Anxiety and depression in parents of sick neonates: a hospital-based study

Anxiety and depression in parents of sick neonates: a hospital-based study
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DOI:
10.1111/jocn.12090
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发表时间:
2013-04-01
影响因子:
4.2
通讯作者:
Guo, Xi-Rong
Guo, Xi-Rong
中科院分区:
医学2区
文献类型:
--
作者:
Kong, Li-Ping;Cui, Yan;Guo, Xi-Rong

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目的与目的了解住院新生儿父母焦虑、抑郁的患病率,分析其与压力、社会支持等因素的关系,为临床干预提供依据。研究背景围产期是女性及其配偶不得不面对的一个时期,是负性情绪的特殊易感期。在这段时间里,新生儿必须住院,这无疑对他们的父母造成了巨大的心理压力。对住院环境不了解、对新生儿疾病缺乏认识以及对新生儿安全的担忧,很容易导致父母产生负面情绪。在负性情绪的影响下,父母容易变得易怒和脆弱,这可能会损害他们的身心健康,影响家庭和谐,甚至导致与医生的沟通无效,影响新生儿的护理。设计本研究采用横断面研究设计。方法采用焦虑自评量表、抑郁自评量表、社会支持评定量表和压力感受量表对600例新生儿父母(父亲400例,母亲200例)在新生儿入院第1周的心理状况进行评定。结果20%的父亲和24%的母亲有焦虑症状,30%的父亲和35%的母亲有抑郁症状。父母焦虑、抑郁总分显著高于正常人群(p
Aims and objectives To investigate the prevalence of anxiety and depression in parents of hospitalised neonates and to analyse their relationship with other factors such as stress and social support, to provide evidence for targeted clinical interventions. Background The perinatal period, a special susceptibility to negative emotions, is a period that women and their spouses have to face. In this time, the fact that the neonates have to be hospitalised is no doubt a huge psychological stress to their parents. Little understanding of the hospitalisation environment, lacking awareness of neonatal diseases as well as concerns about the neonates' safety, can easily lead to negative emotions in parents. Under the influence of negative mood, parents could become irritable and vulnerable, which may do harm to their physical and mental health, impact family harmony and even result in ineffective communication with doctors, affecting the care of neonates. Design This study applied a cross-sectional study design. Methods The psychological status of 600 parents (400 fathers and 200 mothers) was assessed in the first week of the hospitalisation of neonates, using the Self-Rating Anxiety Scale, Self-Rating Depressive Scale, Social Support Rating Scale and Perceived Stress Scale. Results The results of the cross-sectional survey showed that 20% of fathers and 24% of mothers had symptoms of anxiety, while 30 center dot 8% of fathers and 35% of mothers had depressive symptoms. The total scores for anxiety and depression in these parents were significantly higher than the normal population (p