极低出生体重早产儿母亲疾病不确定感与家庭关怀度的关系  

Relationship between maternal disease uncertainty and family care of very low birth weight premature infants

作　　者：吴燕[1] 周菁鑫 王利维[1] WU Yan;ZHOU Jingxin;WANG Liwei(Department of Neonatology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai200092,China)

机构地区：[1]上海交通大学医学院附属新华医院新生儿科,上海200092

出　　处：《中国医药导报》2023年第9期101-104,共4页China Medical Herald

基　　金：上海交通大学医学院科技基金项目(Jyhz2205)。

摘　　要：目的分析极低出生体重早产儿母亲疾病不确定感与家庭关怀度的关系,为改善母亲疾病不确定感拓展干预途径。方法使用横断面调查研究的方法,便利抽取2020年6月至2021年12月上海交通大学医学院附属新华医院新生儿重症监护室接受治疗的115例极低出生体重早产儿的母亲进行调查。调查研究对象的疾病不确定感、家庭关怀度、焦虑和抑郁情绪;分析极低出生体重早产儿母亲疾病不确定感与家庭关怀度的关系;构建线性回归模型,分析极低出生体重早产儿母亲疾病不确定感的影响因素。结果共发放问卷115份,回收有效问卷108份,有效回收率为93.91%。108例早产儿母亲Mishel疾病不确定感量表家属量表(MUIS-FM)评分为(74.58±11.64)分;家庭关怀度指数问卷(APGAR)评分为7.00(6.00,7.00)分;焦虑自评量表(SAS)、抑郁自评量表(SDS)评分分别为(55.78±4.24)分、(53.49±4.15)分。极低出生体重早产儿母亲MUIS-FM评分与APGAR评分呈负相关性(r<0,P<0.05),与SAS、SDS评分呈正相关(r>0,P<0.05);APGAR评分与SAS、SDS评分呈负相关(r<0,P<0.05)。不同年龄、孕产史极低出生体重早产儿母亲MUIS-FM评分比较,差异有统计学意义(P<0.05)。APGAR评分、年龄、孕产史对极低出生体重早产儿母亲疾病不确定感造成影响(P<0.05);线性回归方程为:Y=78.998-1.529×APGAR评分+10.470×年龄+7.189×孕产史。结论极低出生体重早产儿母亲疾病不确定感与家庭关怀度有关,缺乏家庭关怀、高龄产妇、初产妇均能够增加母亲疾病不确定感。Objective To analyze the relationship between maternal disease uncertainty and family care of very low birth weight preterm infants,and to expand the intervention channels for improving maternal disease uncertainty.Methods A total of 115 mothers of very low birth weight preterm infants who were treated in the neonatal intensive care unit of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from June 2020 to December 2021 were investigated by cross-sectional investigation.The survey items included the uncertainty of disease,family care,anxiety,and depression;the relationship between maternal disease uncertainty and family care of very low birth weight premature infant were analyzed;a linear regression model was constructed to analyze the effect of family care on the maternal disease uncertainty of very low birth weight preterm infants.Results A total of 115 questionnaires were distributed,and 108 were effectively received,with effective recovery of 93.91%.The Mishel’s uncertainty in illness scale-family member form(MUIS-FM)score of 108 preterm mothers was(74.58±11.64)points.The family caring index questionnaire(APGAR)score was 7.00(6.00,7.00)points.self-rating anxiety scale(SAS)and self-rating depressive scale(SDS)scores were(55.78±4.24)points and(53.49±4.15)points respectively.There was a negative correlation between MUIS-FM score and APGAR score(r<0,P<0.05),and positively correlated with SAS and SDS scores(r>0,P<0.05);APGAR score was negatively correlated with SAS and SDS scores(r<0,P<0.05).There were significant differences in MUIS-FM score among different ages and gestational history in mothers of very low birth weight preterm infants(P<0.05).APGAR score,age,and pregnancy history had an impact on the maternal disease uncertainty of very low birth weight premature infants(P<0.05),linear regression equation:Y=78.998-1.529×APGAR score+10.470×age+7.189×pregnancy history. Conclusion The maternal disease uncertainty of very low birth weight premature infants is related to family

关 键 词：极低出生体重 早产儿 疾病不确定感 家庭关怀度 

分 类 号：R722.6[医药卫生—儿科]