Asociación entre el vínculo madre-hijo y los síntomas depresivos en madres de la Unidad de Cuidados Intensivos Neonatales: estudio caso-control

IF 1.1 Q3 NURSING Enfermeria Intensiva Pub Date : 2022-10-01 DOI:10.1016/j.enfi.2021.07.003
A. Karamanou CNM, MSc , P. Varela CNM, MSc, PhD(c) , C. Nanou RN, RM, MSc, MPH, PhD , A. Deltsidou RN, RM, MSc, MPH, PhD
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Abstract

Objectives

Maternal perinatal depression has been associated with impaired mother-infant bonding. The adverse effect of this impaired bonding has been reported. This study aimed to investigate and compare the posnatal depressive symptoms and the mother-infant bonding in a Neonatal Intensive Care Unit (NICU) and of mothers with healthy newborns respectively. Secondly, was to explore the association between depressive symptomatology and bonding in both groups.

Methods

In this case study, mothers in the early pospartum period who gave birth in the same perinatal center of Greece were recruited to participate. The cases consisted of 88 mothers of neonates who were hospitalized in the NICU and controls were 100 mothers of full-term healthy neonates. For the collection of the data questionnaires including demographics and perinatal variables were used. For the bonding and posnatal assessment, the Mother to Infant Bonding Scale, the Postpartum Bonding Questionnaire, and the Hospital Anxiety and Depression Scale were used.

Results

There was a significant difference between the mean of bonding scores of NICU mothers and the control group (t = -2.696, P=.008). NICU mothers presented lower scores in bonding with the newborn compared to the control group and presented higher depression scores compared to those of controls (χ2 = 28.588, P=.000). The depression scores were correlated with bonding scores in both groups.

Discussion

A NICU admission has an impact on bonding and in some way interacts with maternal pospartum mental health, therefore more research is needed.

Conclusions

NICU mothers have been presented as more vulnerable than mothers of healthy infants since they expressed a lower mother-infant bonding and higher depression scores. The support of these vulnerable mothers and the facilitation of mother-infant bonding by the NICU staff is of utmost importance.

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新生儿重症监护病房母亲的母子关系与抑郁症状之间的关系:病例对照研究
目的母亲围产期抑郁与母婴关系受损有关。这种受损结合的不利影响已被报道。本研究旨在调查和比较新生儿重症监护病房(NICU)和健康新生儿母亲的产后抑郁症状和母婴关系。其次,探讨两组抑郁症状与亲子关系之间的关系。方法本研究选取在希腊同一围产期中心分娩的早产后产妇为研究对象。这些病例包括88名在新生儿重症监护室住院的新生儿母亲,对照组是100名足月健康新生儿的母亲。数据收集采用人口统计学问卷和围产期变量问卷。结合和产后评估采用母婴结合量表、产后结合问卷和医院焦虑抑郁量表。结果新生儿重症监护组母亲的结合评分均值与对照组比较,差异有统计学意义(t = -2.696, P= 0.008)。新生儿重症监护组母亲与新生儿的关系得分低于对照组,抑郁得分高于对照组(χ2 = 28.588, P= 0.000)。在两组中,抑郁得分与亲密得分相关。新生儿重症监护病房入住对亲子关系有影响,并在某种程度上与产妇产后心理健康相互作用,因此需要更多的研究。结论非重症监护室母亲比健康婴儿的母亲表现出更弱的脆弱性,因为他们表现出更低的母婴联系和更高的抑郁评分。新生儿重症监护室工作人员对这些脆弱母亲的支持和促进母婴关系至关重要。
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来源期刊
CiteScore
2.50
自引率
23.10%
发文量
48
期刊介绍: Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.
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