新生儿重症监护室患儿母亲疾病不确定感与角色适应的相关性分析

Correlation between illness uncertainty and role adaptation in mothers with babies in Neonatal Intensive Care Unit

目的了解新生儿重症监护室(NICU)患儿母亲疾病不确定感及角色适应的现状,分析两者之间的关系。方法2017年4-11月,采用便利抽样法抽取温州市3所三甲医院NICU收治的患儿母亲300名,采用NICU患儿及父母人口学特征调查表、Mishel疾病不确定感父母量表和角色适应调查问卷对患儿母亲进行调查。采用单因素分析、Pearson相关和多元逐步回归分析NICU患儿母亲角色适应的影响因素。本研究共发问卷300份,获得有效问卷273份。结果273名NICU患儿母亲Mishel疾病不确定感父母量表总分(98.58±11.78)分,角色适应总分(59.84±8.16)分,NICU患儿母亲疾病不确定感与角色适应呈负相关(r=-0.230,P<0.05)。多元逐步回归分析显示,患儿母亲疾病不确定感中的复杂性和信息缺乏是NICU患儿母亲角色适应的影响因素(P<0.01)。结论NICU患儿母亲角色适应水平较低,其疾病不确定感可以预测角色适应水平。NICU护理工作者应采取针对性措施,降低患儿母亲疾病不确定感,以提高其角色适应水平。

Objective To investigate the status quo of illness uncertainty and role adaptation in mothers with babies in Neonatal Intensive Care Unit (NICU)and to explore the correlation between the two. Methods Totally 300 mothers with babies admitted in the NICU of 3 Class Ⅲ Grade A hospitals in Wenzhou between April and November 2017 were selected by convenient sampling.The demographic characteristics questionnaire for parents with babies in NICU,the Mishel Illness Uncertainty Scale for Parents and the Role Adaptation Questionnaire were used to investigate the mothers.The univariate analysis,Pearson correlation analysis and multiple stepwise regression analysis were employed to explore the influencing factors to their role adaptation.A total of 300questionnaires were distributed,and 273 valid questionnaires were collected. Results The total score of the Mischel Illness Uncertainty Scale in the 273 mothers with babies in NICU was (98.58±11.78),and their score in role adaptation was (59.84±8.16).Illness uncertainty and role adaptation were negatively correlated in the mothers with babies in NICU (r=-0.230,P <0.05).According to the multiple stepwise regression analysis,complexity and information famine in illness uncertainty of mothers were the influencing factors to the mothers'role adaptation.Conclusions The level of role adaptation in mothers with babies in NICU is low,and their illness uncertainty may be used to predict their role adaptation.NICU nursing staff should take targeted measures to reduce the mothers'illness uncertainty and improve their role adaptation.