信息支持对减轻母婴分离早产产妇产后抑郁的研究

目的探讨信息支持对减轻母婴分离早产产妇产后抑郁的效果。方法将符合入组条件的早产产妇76例按入组时间分为对照组37例,按照医院常规护理;干预组39例在接受医院常规护理基础上,从产后第1天开始接受研究者提供的信息支持。使用爱丁堡产后抑郁量表比较2组产妇产后第1天及产后6周的抑郁状况。结果干预组与对照组产后6周抑郁得分的差异有统计学意义(t=2.750,P=0.008),干预组与对照组产后6周产后抑郁发生率的差异有统计学意义(X2=5.756,P=0.016)。结论信息支持可有效减轻母婴分离早产产妇产后抑郁的发生。     

信息支持对减轻母婴分离早产产妇产后抑郁的研究

目的 探讨信息支持对减轻母婴分离早产产妇产后抑郁的效果。方法 将符合入组条件的早产产妇76例按人组时间分为对照组37例，按照医院常规护理；干预组39例在接受医院常规护理基础上，从产后第1天开始接受研究者提供的信息支持。使用爱丁堡产后抑郁量表比较2组产妇产后第1天及产后6周的抑郁状况。结果 干预组与对照组产后6周抑郁得分的差异有统计学意义（t=2．750，P=0.008），干预组与对照组产后6周产后抑郁发生率的差异有统计学意义（χ^2=5．756。P=0．016）。结论 信息支持可有效减轻母婴分离早产产妇产后抑郁的发生。     

综合性护理支持对早产儿母婴身心健康的作用研究

目的 探讨综合性护理支持对维护早产儿母婴身心健康的影响.方法 选择符合入组条件的早产儿母亲49例,按研究时间便利分为对照组26例接受医院常规护理,干预组23例在接受医院常规护理的基础上,从分娩后第1天开始到早产儿出院后1个月接受综合性护理支持.并采用自设问卷、焦虑自评量表和抑郁自评量表对其进行调查.结果 干预组母亲的焦虑、抑郁得分低于对照组(P＜0.01);早产儿出院后3d和1个月时干预组母亲乳房问题发生率低于对照组(P＜0.05);干预组早产儿出院后1个月门诊再就诊人数少于对照组(P＜0.05).结论 综合性护理支持可有效减轻早产儿母亲的产后焦虑、抑郁水平,维护早产儿母婴的身心健康.     

心理护理干预对早产儿产妇的影响

目的探讨常规护理与增加心理护理干预对早产儿母婴分离产妇身心健康的影响。方法通过临床病例,将符合条件的早产儿产妇随机分为研究组与对照组两部分,对照组实施产后常规护理,研究组在常规护理的基础上增加心理护理干预,根据汉密尔顿（HAMTON）焦虑量表,分别在分娩当天和护理后1周进行测评,比较两组产妇身心状态。结果产后当天两组身心状态无差异,护理1周后研究组产妇焦虑症状显著下降,身心状态比对照组好。结论早产儿母婴分离后,对产妇进行心理护理干预能有效缓解产后焦虑,明显提高产妇精神状态,有利恢复身体健康。     

综合护理干预对减轻早产儿父母疾病不确定感及焦虑、抑郁状态的影响

目的:探讨综合护理干预对减轻早产儿父母疾病不确定感及焦虑、抑郁状态的影响。方法:将120名接受住院治疗的早产儿父母随机分为对照组和观察组各60名,对照组给予常规干预措施,观察组在常规干预措施基础上,增加信息支持、情感支持及群体支持等综合护理干预措施。比较两组在早产儿住院第2天、出院时、出院第2周时的疾病不确定感、焦虑及抑郁评分。结果:早产儿出院时和出院第2周,观察组疾病不确定感、焦虑及抑郁评分均低于对照组(P0.01,P0.05)。结论:综合护理干预可有效减轻早产儿父母疾病不确定感、焦虑及抑郁状态,有助于提高早产儿的生活质量,构建和谐医患关系。     

