Posttraumatic stress symptoms in mothers of premature infants
Posttraumatic stress symptoms in mothers of premature infants
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DOI：
10.1177/0884217503252035
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发表时间：
2003-03-01
影响因子：
1.8
通讯作者：
Miles, MS
中科院分区：
文献类型：
--
作者：
Holditch-Davis, D;Bartlett, TR;Miles, MS
目的：为了检查母亲的反应，有一个早产儿在新生儿重症监护病房，并确定在何种程度上，他们似乎类似于创伤后应激反应。设计：母亲参加了这个描述性的，相关性研究前不久，婴儿出院。数据收集在登记时，当婴儿是6个月大，纠正prematurity.Participants：一个方便的样本的30个母亲的高风险早产儿。干预措施：无。主要结果措施：半结构化的采访的母亲进行了6个月的校正年龄。访谈的反应进行了分析，以确定三个症状相关的创伤后应激障碍：重新体验，回避，并增加唤醒。其他措施集中在产妇的心理健康新生儿重症监护室的压力，抑郁症状，担心婴儿和人口统计学特征。婴儿疾病的严重程度包括出生体重，机械通气的长度，多胞胎，和神经insults.Results的严重程度：所有接受采访的母亲至少有一个创伤后症状，12个有两个，和16个有三个症状。26位母亲报告说，唤醒增加; 24位母亲报告说，重新体验和回避。创伤后应激症状的数量，而不是类型，与母亲的心理健康有关。产妇的人口统计学特征，除婚姻状况，和婴儿疾病的严重程度，无关的创伤后应激症状。结论：这些母亲似乎经历了类似的创伤后应激反应在6个月后，他们的孩子的预期出生日期的情绪反应。由于母亲的情绪反应可能会影响早产儿的养育，需要额外的护理研究，为这些高度脆弱的母亲和婴儿的干预措施提供基础。
Objective: To examine mothers' responses to having a premature infant in the neonatal intensive-care unit and to determine the degree to which they appear similar to a posttraumatic stress response.Design: Mothers were enrolled in this descriptive, correlational study shortly before the infant was discharged from the hospital. Data were collected at enrollment and when the infant was 6 months old, corrected for prematurity.Participants: A convenience sample of 30 mothers of high-risk premature infants.Interventions: None.Main Outcome Measures: A semistructured interview of the mothers was conducted at 6 months corrected age. Interview responses were analyzed to identify three symptoms related to posttraumatic stress disorder: re-experiencing, avoidance, and increased arousal. Other measures focused on maternal psychological well-being-neonatal intensive-care unit stress, depressive symptoms, and worry about the infant-and demographic characteristics. Infant illness severity included birth weight, length of mechanical ventilation, multiple birth, and the severity of neurological insults.Results: All mothers interviewed had at least one posttraumatic symptom, 12 had two, and 16 had three symptoms. Twenty-six mothers reported increased arousal; re-experiencing and avoidance were reported by 24 mothers each. The number, but not the type, of posttraumatic stress symptoms was related to maternal psychological well-being. Maternal demographic characteristics, except marital status, and infant illness severity, were unrelated to posttraumatic stress symptoms.Conclusions: These mothers appeared to be experiencing emotional responses similar to posttraumatic stress reactions at 6 months after their child's expected birth date. Since maternal emotional responses may affect the parenting of premature infants, additional nursing research is needed to provide a basis for interventions with these highly vulnerable mothers and infants.