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。

Effects of kangaroo mother care on the parenting pressure and parenting sense of competence of mothers of premature infants with non-invasive mechanical ventilation

Objective To explore effects of kangaroo mother care on the parenting pressure and parenting sense of competence of mothers of premature infants with non-invasive mechanical ventilation. Methods The convenience sampling method was adopted to select 64 mothers and preterm infants with non-invasive mechanical ventilation who were born and admitted to the NICU of a tertiary A comprehensive hospital in Yinchuan from March 2019 to May 2020 as the research subjects. They were divided into an experimental group and a control group with 32 cases in each group by random number table method. In addition to routine development supportive care,after the vital signs were stable on the 7th day of hospitalization,the experimental group was treated with kangaroo mother care once a day for 2 hours and it lasted for 7 days. The control group was treated with routine development supportive care. On the 7th and 14th day of hospitalization,and at the age of 2nd,4th and 6th month of premature infants with non-invasive mechanical ventilation,the Parenting Stress Index-Short Form and Parenting Sense of Competence Scale were used to evaluate the parenting stress and parenting sense of competence of mothers of premature infants with non-invasive mechanical ventilation respectively. Results There was no significant difference in scores of the Parenting Stress Index-Short Form and Parenting Sense of Competence Scale between the 2 groups before the intervention（P>0.05）. After the intervention,the total score of the Parenting Stress Index-Short Form of the mothers in the experimental group were lower on the 14th day of hospitalization and at the age of 2nd,4th and 6th month than those in the control group,while the total score of Parenting Sense of Competence Scale were higher,and the differences were statistically significant（P<0.05）. Conclusion Kangaroo mother care can reduce the parenting pressure of mothers of premature infants with non-invasive mechanical ventilation and improve their parenting sense of competence within 6 months after delivery.