同伴互动支持模式在社区初产妇产后抑郁中的应用效果

[目的]探讨应用同伴互动支持模式对社区初产妇产后抑郁的影响。[方法]选取在银川市某社区卫生服务中心接受产后保健服务112例住院分娩后、母婴健康的初产妇,按照时间顺序分为对照组和干预组各56例,对照组接受常规社区保健服务,干预组接受常规社区保健服务+同伴互动支持模式的护理方案,比较初产妇产后第6周、产后第3个月、产后第6个月的爱丁堡产后抑郁量表(EPDS)评分及母婴保健知识知晓率的情况。[结果]干预组与对照组的初产妇产后第3个月、产后第6个月的抑郁得分差异有统计学意义(P0.05)。在产后第3个月时两组抑郁发生率差异有统计学意义(P0.05),母婴保健知识掌握情况干预组高于对照组。[结论]同伴互动支持模式有助于改善社区初产妇产后抑郁的心理状态,提高了对母婴保健知识的掌握程度。     

力量支持协同护理模式对早产儿母婴心身健康的影响

目的探讨力量支持协同护理模式对早产儿母婴心身健康的影响。方法以协同护理模式为理论指导,构建早产儿母亲从入院至出院居家的以心理支持、信息支持、社会支持、延续支持为一体的医院—社区—家庭联动的全程力量支持协同护理方案。选取2016年5月—2017年4月山东省滕州市中心人民医院NICU收治的135例早产儿的母亲为研究对象,按随机数字表法分为实验组67例和对照组68例,实验组给予力量支持协同护理模式干预,对照组采用常规护理。比较两组早产儿母亲SAS、SDS评分、育儿知识技能及早产儿患病、再入院和脑瘫发生情况。结果实验组母亲干预后各时间点SAS、SDS评分低于对照组(P0.01);实验组母亲的育儿知识技能得分优于对照组(P0.01);实验组早产儿患病率、再入院率、脑瘫发生率低于对照组(P0.01,P0.05)。结论力量支持协同护理模式可缓解早产儿母亲的焦虑、抑郁情绪,提高母亲的育儿能力,促进母婴健康。     

以家庭为中心的护理模式在早产儿中的应用

目的探讨以家庭为中心的护理模式对早产儿体格发育、喂养状态的影响。方法便利抽样选取2017年1月—2019年10月河北省秦皇岛市第一医院新生儿科收治的201例早产儿及其父母为研究对象,采用随机数字表法分为干预组和对照组,其中干预组99例,对照组102例。对照组早产儿出生后接受常规护理,指导父母亲常规喂养方法和育儿方法;干预组在此基础上实施以家庭为中心的护理模式,随访1年。比较两组早产儿出生时、出院时及1、6、12月龄时的体格检查指标以及喂养状态、母亲产后抑郁率、护理满意率。结果出生时、出院时、1月龄时,干预组与对照组早产儿的身长、体重、头围比较,差异无统计学意义(P>0.05);6、12月龄时,干预组早产儿身长、体重、头围均高于对照组,差异有统计学意义(P<0.05)。1、6、12月龄时,干预组的母乳喂养率均高于对照组(P<0.05)。干预组母亲在产后1、2个月的产后抑郁率均低于对照组,护理满意率高于对照组,差异有统计学意义(P<0.05)。结论以家庭为中心的护理模式能够为早产儿父母亲提供有效支持,有利于促进早产儿体格发育,改善其喂养状态。     

书面出院教育对早产产妇社会支持和产后抑郁的影响

目的 探讨书面出院教育对早产产妇社会支持和产后抑郁的影响.方法 符合入组条件的早产产妇76例按照进入研究的时间分为两组,2005年11-12月入选者37例为对照组,2006年1-2月入选者39例作为干预组,对照组37例接受医院常规口头早产儿出院指导,干预组39例在接受医院常规口头出院指导的基础上,在早产儿出院时给予详细的书面出院教育,发放教育手册并给予出院后电话指导,在产后6周使用产后社会支持量表和爱丁堡产后抑郁量表比较两组产妇社会支持度和产后抑郁的发生率.结果 两组信息支持得分的差异有统计学意义(P＜0.05),两组产后6周产后抑郁发生率的差异有统计学意义(P＜0.05).结论 书面出院教育可有效增加早产产妇的信息支持,减少产后抑郁的发生.     

