新生儿监护病房出院后早产儿母婴依恋状况调查及影响因素分析  

A survey on the mother-infant attachment status and its influence factors of premature infants after discharge from the neonatal intensive care unit

作　　者：宋远洁 陆静 徐艳龙 王晶晶 眭建[1] SONG Yuanjie;LU Jing;XU Yanlong;WANG Jingjing;SUI Jian(School of Medicine,Jiangsu University,Zhenjiang,Jiangsu Province,212013;Anhui Medical University First Affiliated Hospital,Hefei;Jiangsu University Affiliated Hospital)

机构地区：[1]江苏大学医学院,镇江212013 [2]安徽医科大学第一附属医院北区 [3]江苏大学附属医院

出　　处：《中国计划生育学杂志》2025年第3期548-554,共7页Chinese Journal of Family Planning

摘　　要：目的:调查新生儿监护病房(NICU)出院后早产儿母婴依恋水平及其影响因素。方法:选取2022年2月-2024年2月本院NICU治疗后出院的早产儿及其母亲为研究对象,采用一般资料调查表、中文版母婴依恋量表(CMAI)、焦虑自评量表(SAS)、家庭功能量表(FAD)、照顾者积极感受量表(PAC)、抑郁自评量表(SDS)进行问卷调查。Pearson分析NICU出院后早产儿母亲SAS、SDS、FAD、PAC评分与母婴依恋水平关系,多重线性回归分析影响因素。结果:问卷176例调查,回收有效问卷156份,问卷合格率88.6%。CMAI总分77.58±13.24分,条目均分得分从高到低依次为爱婴儿、愉悦感、识别、理解婴儿维度。Pearson相关性分析显示,NICU出院后早产儿母亲SAS、SDS、FAD评分与CMAI评分均呈负相关,PAC评分与CMAI评分呈正相关(均P<0.05)。多重线性回归分析显示,家庭月收入≥6000元、SAS评分高、SDS评分高、FAD评分高可负向影响NICU出院后早产儿母婴依恋水平,PAC评分高、带养方式(母亲独自带养)、喂养方式(纯母乳喂养)、自然分娩对NICU出院后早产儿母婴依恋水平有正向影响(均P<0.05)。结论:NICU出院后早产儿母亲焦虑、抑郁、积极感受、家庭功能、家庭月收入、分娩方式、喂养方式、带养方式均对母婴依恋水平有影响,临床可根据相关因素针对性开展干预,改善母婴依恋水平。Objective:To investigate the levels of the maternal-infant attachment of preterm infants after discharge from the neonatal intensive care unit(NICU),and to analyze its influencing factors.Methods:The study included the preterm infants who were discharged from the NICU of the hospital and their mothers between February 2022 and February 2024.The questionnaire survey was conducted through the general information questionnaire,the Chinese version of the Chinese version of maternal attachment inventory(CMAI),the self-rating anxiety scale(SAS),the family assessment device(FAD),the positive affectivity Caregiver(PAC)scale and the self-rating depression scale(SDS).Pearson correlation analysis was used to examine the correlation between the maternal SAS,SDS,FAD,and PAC scores and the maternal-infant attachment level.Multiple linear regression analysis was employed to identify the factors influencing maternal-infant attachment.Results:A total of 176 questionnaires were distributed,and 156 valid responses were received,with the valid response rate of 88.6%.The total CMAI score of the women was 77.58±13.24 points,with the item scores of CMAI of the women from highest item of love for the baby,pleasure,recognition,to the lowest item of understanding of the baby.Pearson correlation analysis revealed that the SAS,SDS,and FAD scores of the women with the infants discharged from NICU were negatively correlated with their CMAI score,while the PAC score of the women was positively correlated with their CMAI score(P<0.05).Multiple linear regression analysis identified that the family monthly income and the high maternal SAS,SDS,and FAD scores affected negatively by the level of the mother-infant attachment of the premature infants after discharge from NICU.The high PAC score,the rearing mode(mother alone),the feeding mode(exclusive breastfeeding)and the natural delivery had the positive effects on the mother-infant attachment of the preterm infants after discharge from NICU(all P<0.05).Conclusion:The maternal anxiety,depression an

关 键 词：早产儿 新生儿监护病房 出院后 母婴依恋 母亲积极感受 影响因素 

分 类 号：R47[医药卫生—护理学]