Maternal Anxiety and Depression Following a Premature Infants' Discharge from the NICU: Explanatory Effects of the COPE Program
Maternal Anxiety and Depression Following a Premature Infants' Discharge from the NICU: Explanatory Effects of the COPE Program
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早产儿从 NICU 出院后母亲的焦虑和抑郁：COPE 计划的解释性效果
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
Eileen Fairbanks
中科院分区：
文献类型：
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作者：
B. Melnyk;Hugh F. Crean;N. Feinstein;Eileen Fairbanks
背景-了解早产儿母亲的干预过程对于科学的进步和将有效的干预转化为临床实践是必要的。目的：检验一个理论模型，探讨教育行为干预计划（科普）对早产儿从新生儿重症监护病房（NICU）出院后2个月母亲焦虑和抑郁的影响。方法：采用随机对照试验的数据进行二次分析，该试验有246名低出生体重（LBW）早产儿的母亲，她们被随机分配到科普组或安慰剂对照组。措施包括产妇在新生儿重症监护室的压力，产妇的焦虑和抑郁，以及产妇对婴儿及其角色的信念。对研究组条件不知情的观察员也对NICU中母婴互动的质量进行了评价。结果-结构方程模型表明，测试的模型提供了合理的拟合数据（χ 2（64 df）= 97.67; p = 0.004; RMSEA = 0.046; CFI = 0.97）。参与科普是直接和间接的，通过增加产妇的信念和产妇抑郁/焦虑在新生儿重症监护室，与母亲的减少医院后抑郁/焦虑。参与科普项目也与较高的母婴互动评分相关。结论：科普的实施可以减轻出院后母亲的焦虑和抑郁，这可能会改善母亲和早产儿的结局。
Background—Understanding the processes through which interventions work for mothers of premature infants is necessary for the advancement of science and the translation of efficacious interventions into clinical practice settings. Objective—To test a theoretical model examining the processes through which an educationalbehavioral intervention program (COPE) influences maternal anxiety and depression 2 months following discharge of their premature infants from the neonatal intensive care unit (NICU). Methods—A secondary analysis was conducted using data from a randomized controlled trial with 246 mothers of low birthweight (LBW) preterm infants who were randomly assigned to COPE or placebo control conditions. Measures included maternal stress in the NICU, maternal anxiety and depression, and maternal beliefs about their infants and their role. Observers blind to study group condition also rated the quality of mother-infant interaction in the NICU. Results—Structural equation modeling suggested the model tested provided a reasonable fit to the data (χ 2 (64 df) = 97.67; p = .004; RMSEA = .046; CFI = .97). Participation in COPE was both directly and indirectly, via associations with increased maternal beliefs and less maternal depression/anxiety in the NICU, related to mothers’ decreased post-hospital depression/anxiety. Participation in the COPE program also was associated with higher mother-infant interaction scores. Conclusion—Implementation of COPE could lessen post-discharge maternal anxiety and depression, which may improve outcomes for both mothers and preterm infants.
影响因子：
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作者：
O'Hara, MW;Stuart, S;Wenzel, A
通讯作者：
Wenzel, A
影响因子：
22.4
作者：
MACCALLUM, RC;WEGENER, DT;FABRIGAR, LR
通讯作者：
FABRIGAR, LR