心理干预对减轻早产产妇产后抑郁的研究

目的:探讨心理干预对减轻早产产妇产后抑郁的作用.方法:将2007年8月～2008年2月早产产妇37例为对照组,按医院常规护理;将2008年2～8月早产产妇39例为干预组,在接受医院常规护理基础上,从产后第1天开始接受研究者提供的心理干预.使用爱丁堡产后抑郁量表比较两组产妇产后第1天及产后6周的抑郁状况.结果:两组产后6周抑郁得分差异有显著性(P<0.05),两组产后6周产后抑郁发生情况差异有显著性(P<0.05).结论:为早产产妇提供及时有效的心理干预,能改善其不良心理状态,促进产后恢复,有效减轻产妇产后抑郁的发生.     

A comparison pilot study of public health field nursing home visitation program interventions for pregnant Hispanic adolescents

OBJECTIVE: Improve pregnancy outcomes in first-time Hispanic adolescent mothers and their infants. SETTING: Urban communities in Orange County, California. DESIGN AND METHODS: A comparison of the Nurse-Family Partnership pilot study home visitation program with traditional Public Health Field Nursing (PHFN) home visitation. PARTICIPANTS: Two hundred twenty-five Hispanic adolescent mothers and their infants. INTERVENTIONS: Participants in the control group received the traditional PHFN services; the intervention group received interventions from advanced trained public health nurses The control group received a minimum of three home visits: one initial client assessment and family profile, one antepartum visit, and one postpartum visit, including newborn assessment. Participants in the intervention group received weekly home visits for the first 4 weeks, followed by visits every other week until delivery, weekly visits for the next 6 weeks, visits every other week until the child was 20 months, and monthly visits until the child was 24 months of age. RESULTS: Preliminary results indicate that home visitation by public health nurses (PHNs) positively affected the health of adolescents mothers and their infants. The incidence of premature births to adolescent mothers in the intervention group was lower than that found in the California population of adolescent mothers. CONCLUSION: Preliminary results from this program showed that PHN home visitation (control and intervention groups) positively affects the birth outcomes of adolescent mothers and their infants.     

Postpartal anxiety and depression in mothers of term and preterm infants

This study examined differences in anxiety and depression in mothers of term and preterm infants in the first week postpartum and over the next 6 weeks. Mothers of 41 preterm infants were matched with 41 mothers of term infants on parity, type of delivery, age, and race. Sixteen mothers of preterm infants and 10 mothers of term infants completed all 7 weeks of data collection. Mothers of preterm infants were significantly more anxious and depressed than mothers of term infants in the first postpartal week but this difference did not persist over time. Maternal affect was unrelated to parity or type of delivery in the first postpartal week and over time. There were no differences among mothers of premature infants in initial anxiety or depression, based on the level of illness of the infant.     

Improving cognitive development of low-birth-weight premature infants with the COPE program: a pilot study of the benefit of early NICU intervention with mothers.

The purpose of this pilot study was to evaluate the effectiveness of a parent-focused intervention program (COPE) on infant cognitive development and maternal coping. A randomized clinical trial was conducted with 42 mothers of low-birth-weight (LBW) premature infants hospitalized in a neonatal intensive care unit (NICU), with follow-up at 3 months' and 6 months' corrected ages. COPE mothers received the four-phase educational-behavioral program that began 2-4 days postbirth and continued through 1 week following discharge from the NICU. Comparison mothers received audiotaped information during the same four time frames. Results indicated that COPE infants had significantly higher mental development scores at a 3 months' corrected age (M = 100.3) than did the comparison infants (M = 93.9), and this difference widened at 6 months' corrected age, with COPE infants scoring 14 points higher. COPE mothers were significantly less stressed by the NICU sights and sounds and had significantly stronger beliefs about what behaviors and characteristics to expect from their premature infants. Findings from this study support the need for further testing of early NICU interventions with parents to determine their effectiveness on parental coping and infant developmental outcomes.     

