group were lower than those for the control group, whereas the Five Facet Mindfulness Questionnaire (FFMQ) (1), FFMQ (4), and FFMQ (5) scores for the intervention group were higher. The degree of change in the PSS: NICU and HADS scores was inversely correlated with the degree of change in the FFMQ score. The breast milk feed rate and weight gain rate were greater in the intervention group than in the control group. No adverse reactions were observed in either group.

CONCLUSIONS

Kangaroo mother care combined with nurse-assisted mindfulness training is an acceptable, feasible, and effective procedure for reducing anxiety in mothers of preterm infants in the NICU, with potential benefits for the short-term prognosis of these infants.

TRIAL REGISTRATION

Chinese Clinical Trial Registry, ChiCTR1900023697, registered on June 8, 2019, retrospectively registered.

摘要

背景

袋鼠式护理（KMC）可以对母亲的心理健康产生积极影响。然而，在这个过程中存在一些特定的挑战，可能会增加母亲的焦虑感。通过将护士辅助正念训练与 KMC 指导相结合，护士可以更有效地减轻母亲的压力。

方法

本研究采用单中心随机对照试验，调查 KMC 联合护士辅助正念训练的效果。研究对象为胎龄小于 32 周或出生体重小于 1500g 的早产儿及其母亲，将其随机分为两组。干预组的母亲接受 KMC 联合护士辅助正念训练 14 天，对照组的母亲仅接受 KMC 14 天。收集并比较两组数据进行分析。

结果

干预组有 47 对母婴，对照组有 44 对母婴。干预后，干预组新生儿重症监护病房父母应激源量表（PSS：NICU）（3）、PSS：NICU（4）和医院焦虑抑郁量表（HADS）评分低于对照组，而干预组五因素正念量表（FFMQ）（1）、FFMQ（4）和 FFMQ（5）评分高于对照组。PSS：NICU 和 HADS 评分的变化程度与 FFMQ 评分的变化程度呈负相关。干预组的母乳喂养率和体重增长率均高于对照组。两组均未观察到不良反应。