延续护理对极低出生体重早产儿母亲心理影响的研究

The effect of continuing care on mental health in mothers of very low birth weight premature infants

目的探讨延续护理干预模式对极低出生体重早产儿母亲心理状态的影响。方法选取2012年11月至2013年4月就诊于福建省妇幼保健院儿童保健科的极低出生体重早产儿的母亲100例,随机分为试验组和对照组各50例,试验组失访4例,对照组失访7例。试验组采用院外延续护理干预模式,对照组接受常规门诊护理模式,于产后2个月、4个月、6个月、8个月、10个月和12个月收集两组母亲的症状自评量表(Symptom Checklist 90,SCL-90)和短式亲职压力量表(Parenting Stress Index-Short Form,PSI-SF)得分。结果试验组母亲SCL-90因子总均分及抑郁和焦虑因子得分低于对照组(P<0.05);试验组PSI-SF总分低于对照组(P<0.01)。结论院外延续护理模式可缓解极低出生体重早产儿母亲的抑郁、焦虑情绪和亲职压力状态。

Objective To evaluate the effect of continuing care on mental health in mothers of very low birth weight premature infants. Methods One hundred mothers of very low birth weight premature infants were recruited from Fujian Provincial Maternity and Children＇s Hospital from November in 2012 to April in 2013. They were randomly divided into two groups. Four cases in the experimental group and 7 cases in the control group dropped out. Both group received routine outpatient nursing care. In addition,continuing care was implemented in the experimental group. All mothers were investigated using the Symptom Checklist 90（SCL-90） and Parenting Stress Index- Short Form（PSI-SF） at the 2nd,4th,6th,8th,10th and 12th month after delivery. Results The total score of SCL-90 and the dimension scores of depression and anxiety as well as the PSI-SF score were significantly lower in the experimental group than those of the control group（P〈0.05 or P〈0.01）. Conclusion Continuing care can effectively relieve depression,anxiety and parenting stress in mother of very low birth weight premature infants.