摘要
目的调查早产儿出院后母亲焦虑、抑郁的发生情况及其对母婴依恋的影响。方法选取入住NICU住院治疗后顺利出院的早产儿的母亲,采用焦虑自评量表、抑郁自评量表及母婴依恋量表进行调查。结果早产儿出院后母亲焦虑评分(38.93±9.15)分,抑郁评分(45.34±11.72)分,均显著高于全国成人常模。其中轻度焦虑14名(7.95%),中度焦虑7名(3.98%),重度焦虑1名(0.57%);轻度抑郁30名(17.04%),中度抑郁13名(7.39%),重度抑郁5名(2.84%)。母婴依恋与母亲焦虑、抑郁呈负相关(均P<0.05);焦虑组和无焦虑组母亲在愉悦感维度得分比较,差异具有统计学意义,抑郁组和无抑郁组母亲在母婴依恋关系总分、愉悦感和认同感维度得分比较,差异具有统计学意义(均P<0.05)。结论NICU早产儿出院后母亲焦虑抑郁处于较高水平,且影响母婴依恋水平。应重视对早产儿出院后母亲情绪状况的评估,并进行适当的干预,以促进早期母婴情感联结。
Objective To investigate the occurrence of mothers'anxiety and depression after premature babies'discharge and analyse their impacts on mother-infant attachment.Methods The mothers of premature infants who were discharged from the neonatal intensive care unit were enrolled in the survey by using the self-rating anxiety scale(SAS),self-rating depression scale(SDS)and maternal attachment inventory(MAI).Results The scores of depression(45.34±11.72)after premature infants discharge were(38.93±9.15)and(45.34±11.72),significantly higher than the national adult norm,respectively.Among them,14 had mild anxiety(7.95%),7 had moderate anxiety(3.98%),and 1 had severe anxiety(0.57%).30 had mild depression(17.04%),13 moderate(7.39%),and 5(2.84%)severe.Pearson correlation analysis showed that mother-infant attachment was significantly negatively correlated with anxiety and depression(both P<0.05).There was a statistically significant difference between the anxiety group and the non-anxiety group of premature mothers in the score of pleasure(P<0.05).The scores of total MAI,pleasure and identity of premature infants in the depression group and non-depression group were statistically significantly different(both P<0.05).Conclusions After premature infants are discharged from hospital,the mother's anxiety and depression are at a high level,which lowers the level of mother-infant attachment.Attention should be paid to the assessment of the emotional status of mothers after their premature infants are discharged,and appropriate interventions should be made to promote early mother-infant attachment.
作者
雷莉
尹华英
谭巨丹
罗爽
Lei Li;Yin Huaying;Tan Jvdan;Luo Shuang(Center of Child and Adolescent Growth,Development and Mental Health,National Clinical Research Center of Child Health and Diseases,Key Laboratory of Child Development and Disorder Research of Ministry of Education,Chongqing Key Laboratory of Child Nutrition and Health in Chongqing Municipal Key Laboratory,400014,China)
出处
《现代临床护理》
2020年第12期7-13,共7页
Modern Clinical Nursing
基金
重庆市教委护理学"十三五"重点学科资助项目,项目编号为2019hlxk03
重庆市2020年科卫联合医学科研项目,项目编号为2020MSXM019。
关键词
早产儿
母亲情绪
焦虑
抑郁
母婴依恋
premature
mothers'emotion
anxiety
depression
mother-infant attachment
