住院早产儿父母需求与社会支持状况调查
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摘要
目的:探讨住院早产儿父母需求与社会支持的差异,为针对患儿父亲和母亲进行个体化干预提供依据。方法:选择住院早产儿父亲和母亲各100例,采用新生儿监护室患儿家长需求量表(NI CU-FNI)调查患儿父母需求水平,通过社会支持评定量表(SSRS)调查患儿父母社会支持状况。结果:住院早产儿父亲组NI CU-FNI量表中信息需求值为(3. 71±0. 46)分,高于母亲组的(3. 49±0. 50)分,亲近需求值为(3. 52±0. 43)分,低于母亲组的(3. 67±0. 35)分;SSRS客观支持得分为(8. 5±2. 6)分,低于母亲组的(9. 6±2. 5)分,社会支持利用度得分为(8. 6±1. 9)分,高于母亲组的(8. 0±2. 1)分,差异均有统计学意义(P<0. 05)。结论:住院早产儿父亲具有更为理性的问题导向特点,偏重信息需求,应加强信息支持为主的客观支持;母亲具有相对感性的情感导向特点,偏重亲近需求,应加强负性情绪的心理干预。
Objective: To provide the reference for individualized nursing intervention for the children's parents by discussing the difference among social support conditions and the needs of the parents of hospitalized preterm infants. Methods: A total of 100 fathers and 100 mothers of hospitalized preterm infants were selected, and the levels of the parents' needs were investigated by neonatal intensive care unit-family need inventory(NICU-FNI), and the social support needs of the chidlren's parents were surveyed by social support revalued scale(SSRS). Results:Information requirement score of NICU-FNI in father group was(3.71±0.46) points, higher than(3.49±0.50) points of mother group, propinquity requirement score was(3.52±0.43) points, lower than(3.67±0.35) points of the mother group, objective support score of SSRS was(8.5±2.6) points, lower than(9.6±2.5) of the mother group, social support utilization score was(8.6±1.9) points, higher than(8.0±2.1) points of the mother group, and the difference had statistical meaning(P <0.05). Conclusion: The father of hospitalized preterm infants has more rational problem-oriented feature, and has a bias towards information requirement, we should enhance information support mainly; the mother possesses relatively sensitive emotion-oriented feature, and has a bias towards propinquity requirement, we should strengthen psychological interventions of negative emotions.
Objective: To provide the reference for individualized nursing intervention for the children's parents by discussing the difference among social support conditions and the needs of the parents of hospitalized preterm infants. Methods: A total of 100 fathers and 100 mothers of hospitalized preterm infants were selected, and the levels of the parents' needs were investigated by neonatal intensive care unit-family need inventory(NICU-FNI), and the social support needs of the chidlren's parents were surveyed by social support revalued scale(SSRS). Results:Information requirement score of NICU-FNI in father group was(3.71±0.46) points, higher than(3.49±0.50) points of mother group, propinquity requirement score was(3.52±0.43) points, lower than(3.67±0.35) points of the mother group, objective support score of SSRS was(8.5±2.6) points, lower than(9.6±2.5) of the mother group, social support utilization score was(8.6±1.9) points, higher than(8.0±2.1) points of the mother group, and the difference had statistical meaning(P <0.05). Conclusion: The father of hospitalized preterm infants has more rational problem-oriented feature, and has a bias towards information requirement, we should enhance information support mainly; the mother possesses relatively sensitive emotion-oriented feature, and has a bias towards propinquity requirement, we should strengthen psychological interventions of negative emotions.
引文
[1]Duraes MI,Flor-DE-Lima F,Rocha G,et al.Morbidity and mortality of preterm infants less than 26 weeks of gestational age[J].Minerva Pediatr,2016,10(7):1-12.
[2]Welch MG,Halperin MS,Austin J,et al.Depression and anxiety symptoms of mothers of preterm infants are decreased¨at 4 months corrected age with Family Nurture Intervention in the NICU[J].Arch Womens Ment Health,2016,19(1):51-61.
