NICU住院的早产儿父母感知需求及相关因素分析
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摘要
目的探讨NICU住院的早产儿父母感知需求及相关因素。方法选择2018年2月～7月我院NICU接受治疗的早产儿父母120例作为研究对象。采用一般情况调查表、特殊儿童需求评估量表汉化版及社会支持评定量表进行调查。结果本研究共发放问卷120份,回收问卷117份,有效回收率为97.50%。特殊儿童需求评估量表平均得分为(54.33±11.07)分。单因素分析结果显示,胎龄、胎儿体重、家属性别、文化程度、家庭月收入、居住地、工作状况及社会支持与NICU住院的早产儿父母感知需求显著相关(P<0.05)。经Logistic多因素回归分析结果显示,胎龄、家属性别、文化程度、居住地和社会支持为NICU住院的早产儿父母感知需求的独立影响因素(P<0.05)。结论 NICU住院的早产儿父母感知需求处于中等水平,与胎龄、家属性别、文化程度、居住地和社会支持有关,临床上应注意对上述因素进行干预。
Objective To explore the parents' perceived needs and related factors of premature infants hospitalized in NICU.Methods A total of 120 parents of premature infants who were treated in our hospital from February to July 2018 were enrolled.The questionnaire was used to conduct research.The questionnaire included:a self-made general survey,a special edition of the Special Needs Assessment Scale,and a Social Support Rating Scale.Results A total of 120 questionnaires were distributed in this survey,of which 117 were valid questionnaires,and the recovery rate was 97.50%.The averagescore of the Special Child Needs Assessment Scale(54.33±11.07).Univariate analysis showed that gestational age,fetal weight,family gender,education level,family monthly income,residence,working status and social support were significantly correlated with the perceived needs of parents of NICU hospitalized preterm infants(P<0.05).Multivariate logistic regression analysis showed that gestational age,family gender,education level,residence and social support were independentfactors influencing the parental awareness of preterm infants hospitalized in NICU(P<0.05).Conclusion The parents' perceived needs of premature infants enrolled in NICU are at a moderate level,which was related to gestational age,family status,education level,residence and social support.Clinical consideration should be given to intervere in these factors.
Objective To explore the parents' perceived needs and related factors of premature infants hospitalized in NICU.Methods A total of 120 parents of premature infants who were treated in our hospital from February to July 2018 were enrolled.The questionnaire was used to conduct research.The questionnaire included:a self-made general survey,a special edition of the Special Needs Assessment Scale,and a Social Support Rating Scale.Results A total of 120 questionnaires were distributed in this survey,of which 117 were valid questionnaires,and the recovery rate was 97.50%.The averagescore of the Special Child Needs Assessment Scale(54.33±11.07).Univariate analysis showed that gestational age,fetal weight,family gender,education level,family monthly income,residence,working status and social support were significantly correlated with the perceived needs of parents of NICU hospitalized preterm infants(P<0.05).Multivariate logistic regression analysis showed that gestational age,family gender,education level,residence and social support were independentfactors influencing the parental awareness of preterm infants hospitalized in NICU(P<0.05).Conclusion The parents' perceived needs of premature infants enrolled in NICU are at a moderate level,which was related to gestational age,family status,education level,residence and social support.Clinical consideration should be given to intervere in these factors.
引文
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[2] Lechner BE,Vohr BR.Neurodevelopmental Outcomes of Preterm Infants Fed Human Milk:A Systematic Review[J].Clin Perinatol,2017,44(1):69~83.
[3] Meier PP,Johnson TJ,Patel AL,et al.Evidence-Based Methods That Promote Human Milk Feeding of Preterm Infants:An Expert Review[J].Clin Perinatol,2017,44(1):1-22.
[4] Mimouni FB,Nathan N,Ziegler EE,et al.The Use of Multinutrient Human Milk Fortifiers in Preterm Infants:A Systematic Review of Unanswered Questions[J].Clin Perinatol,2017,44(1):173-178.
[5]苏晓娟,钱小芳,刘桂华,等.特殊儿童需求评估量表的汉化及在早产儿父母中的信效度检验[J].护理学杂志,2018,33(4):31-35.
[6]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.
[7] Rdn F,Silveira RC,Procianoy RS.Motor development of preterm infants assessed by the Alberta Infant Motor Scale:systematic review article[J].J Pediatr,2017,93(4):328-342.
[8]蒙婷婷,李亚玲.早产儿父母延续性护理需求状况调查与分析[J].川北医学院学报,2016,31(2):257-260.
[9]钟彬彬,李明娥,张敏,等.早产儿父母疾病不确定感及应对方式的相关性研究[J].中国继续医学教育,2017,9(24):215-218.
[10]张玉霞.新生儿重症监护病房患儿父母焦虑与抑郁状况及影响因素研究[D].济南:山东大学,2015.