Mothers' Psychological Distress and Feeding of Their Preterm Infants.
Mothers' Psychological Distress and Feeding of Their Preterm Infants.
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DOI：
10.1097/nmc.0000000000000248
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Brandon D
中科院分区：
文献类型：
--
作者：
Park J;Thoyre S;Estrem H;Pados BF;Knafl GJ;Brandon D
目的：探讨早产儿母亲心理困扰的变化及其与母亲喂养行为的关系。这项描述性探索性研究使用了来自一项研究的数据子集，该研究对34名母亲和iii级新生儿重症监护病房（NICU）住院早产儿的共同调节喂养干预的效果进行了研究。采用母亲焦虑（儿童健康焦虑量表）、抑郁（流行病学中心抑郁量表）和角色压力（父母压力量表：nicu角色改变）三个时间点测量母亲心理困扰：第一次口服喂养前一周内（T1）、实现一半（T2）和完全口服喂养（T3）。在T2和T3摄食。一个观察性编码系统测量了母亲的喂养行为。线性混合模型评估了婴儿过渡到完全口服喂养时母亲心理困扰的变化及其与母亲喂养行为的关系。母亲抑郁症状在T1时最高，随着时间的推移而下降。母亲焦虑和角色压力在T1时最高，但在T2至T3期间保持稳定。母亲心理困扰的增加，特别是抑郁症状和角色压力，与较少使用有利于发育的喂养行为有关，即尽量减少触觉刺激，提供稳定的触摸以控制或稳定婴儿，以及调节乳汁流量。在婴儿学习口头喂养时，支持母亲的心理健康可能是支持母婴早期喂养互动的干预措施的适当目标。
To examine the change in psychological distress of mothers of preterm infants and its association with maternal feeding behaviors as the infant transitions to full oral feeding. This descriptive exploratory study used a subset of data from a study of the effects of a co-regulated feeding intervention for 34 mothers and hospitalized preterm infants in a level-III neonatal intensive care unit (NICU). Maternal psychological distress was measured by maternal worry (Child Health Worry Scale), depression (Center for Epidemiology-Depression Scale), and role stress (Parental Stress Scale: NICU-Role Alteration) at three time points: within one week prior to the first oral feeding (T1), and at achievement of half (T2) and full oral feeding (T3). Feedings were videotaped at T2 and T3. An observational coding system measured maternal feeding behaviors. Linear mixed modeling evaluated the change in maternal psychological distress and its association with mothers' feeding behaviors as the infant transitioned to full oral feeding. Maternal depressive symptoms were highest at T1 and declined over time. Maternal worry and role stress were also highest at T1 but remained stable from T2 to T3. Increased maternal psychological distress, particularly depressive symptoms and role stress, were associated with less use of developmentally supportive feeding behaviors, i.e., minimizing tactile stimulation, providing steady touch to contain or stabilize the infant, and regulating milk flow. Supporting maternal psychological well-being while infants are learning to feed orally may be an appropriate target for interventions to support mother-infant early feeding interactions.