Maternal Anxiety and Depression After a Premature Infant's Discharge From the Neonatal Intensive Care Unit Explanatory Effects of the Creating Opportunities for Parent Empowerment Program
Maternal Anxiety and Depression After a Premature Infant's Discharge From the Neonatal Intensive Care Unit Explanatory Effects of the Creating Opportunities for Parent Empowerment Program
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DOI：
10.1097/nnr.0b013e3181906f59
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发表时间：
2008-11-01
期刊：
影响因子：
2.5
通讯作者：
Fairbanks, Eileen
中科院分区：
文献类型：
--
作者：
Melnyk, Bernadette Mazurek;Crean, Hugh F.;Fairbanks, Eileen
背景资料：了解干预措施对早产儿母亲的作用过程，对于科学进步和将有效的干预措施转化为临床实践环境是必要的。目的：测试一个理论模型，该模型考察了教育行为干预计划（创造机会，增强父母权能）影响早产儿从新生儿重症监护室（NICU）出院后2个月母亲的焦虑和抑郁，方法：使用随机对照试验的数据进行二次分析，该试验包括246名低出生体重早产儿的母亲，她们被随机分配到科普或安慰剂对照组。测量包括母亲在新生儿重症监护室的压力，母亲的焦虑和抑郁，以及母亲对婴儿及其角色的信念。对研究组条件不知情的观察者也对NICU.Results中母婴互动的质量进行了评价：结构方程模型表明，所测试的模型提供了与数据的合理拟合，chi（2）（64）= 97.67，p = 0.004，近似均方根误差= 0.046，比较拟合指数= 0.97。参与科普是直接和间接的，通过与母亲的信念增加，减少母亲的抑郁和焦虑在新生儿重症监护室，与母亲的减少产后抑郁和焦虑。参与科普计划也与较高的母婴互动scores.Conclusion：实施科普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 educational-behavioral intervention program (Creating Opportunities for Parent Empowerment [COPE]) influences mothers' anxiety and depression 2 months after 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-birth-weight preterm infants who were assigned randomly to COPE or placebo control conditions. Measures included mothers' stress in the NICU, mothers' anxiety and depression, and mothers' 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 that the model tested provided a reasonable fit to the data, chi(2)(64) = 97.67, p =.004, root mean square error of approximation = .046, comparative fit index = .97. Participation in COPE was both directly and indirectly, via associations with increased maternal beliefs and less maternal depression and anxiety in the NICU, related to mothers' decreased posthospital depression and 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.