[1]罗爽,尹华英,王海梅.新生儿重症监护室早产儿出院后母婴情感联结现况及影响因素研究[J].军事护理,2022,39(03):57-61.[doi:10.3969/j.issn.1008-9993.2022.03.014]
　LUO Shuang,YIN Huaying,WANG Haimei.Status Quo of Mother-Infant Affective Bonding after Preterm Infants Discharged from NICU and Its Influencing Factors[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(03):57-61.[doi:10.3969/j.issn.1008-9993.2022.03.014]
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新生儿重症监护室早产儿出院后母婴情感联结现况及影响因素研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年03期
页码:
57-61
栏目:
研究荟萃
出版日期:
2022-03-15

文章信息/Info

Title:
Status Quo of Mother-Infant Affective Bonding after Preterm Infants Discharged from NICU and Its Influencing Factors
文章编号:
1008-9993(2022)03-0057-05
作者:
罗爽; 尹华英; 王海梅
(重庆医科大学附属儿童医院 儿童青少年生长发育和心理健康中心,重庆 400014)
Author(s):
LUO Shuang; YIN Huaying; WANG Haimei
(Children and Adolescent Growth and Mental Health Center,Children's Hospital of Chongqing Medical University,Chongqing 400014,China)
关键词:
新生儿重症监护室;  早产儿;  出院后;  母婴情感联结;  影响因素
Keywords:
NICU;  preterm infants;  post-discharge;  mother-infant affective bonding;  influencing factors
分类号:
R473.72
DOI:
10.3969/j.issn.1008-9993.2022.03.014
文献标志码:
A
摘要:
目的 探究新生儿重症监护室(neonatal intensive care unit,NICU)早产儿出院后母婴情感联结的现状及其影响因素。方法 2020年7月至2021年1月,采用便利抽样选取重庆某三级儿童医院379名早产儿的父母为研究对象,采用一般情况调查表、焦虑和抑郁自评量表、母婴依恋量表、家庭功能量表对其进行调查。结果 NICU早产儿出院后母婴情感联结总分为(78.61±14.76)分,母婴情感联结总分与父亲焦虑、父亲抑郁、母亲焦虑、母亲抑郁、家庭功能总分均呈负相关(r=-0.189～-0.336,均P<0.01); 分娩方式、家庭带养人、家庭月收入、父母抑郁、问题解决、情感反应是影响母婴情感联结的主要因素(均P<0.05)。结论 NICU早产儿出院后母婴情感联结的建立受多种因素影响,医护人员在关注患儿生活护理及疾病康复的同时,也应重视母婴间情感联结的建立,采取措施巩固母婴关系,以促进早产儿心理行为的发展。
Abstract:
Objective To explore the status quo of mother-infant affective bonding after preterm infants discharged from neonatal intensive care unit(NICU)and its influencing factors.Methods Convenient sampling method was used to select 379 parents of premature infants from a tertirary children's hospital in Chongqing from July,2020 to January,2021.The general information questionnaire,Self-rating Anxiety Scale,Self-rating Depression Scale,Chinese version of Maternal Attachment Inventory and Family Assessment Device were used for investigation.Results The total score of mother-infant affective bonding after preterm infants discharged from NICU was(78.61±14.76),which was negatively correlated with the scores of father's anxiety,father's depression,mother's anxiety,mother's depression and family function(r=-0.189～-0.336,all P<0.01).The delivery mode,main caregiver,family monthly income,parental depression,problem solving and affective responsiveness were the main influencing factors of mother-infant affective bonding(all P<0.05).Conclusions Establishment of mother-infant affective bonding after preterm infants discharged from NICU may be influenced by multiple factors.Medical staff should pay attention to the daily care and disease rehabilitation of infants,as well as the establishment of mother-infant affective bonding.Measures should be taken to strengthen mother-infant relationships,so as to promote the development of preterm infants' psychological behaviors.

参考文献/References:

[1] 于颖,张巍.母婴依恋的相关因素[J].中国妇幼健康研究,2015,26(1):153-154.
[2] BOWLBY J.Attachment and loss:retrospect and prospect[J]. Am J Orthopsychiatry,1982,52(4):664-678.
[3] LOE I M,HELLER N A,Chatav M.Behavior problems and executive function impairments in preterm compared to full term preschoolers[J/OL].[2021-11-08]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6856007/.DOI:10.1016/j.earlhumdev.2019.01.014.
[4] SALOMÈ S,MANSI G,LAMBIASE C V,et al.Impact of psychological distress and psychophysical wellbeing on posttraumatic symptoms in parents of preterm infants after NICU discharge[J/OL].[2022-01-24]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8785440/.DOI:10.1186/s13052-022-01202-z.
[5] 毋嫘,邓林涛,柳杏娟,等.原生家庭功能和共依附对亲密关系质量的影响:一个有调节的中介模型[J].心理科学,2019,42(4):898-904.
[6] 雷莉,尹华英,谭巨丹,等.NICU早产儿住院期间母婴依恋关系现状及影响因素研究[J].护理学杂志,2020,35(24):77-80.
[7] ZUNG W W.A self-rating depression scale[J].Arch Gen Psychiatry,1965,12(1):63-70.
[8] 段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[9] ZUNG W W.A rating instrument for anxiety disorders[J].Psychosomatics,1971,12(6):371-379.
[10]MÜLLER M E.A questionnaire to measure mother-to-infant attachment[J].J Nurs Meas,1994,2(2):129-141.
[11]CHEN C J, SUNG H C, CHEN Y C, et al.The development and psychometric evaluation of the Chinese version of the maternal attachment inventory[J].J Clin Nurs,2013,22(19-20):2687-2695.
[12]李荣风,徐夫真,纪林芹,等.家庭功能评定量表的初步修订[J].中国健康心理学杂志,2013,21(7):996-1000.
[13]张明园,何燕玲.精神科评定量表手册[M].2版.长沙:湖南科学技术出版社,2015:161-190.
[14]MOTEGI T,WATANABE Y, FUKUI N,et al.Depression, anxiety and primiparity are negatively associated with mother-infant bonding in Japanese mothers[J/OL].[2020-12-14]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7751780/.DOI:10.2147/NDT.S287036.
[15]NORCROSS P L,BAILES L G,LEERKES E.Effects of maternal depressive symptoms on sensitivity to infant distress and non-distress: role of ses and race[J/OL].[2020-10-19]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7736476/.DOI:10.1016/j.infbeh.2020.101498.
[16]WINTER L,COLDITZ P B,SANDERS M R, et al.Depression, posttraumatic stress and relationship distress in parents of very preterm infants[J].Arch Womens Ment Health,2018,21(4):445-451.
[17]庄幼青,蒋翠婷,曾丽玲,等.产妇心理弹性在产后负性生活事件与产后抑郁间的中介效应[J].,2021,38(12):18-21.
[18]WEAVER J M,SCHOFIELD T J,PAPP L M.Breastfeeding duration predicts greater maternal sensitivity over the next decade[J].Dev Psychol,2018,54(2):220-227.
[19]德吉曲宗,旦增顿珠,罗布占堆,等.拉萨市藏族青少年父母教养方式及影响因素调查[J].中国公共卫生,2018,34(12):1687-1691.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-11-08 【 修回日期 】 2022-02-11
【 基金项目 】 重庆市教委护理学“十三五”重点学科资助项目(2019hlxk03); 重庆市2020年科卫联合医学科研项目(2020MSXM019)
【 作者简介 】 罗爽,硕士在读,护士,从事儿科护理、儿童生长发育相关研究
【 通信作者 】 尹华英,电话:023-68370554
更新日期/Last Update: 2022-03-15