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巴基斯坦卡拉奇一家私立三级护理医院中早产儿母亲的压力及其相关因素:一项分析性横断面研究。

Stress and its associated factors in mothers with preterm infants in a private tertiary care hospital of Karachi, Pakistan: an analytical cross-sectional study.

机构信息

School of Nursing and Midwifery, The Aga Khan University School of Nursing and Midwifery Pakistan, Karachi, Pakistan

The Aga Khan University, Karachi, Sindh, Pakistan.

出版信息

BMJ Open. 2024 Nov 20;14(11):e091117. doi: 10.1136/bmjopen-2024-091117.

Abstract

OBJECTIVES

This goal of this research is to present a comprehensive method for evaluating stress and the factors that contribute to it in mothers of premature babies.

DESIGN

Analytical cross-sectional study.

SETTING

Data were collected from inpatient service for preterm infants including neonatal intensive care unit, and neonatal step-down units of the Aga Khan University Hospital-a private tertiary care hospital in Karachi, Pakistan.

PARTICIPANTS

Mothers aged 18 years and above who delivered preterm infants (gestational age of preterm below 37 weeks) in a private tertiary care hospital in Karachi, Pakistan.

PRIMARY OUTCOME

Stress in mothers of preterm infants.

RESULTS

200 participants with a mean age of 30.12 years (SD ±5.21) were assessed. The level of stress identified using the perceived stress scale (PSS) among mothers who had delivered preterm infants was significantly higher as compared with other countries around the world. Based on the criteria of PSS scoring, the majority of the participants (92%, n=184) were categorised as having high perceived stress and 8% (n=16) of the mothers fell into the category of moderate stress.

CONCLUSIONS

The study findings suggest high levels of perceived stress among mothers of preterm infants. The factors associated with the stress among mothers of preterm infants included immunisation of newborn, education and occupation status of mothers, substance abuse by mother, gender preference from family, planning for further children, consumption of balance diet, education status of husband, mode of socialisation, years of marriage and hours of sleep.

摘要

目的

本研究旨在提出一种综合的方法来评估早产儿母亲的压力及其影响因素。

设计

分析性横断面研究。

地点

在巴基斯坦卡拉奇的 Aga Khan 大学医院(一家私立的三级保健医院)的早产儿住院服务处,包括新生儿重症监护病房和新生儿降级病房,收集数据。

参与者

年龄在 18 岁及以上的、在巴基斯坦卡拉奇一家私立三级保健医院分娩早产儿(早产胎龄低于 37 周)的母亲。

主要结局

早产儿母亲的压力。

结果

评估了 200 名平均年龄为 30.12 岁(SD±5.21)的参与者。使用感知压力量表(PSS)识别出的早产儿母亲的压力水平明显高于世界其他国家。根据 PSS 评分标准,大多数参与者(92%,n=184)被归类为具有高感知压力,8%(n=16)的母亲属于中度压力。

结论

研究结果表明早产儿母亲的压力水平较高。与早产儿母亲压力相关的因素包括新生儿免疫接种、母亲的教育和职业状况、母亲的物质滥用、家庭的性别偏好、对进一步生育孩子的计划、均衡饮食的摄入、丈夫的教育状况、社交方式、结婚年限和睡眠时间。

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