接受PICC置管早产儿母亲心理弹性与社会支持水平的关联性

Correlation Between Psychological Resilience and the Level of Social Support of Mother of Premature Infants Receiving PICC

目的分析接受经外周静脉穿刺中心静脉置管(PICC)早产儿母亲心理弹性与社会支持水平的关联性。方法选取河南省儿童医院2017年1月至2021年4月收治的112例PICC置管早产儿母亲作为研究对象,采用心理弹性量表(CD-RISC)评估其心理弹性,采用社会支持评定量表(SSRS)评估社会支持水平,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估其负性情绪,比较不同心理弹性PICC置管早产儿母亲社会支持水平与负性情绪,分析PICC置管早产儿母亲心理弹性与社会支持水平、负性情绪的相关性,并进行影响因素分析。结果112例接受PICC置管早产儿母亲CD-RISC评分平均为(63.25±6.84)分,SSRS评分平均为(32.06±4.83)分,SAS评分平均为(37.02±5.11)分,SDS评分平均为(39.24±5.30)分。调查结果显示,112例PICC置管早产儿母亲心理弹性良好者41例,心理弹性较差者71例。心理弹性良好者SSRS评分高于心理弹性较差者,SAS、SDS评分低于心理弹性较差者(P<0.05)。PICC置管早产儿母亲CD-RISC评分与SSRS评分呈正相关关系,与SAS、SDS评分呈负相关关系(P<0.05)。SSRS评分低、SAS及SDS评分高是PICC置管早产儿母亲CD-RISC评分低的危险因素(P<0.05)。结论PICC置管早产儿母亲心理弹性处于较低水平,其与社会支持水平存在正相关关系,与负性情绪存在负相关关系,临床应提高重视程度,进行针对性心理护理,嘱家属多关心早产儿母亲,改善心理弹性,促进心理健康。

Objective To analyze the relationship between the psychological resilience and the level of social support in the mother of premature infants receiving central venous catheterization(PICC)via peripheral venipuncture.Methods A total of 112 mothers of premature infants with PICC intubation in Henan Children’s Hospital from January 2017 to April 2021 were selected as the research objects.The Connor-Davidson resilience scale(CD-RISC)was used to assess their psychological resilience,and the social support rating scale(SSRS)was used to assess the level of social support.Use the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)to assess their negative emotions.The social support level and negative emotion of mothers of premature infants with different psychological flexibility were compared,and the correlation between the psychological elasticity of premature infants with PICC and the level of social support and negative emotions was analyzed,and the influencing factors were analyzed.Results The average CD-RISC score of 112 premature infants receiving PICC catheterization was(63.25±6.84)points,the average SSRS score was(32.06±4.83)points,the average SAS score was(37.02±5.11)points,and the average SDS score was(39.24±5.30)points.The survey results showed that 112 cases of PICC premature infants mothers had good psychological flexibility,41 cases had poor psychological resilience,71 cases had poor psychological resilience.SSRS scores of those with good psychological resilience were higher than those with poor psychological resilience,and the SAS,SDS scores were lower than those with poor mental flexibility(P<0.05).The CD-RISC scores of the mothers of PICC catheterization premature infants were positively correlated with SSRS scores,and negatively correlated with SAS and SDS scores(P<0.05).The CD-RISC scores of preterm infants with PICC were positively correlated with SSRS scores,and negatively correlated with SAS and SDS scores(P<0.05).Conclusion The mental flexibility of the mother of premature infants receiving PICC is at a low level,which is positively correlated with the level of social support and negatively correlated with negative emotions.Clinical attention should be increased,targeted psychological care should be given,and family members should be more concerned about premature infants’s mothers,improve mental flexibility and promote mental health.