[3]何利,谭彦娟,黑明燕.新生儿重症监护病房实施家庭参与式综合管理对住院早产儿母亲紧张焦虑情绪影响的自身前后对照研究[J].中国循证儿科杂志,2015,10(6):409-413.
[4]张帅,刘彦慧,刘永胜,等.中文版新生儿重症监护室患儿家长需求量表的信效度检验[J].中华护理杂志,2016,51(6):686-691.
[5]刘继文,李富业,连玉龙.社会支持评定量表的信度效度研究[J].新疆医科大学学报,2008,31(1):1-3.
[6]Pace CC,Spittle AJ,Molesworth CM,et al.Evolution of depression and anxiety symptoms in parents of very preterm infants during the newborn period[J].JAMA Pediatr,2016,170(9):863-870.
[7]Shaw RJ,Lilo EA,Storfer-Isser A,et al.Screening for symptoms of postpartum traumatic stress in a sample of mothers with preterm infants[J].Issues Ment Health Nurs,2014,35(3):198-207.
[8]Ghorbani M,Dolatian M,Shams J,et al.Anxiety,post-Traumatic stress disorder and social supports among parents of premature and full-Term infants[J].Iran Red Crescent Med J,2014,16(3):13461.
[9]吴文静,薛阿丽.NICU住院患儿父母需求调查分析[J].临床护理杂志,2016,15(4):54-56.
[10]Kim HN,Wyatt TH,Li X,et al.Use of social media by fathers of premature infants[J].J Perinat Neonatal Nurs,2016,30(4):359-366.
[11]Gao LL,Chan SW,Mao Q.Depression,perceived stress,and social support among first-time Chinese mothers and fathers in the postpartum period[J].Res Nurs Health,2009,32(1):50-58.
[12]Mok E,Leung SF.Nurses as providers of support for mothers of premature infants[J].J Clin Nurs,2006,15(6):726-734.
[2]Welch MG,Halperin MS,Austin J,et al.Depression and anxiety symptoms of mothers of preterm infants are decreased¨at 4 months corrected age with Family Nurture Intervention in the NICU[J].Arch Womens Ment Health,2016,19(1):51-61.
[3]何利,谭彦娟,黑明燕.新生儿重症监护病房实施家庭参与式综合管理对住院早产儿母亲紧张焦虑情绪影响的自身前后对照研究[J].中国循证儿科杂志,2015,10(6):409-413.
[4]张帅,刘彦慧,刘永胜,等.中文版新生儿重症监护室患儿家长需求量表的信效度检验[J].中华护理杂志,2016,51(6):686-691.
[5]刘继文,李富业,连玉龙.社会支持评定量表的信度效度研究[J].新疆医科大学学报,2008,31(1):1-3.
[6]Pace CC,Spittle AJ,Molesworth CM,et al.Evolution of depression and anxiety symptoms in parents of very preterm infants during the newborn period[J].JAMA Pediatr,2016,170(9):863-870.
[7]Shaw RJ,Lilo EA,Storfer-Isser A,et al.Screening for symptoms of postpartum traumatic stress in a sample of mothers with preterm infants[J].Issues Ment Health Nurs,2014,35(3):198-207.
[8]Ghorbani M,Dolatian M,Shams J,et al.Anxiety,post-Traumatic stress disorder and social supports among parents of premature and full-Term infants[J].Iran Red Crescent Med J,2014,16(3):13461.
[9]吴文静,薛阿丽.NICU住院患儿父母需求调查分析[J].临床护理杂志,2016,15(4):54-56.
[10]Kim HN,Wyatt TH,Li X,et al.Use of social media by fathers of premature infants[J].J Perinat Neonatal Nurs,2016,30(4):359-366.
[11]Gao LL,Chan SW,Mao Q.Depression,perceived stress,and social support among first-time Chinese mothers and fathers in the postpartum period[J].Res Nurs Health,2009,32(1):50-58.
[12]Mok E,Leung SF.Nurses as providers of support for mothers of premature infants[J].J Clin Nurs,2006,15(6):726-734.