Infants in a neonatal intensive care unit: parental response
Infants in a neonatal intensive care unit: parental response
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DOI：
10.1136/adc.2003.031641
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发表时间：
2005-03-01
影响因子：
4.4
通讯作者：
Darlow, BA
中科院分区：
文献类型：
--
作者：
Carter, JD;Mulder, RT;Darlow, BA
目的：比较新生儿重症监护病房(NICU)和足月出生的非NICU婴儿的父母(父母和父亲)的心理社会功能。设计：随机抽样的NICU父母和非NICU父母在婴儿出生后不久通过各种精神和心理社会措施进行评估。分娩病房和III级NICU参与者：在12个月的时间里，共有447名父母(242名母亲；205名父亲)有一个婴儿在地区NICU住院；189名父母(100名母亲；89名父亲)有足月出生的婴儿，不需要NICU住院。主要观察指标：抑郁和焦虑症状，心理社会功能。结果：总体上，父母组的焦虑和抑郁水平较低。与对照父母相比，NICU父母有更高比例的临床相关焦虑，更有可能以前有过NICU入院经历，并处于较低的家庭收入阶层。在NICU的母亲和父亲中，婴儿早产都与更高的症状水平相关。结论：对于大多数有婴儿进入NICU的父母来说，他们不需要特定的干预，因为他们似乎相对成功地适应了。婴儿早产对父亲和母亲都有负面影响。因此，这些父母可能会从更多的临床关注中受益。
Objective: To compare the psychosocial functioning of the parents (mother and father) of infants admitted to a neonatal intensive care unit (NICU) with the parents of infants born at term and not admitted to the NICU.Design: Random sample of NICU parents and term non-NICU parents were assessed across a variety of psychiatric and psychosocial measures shortly after the birth of their infant.Setting: Christchurch Women's Hospital, New Zealand. Labour ward and level III NICU.Participants: A total of 447 parents (242 mothers; 205 fathers) with an infant admitted to a regional NICU during a 12 month period; 189 parents (100 mothers; 89 fathers) with infants born at term and not requiring NICU admission.Main outcome measures: Depression and anxiety symptoms, psychosocial functioning.Results: Overall, levels of anxiety and depression were low in both parent groups. Compared with control parents, a higher percentage of NICU parents had clinically relevant anxiety and were more likely to have had a previous NICU admission and be in a lower family income bracket. infant prematurity was associated with higher levels of symptomatology in both NICU mothers and fathers.Conclusions: Specific interventions are not needed for most parents who have an infant admitted to the NICU as they appear to adapt relatively successfully. Infant prematurity impacts negatively on the father as well as the mother. Consequently these parents may benefit from increased clinical attention.