极早产：母亲在新生儿重症监护环境中的经历
Very preterm birth: maternal experiences of the neonatal intensive care environment.
作者信息
Woodward L J, Bora S, Clark C A C, Montgomery-Hönger A, Pritchard V E, Spencer C, Austin N C
机构信息
1] Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA [2] Department of Psychology, University of Canterbury, Christchurch, New Zealand.
Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
出版信息
J Perinatol. 2014 Jul;34(7):555-61. doi: 10.1038/jp.2014.43. Epub 2014 Mar 20.
OBJECTIVE
Examine sources, predictors and child outcomes associated with neonatal intensive care unit (NICU)-related stress for mothers of infants born very preterm (VPT).
STUDY DESIGN
Participants were 133 mothers of VPT infants admitted to a regional level-III NICU. At term equivalent, mothers completed the Parental Stressor Scale: NICU and were interviewed about their psychological well-being and family circumstances. Infant clinical data were also collected. At corrected age 4 years, 49 children were assessed for cognition, language and socio-emotional development.
RESULT
Mothers reported moderate to low stress, with parental role alteration considered most stressful and parent-staff communications least stressful. Predictors of overall stress included maternal educational underachievement, stressful life events, postnatal depression and infant unsettled-irregular behavior. NICU-related stress was associated with child anxiety and poorer language development.
CONCLUSION
Parental well-being is an important focus of care in the neonatal setting. Strategies are needed to optimize early engagement and reduce stress levels to assist improved child outcomes.
目的
研究与极早产儿（VPT）母亲的新生儿重症监护病房（NICU）相关压力有关的来源、预测因素及儿童结局。
研究设计
参与者为133名入住地区三级NICU的VPT婴儿的母亲。在足月等效年龄时，母亲们完成了《父母压力源量表：NICU》，并接受了关于其心理健康和家庭情况的访谈。还收集了婴儿的临床数据。在矫正年龄4岁时，对49名儿童进行了认知、语言和社会情感发展评估。
结果
母亲们报告的压力为中度至低度，其中父母角色改变被认为压力最大，而父母与医护人员的沟通压力最小。总体压力的预测因素包括母亲教育程度未达标、生活压力事件、产后抑郁以及婴儿不安定-不规律行为。NICU相关压力与儿童焦虑和较差的语言发展有关。
结论
在新生儿护理中，父母的幸福感是护理的重要关注点。需要采取策略来优化早期参与并降低压力水平，以帮助改善儿童结局。
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