袋鼠妈妈护理对早产母亲焦虑和育儿压力的影响

Fan Wang, Yu Li, Shengling Li, Yanhong Liu, Cai-jiang Sun, Yongfang Hu
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The premature infants in control group only implemented routine developmental support care.The premature infants in the intervention group was on the basis of routine developmental support care, 2 hours per day of kangaroo mother care was performed from the 2nd day incharge to discharge.Parental Stress Scale: Neonatal Intensive Care Unit and Parenting Stress Index-Short Form was performed using the 2nd day and the 14th day of hospitalization, and the two groups of premature mothers were evaluated for anxiety and parenting stress. \n \n \nResults \nThere were no significant differences in the scores of PSS: NICU((3.65±0.91) vs (3.63±0.91)) and PSI-SF((90.32±8.95) vs (90.12±7.17))(both P>0.05) between the two groups on the 2nd day of hospitalization (before intervention). 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引用次数: 3

摘要

目的探讨袋鼠妈妈护理对早产母亲住院期间焦虑和育儿压力的应用效果。方法自2018年1月至12月,宁夏医科大学总医院新生儿重症监护室收治230名早产母亲,随机分为干预组(n=114)和对照组(n=116)。对照组早产儿仅实施常规发育支持护理。干预组的早产儿在常规发育支持护理的基础上,从出生第2天到出院,每天进行2小时的袋鼠妈妈护理。父母压力量表:使用住院第2天和第14天进行新生儿重症监护室和父母压力指数简表,并评估两组早产母亲的焦虑和父母压力。结果两组住院第2天(干预前)新生儿重症监护室(NICU)评分(3.65±0.91)与PSI-SF评分(90.32±8.95)与(90.12±7.17)无显著性差异(均P>0.05)。在住院第14天(干预后),干预组PSS:NICU总分(2.57±0.80)vs(3.47±0.93)和各维度得分均低于对照组(第一部分(2.41±0.78)vs(3.81±0.73),第二部分(2.61±0.71)vs(3.14±0.83),PSI-SF总分(79.09±8.02)vs(89.46±8.74))、父母痛苦(32.32±9.48)vs(37.15±9.67)、亲子功能障碍互动(24.26±5.07)vs(27.34±5.26),干预组的难产评分((22.51±4.88)vs(24.97±5.05)均低于对照组(P<0.01)。关键词:袋鼠妈妈关爱;早产儿;焦虑;育儿压力
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Effects of kangaroo mother care on anxiety and parenting stress in premature mothers
Objective To investigate the application effect of kangaroo mother care on anxiety and parenting stress in premature mothers during hospitalization. Methods From January to December 2018, 230 premature mothers were admitted to the neonatal intensive care unit of Ningxia Medical University General Hospital.They were randomly divided into the intervention group(n=114) and the control group(n=116). The premature infants in control group only implemented routine developmental support care.The premature infants in the intervention group was on the basis of routine developmental support care, 2 hours per day of kangaroo mother care was performed from the 2nd day incharge to discharge.Parental Stress Scale: Neonatal Intensive Care Unit and Parenting Stress Index-Short Form was performed using the 2nd day and the 14th day of hospitalization, and the two groups of premature mothers were evaluated for anxiety and parenting stress. Results There were no significant differences in the scores of PSS: NICU((3.65±0.91) vs (3.63±0.91)) and PSI-SF((90.32±8.95) vs (90.12±7.17))(both P>0.05) between the two groups on the 2nd day of hospitalization (before intervention). On the 14th day of hospitalization (after intervention), the total scores ((2.57±0.80) vs (3.47±0.93))and each dimension scores of PSS: NICU in the intervention group were lower than those in the control group (first part (2.41±0.78) vs (3.81±0.73), second part (2.61±0.71) vs (3.14±0.83), third part (2.75±0.86) vs (3.57±1.06), fourth part(2.49±0.80) vs (3.35±0.94))(P<0.01). In addition, the total score of PSI-SF((79.09±8.02) vs (89.46±8.74)), parenting Distress((32.32±9.48) vs (37.15±9.67)), Parent-Child Dysfunctional Interaction((24.26±5.07) vs (27.34±5.26)), and Difficult Child scores((22.51±4.88) vs (24.97±5.05)) in the intervention group were lower than those in the control group(P<0.01). Conclusion Kangaroo mother care can reduce the anxiety of premature mothers during hospitalization and help relieve the parenting stress of premature mothers. Key words: Kangaroo mother care; Premature infant; Anxiety; Parenting stress
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期刊介绍: "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.
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