指导无创机械通气早产儿母亲实施袋鼠式护理对其亲职压力和育儿胜任感的影响

目的 指导无创机械通气早产儿母亲实施袋鼠式护理，并探讨该方法对其亲职压力和育儿胜任感的影响。方法 便利选取2019年3月—2020年5月在银川市某三级甲等综合医院出生且入住NICU的64例无创机械通气早产儿及其母亲作为研究对象，采用随机数字表法分为试验组和对照组各32例。试验组在常规发育支持护理的基础上，在早产儿住院第7天生命体征稳定后指导其母亲进行袋鼠式护理，每天1次，每次2 h，共干预7 d。对照组给予常规发育支持护理和健康教育。在早产儿住院第7天、第14天及2、4、6月龄时，分别采用亲职压力量表和育儿胜任感量表评估其母亲的亲职压力和育儿胜任感。结果 在早产儿住院第7天，两组亲职压力量表和育儿胜任感量表得分比较，差异无统计学意义（P>0.05）。在早产儿住院第14天以及2、4、6月龄时，试验组亲职压力量表总分低于对照组，育儿胜任感量表总分高于对照组，差异具有统计学意义（P<0.05）。结论 指导无创机械通气早产儿母亲实施袋鼠式护理能降低其亲职压力，并提高其育儿胜任感。     

早期干预对早产儿生长发育影响的追踪观察

目的：研究早产儿从新生儿期开始实施早期干预对早产儿体格智能发育的影响。方法：就医新乡市中心医院儿科新生儿室的早产儿83例，按照父母自愿的原则，随机分为干预组43例，常规育儿组40例，干预组早产儿出院后于家中在早期教育的基础上接受按摩，被动体操，和运动训练，治疗至2岁，常规育儿组只接受常规保健治疗。并设同期在我院产科出生的足月顺产儿新生儿40例．作为对照组。三组婴儿均于6个月．12个月，24个月时分别进行体格（即身长、体重、头围）的测量和智能测试。结果：体格发育6，12，24月龄时，干预组快于常规育儿组（P〈0．05），干预组与足月对照组差异无显著性意义（P〉0．05）。干预组6月龄CDCC智力发育指数低于对照组（P〈0．05），12月龄时干预组智力发育指数与对照组比较差异无显著性意义（P〉0．05），24月龄时高于对照组（P〈0．05）。6月龄、12月龄时干预组心理运动发育指数与对照组比较差异无显著性意义（P〉0．05），24月龄时干预组心理运动发育指数高于对照组（P〈0．05）。干预组精神发育迟缓、脑瘫发生率明显低于常规育儿组，差异有显著性意义（P〈0．05）。结论：早期干预可明显促进早产儿生长发育。     

Effectiveness of informational support in reducing the severity of postnatal depression in Taiwan

AIM: The aim of the study was to investigate the effectiveness of informational support in reducing the Edinburgh Postnatal Depression Scale (EPDS) scores in Taiwan. METHODS: Five hundred Taiwanese women were screened during the fourth week after giving birth and those with a score of over 10 on the EPDS were considered to be at risk of postnatal depression. Seventy postpartum women were randomly allocated to the experimental or control group. Only those in the experimental group received informational support about postnatal depression during the sixth week postpartum. Two groups were assessed by the EPDS at 3 months postpartum to explore their depressive status. RESULTS: Taiwanese women who received informational support about postnatal depression 6 weeks after giving birth experienced lower EPDS scores at 3 months postpartum than those who did not receive this information. CONCLUSIONS: The findings suggest that informational support about postnatal depression given to women in the postnatal period may contribute to psychological well-being.