新生儿重症监护病房患儿母亲焦虑抑郁状况及相关因素分析

IF 3.9 4区 医学 Q1 PSYCHIATRY
Fen Xu, Ling-Ling Shi, Li Gao
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引用次数: 0

摘要

背景:新生儿出生后立即入住新生儿重症监护病房(NICU),因此母亲遭受母婴分离的痛苦。一些母亲担心孩子的病情会发生变化,担心可能出现的后遗症带来的不确定性和高昂的医疗费用,这些后遗症经常导致焦虑、抑郁和其他不良情绪。目的:了解新生儿重症监护病房新生儿母亲的焦虑、抑郁状况及其相关因素。方法:采用方便的抽样方法。研究对象为2023年1月至2024年7月苏州大学附属苏州第九医院新生儿重症监护室191例患儿的母亲。采用一般信息问卷、个人控制量表、焦虑自评量表和抑郁自评量表进行调查。分析新生儿重症监护病房患儿母亲焦虑、抑郁状况及其相关因素。结果:191例新生儿重症监护病房住院患儿中,母亲焦虑和抑郁的发生率分别为32.98%(63/191)和23.56%(45/191)。单因素分析显示,家庭月收入、个体控制感、患儿胎龄、患儿疾病数与患儿母亲在NICU的焦虑、抑郁程度相关(P < 0.05)。多因素logistic回归分析显示,家庭月收入< 5000元(RMB)、个体控制不良、胎龄< 32周、疾病数≥3种均是新生儿重症监护病房患儿母亲焦虑、抑郁的相关因素(P < 0.05)。结论:新生儿重症监护病房患儿母亲焦虑抑郁发生率高。新生儿科护理人员针对各相关因素制定干预措施,加强与患儿母亲的沟通与沟通,做好心理疏导工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of anxiety and depression status and related factors among mothers of children in neonatal intensive care unit.

Background: Newborns are immediately admitted to the neonatal intensive care unit (NICU) after birth, and thus mothers suffer from the pain of mother-infant separation. Some mothers worry about alterations in their child's condition and the uncertainty and high medical costs of possible sequelae, which frequently cause anxiety, depression, and other adverse emotions.

Aim: To investigate the anxiety and depression status of mothers of children in the NICU and its related factors.

Methods: A convenient sampling method is adopted. The research objects included the mothers of 191 children in the NICU of Suzhou Ninth Hospital Affiliated with Suzhou University from January 2023 to July 2024. The general information questionnaire, personal control scale, self-rating anxiety scale, and self-rating depression scale were utilized for investigation. Anxiety and depression status in mothers of children in the NICU and its related factors were analyzed.

Results: The incidences of maternal anxiety and depression among 191 hospitalized children in the NICU were 32.98% (63/191) and 23.56% (45/191), respectively. Single-factor analysis reveals that family monthly income, individual sense of control, gestational age of the child, and the number of diseases in the child are associated with the anxiety and depression experienced by the mother of the child in the NICU (P < 0.05). Multivariate logistic regression analysis revealed that family monthly income of < 5000 yuan (RMB), poor individual control, gestational age of < 32 weeks, and the number of diseases of ≥ 3 kinds are all related factors for anxiety and depression in mothers of children admitted to the NICU (P < 0.05).

Conclusion: Mothers of children admitted to the NICU demonstrated high anxiety and depression incidences. The nursing staff in the neonatal department established intervention measures for each related factor, strengthened communication and communication with the mother of the child, and did a good job in psychological counseling.

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来源期刊
自引率
6.50%
发文量
110
期刊介绍: The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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