袋鼠式护理对早产儿母亲紧张焦虑及亲职压力的影响  

Effects of kangaroo mother care on anxiety and parenting stress in premature mothers

作　　者：王帆 李玉 李胜玲[1] 刘艳红 孙彩霞[2] 胡永芳[2] Wang Fan;Li Yu;Li Shengling;Liu Yanhong;Sun Caixia;Hu Yongfang(Nursing College,Ningxia Medical University,Yinchuan 750004,China;Department of Neonatology,General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学护理学院,银川750004 [2]宁夏医科大学总医院新生儿科,银川750004

出　　处：《中华行为医学与脑科学杂志》2020年第1期74-78,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然科学基金项目(81660385)。

摘　　要：目的探讨袋鼠式护理对住院期间早产儿母亲紧张焦虑及亲职压力的影响。方法选取2018年1~12月在宁夏医科大学总医院出生并入住新生儿重症监护病房的早产儿的母亲230例,随机分为干预组(114例)和对照组(116例),对照组早产儿仅实施常规发育支持护理,干预组早产儿住院第2天在常规发育支持护理的基础上每天实施2 h的袋鼠式护理直至出院,并采用新生儿重症监护病房父母紧张焦虑评分量表、短式亲职压力量表对住院第2天(干预前)、第14天(干预后)两组早产儿母亲进行紧张焦虑、亲职压力的评价。结果住院第2天(干预前)两组早产儿母亲的紧张焦虑评分[干预组总分(3.65±0.91)分、对照组总分(3.63±0.91)分]、短式亲职压力量表各项[干预组总分(90.32±8.95)分、对照组总分(90.12±7.17)分]得分的差异无统计学意义(均P>0.05);住院第14天(干预后),干预组的紧张焦虑总分[(2.57±0.80)分,(3.47±0.93)分]及其各维度[第一部分(2.41±0.78)分,(3.81±0.73)分、第二部分(2.61±0.71)分,(3.14±0.83)分、第三部分(2.75±0.86)分,(3.57±1.06)分、第四部分(2.49±0.80)分,(3.35±0.94)分]得分均低于对照组(均P<0.01),短式亲职压力总分[(79.09±8.02)分,(89.46±8.74)分]及亲职愁苦[(32.32±9.48)分,(37.15±9.67)分]、亲子互动关系失调[(24.26±5.07)分,(27.34±5.26)分]、困难儿童[(22.51±4.88)分,(24.97±5.05)分]各维度得分均低于对照组(均P<0.01)。结论袋鼠式护理能够降低住院期间早产儿母亲紧张焦虑状况并有助于缓解早产儿母亲的亲职压力水平。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.

关 键 词：袋鼠式护理 早产儿 焦虑 亲职压力 

分 类 号：G[文化科学]