新生儿重症监护病房患儿母亲焦虑抑郁状况及相关因素分析
Analysis of anxiety and depression status and related factors among mothers of children in neonatal intensive care unit.
作者信息
Xu Fen, Shi Ling-Ling, Gao Li
机构信息
Department of Neonatology, Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou 215200, Jiangsu Province, China.
出版信息
World J Psychiatry. 2025 Mar 19;15(3):101748. doi: 10.5498/wjp.v15.i3.101748.
BACKGROUND
Newborns are immediately admitted to the neonatal intensive care unit (NICU) after birth, and thus mothers suffer from the pain of mother-infant separation. Some mothers worry about alterations in their child's condition and the uncertainty and high medical costs of possible sequelae, which frequently cause anxiety, depression, and other adverse emotions.
AIM
To investigate the anxiety and depression status of mothers of children in the NICU and its related factors.
METHODS
A convenient sampling method is adopted. The research objects included the mothers of 191 children in the NICU of Suzhou Ninth Hospital Affiliated with Suzhou University from January 2023 to July 2024. The general information questionnaire, personal control scale, self-rating anxiety scale, and self-rating depression scale were utilized for investigation. Anxiety and depression status in mothers of children in the NICU and its related factors were analyzed.
RESULTS
The incidences of maternal anxiety and depression among 191 hospitalized children in the NICU were 32.98% (63/191) and 23.56% (45/191), respectively. Single-factor analysis reveals that family monthly income, individual sense of control, gestational age of the child, and the number of diseases in the child are associated with the anxiety and depression experienced by the mother of the child in the NICU ( < 0.05). Multivariate logistic regression analysis revealed that family monthly income of < 5000 yuan (RMB), poor individual control, gestational age of < 32 weeks, and the number of diseases of ≥ 3 kinds are all related factors for anxiety and depression in mothers of children admitted to the NICU ( < 0.05).
CONCLUSION
Mothers of children admitted to the NICU demonstrated high anxiety and depression incidences. The nursing staff in the neonatal department established intervention measures for each related factor, strengthened communication and communication with the mother of the child, and did a good job in psychological counseling.
背景
新生儿出生后即被送入新生儿重症监护病房（NICU），母亲因此遭受母婴分离之苦。一些母亲担心孩子病情变化以及可能出现的后遗症的不确定性和高昂医疗费用，这常常引发焦虑、抑郁等不良情绪。
目的
调查NICU患儿母亲的焦虑和抑郁状况及其相关因素。
方法
采用便利抽样法。研究对象为2023年1月至2024年7月在苏州大学附属苏州第九医院NICU的191名患儿的母亲。使用一般资料问卷、个人控制量表、自评焦虑量表和自评抑郁量表进行调查。分析NICU患儿母亲的焦虑和抑郁状况及其相关因素。
结果
NICU中191名住院患儿的母亲焦虑和抑郁发生率分别为32.98%（63/191）和23.56%（45/191）。单因素分析显示，家庭月收入、个人控制感、孩子的孕周以及孩子的疾病种类与NICU患儿母亲的焦虑和抑郁有关（<0.05）。多因素logistic回归分析显示，家庭月收入<5000元（人民币）、个人控制感差、孕周<32周以及疾病种类≥3种均是NICU住院患儿母亲焦虑和抑郁的相关因素（<0.05）。
结论
NICU住院患儿的母亲焦虑和抑郁发生率较高。新生儿科室的护理人员针对各相关因素制定干预措施，加强与患儿母亲的沟通交流，做好心理疏导工作。
Zotero 插件