摘要
目的探讨新生儿重症监护病房(NICU)早产儿母亲的乐观倾向、社会支持和疾病不确定感之间关系,并进一步分析社会支持在乐观倾向和疾病不确定感之间的中介作用,为临床干预提供参考依据。方法采用一般资料调查问卷、生活定向测验修订版(LOT-R)、领悟社会支持量表(PSSS)和疾病不确定感父母量表(PPUS-FM)对150例NICU住院早产儿的母亲进行问卷调查。结果NICU住院早产儿母亲的LOT-R量表总分为(15.98±4.20)分,PSSS量表总分为(45.71±15.06)分,PPUS-FM量表总分为(83.25±28.05)分。Pearson相关性分析显示,NICU住院早产儿母亲乐观倾向与社会支持呈正相关(r=0.850,P<0.01),疾病不确定感与乐观倾向(r=-0.902,P<0.01)、社会支持(r=-0.918,P<0.01)呈负相关。进行中介效应检验后发现,早产儿母亲的社会支持在乐观倾向和疾病不确定感之间起部分中介作用,中介效应为-3.091,占总效应的51.25%。结论临床护理人员在照护NICU早产儿时,应该重视其母亲的心理需求,帮助她们培养乐观心态和强化社会支持,从而降低疾病不确定感水平,促进身心健康。
Objective To investigate the level of optimistic tendency,social support,and uncertainty in illness for mothers with premature infants in Neonatal Intensive Care Unit(NICU),and to analyze the correlation between them.This study was also aimed to explore the mediating effect of social support.Methods Totally 150 mothers with premature infants hospitalized in NICU were into the experiment group.A questionnaire survey using the General Information Questionnaire,Revised Life Orientation Test(LOT-R),Perceived Social Support Scale(PSSS),and the Parent's Perception Uncertainty Scale-Family(PPUS-FM)was conducted.Results The total score of LOT-R was(15.98±4.20);The total score of PSSS was(45.71±15.06);The total score of PPUS-FM was(83.25±28.05).Pearson correlation analysis showed that optimistic tendency was positively correlated with social support(r=0.850,P<0.01).The uncertainty in illness was negativity correlated with the optimistic tendency(r=-0.902,P<0.01)and social support(r=-0.918,P<0.01).The non-parametric percentile Bootstrap method was used to test the mediator effect.The bootstrap analysis showed social support played a partial mediation effect between optimistic tendency and uncertainty in illness,the mediating effect was-3.091,and accounted for 51.25%in the total effect.Conclusion Mothers with premature infants hospitalized in NICU show a high level of uncertainty in illness.Therefore,in addition to nursing preterm infants,nursing staff should attach importance to their mothers'psychological needs,help them cultivate optimistic psychology and strengthen social support so as to reduce the uncertainty in illness and promote their health in body and mind.
作者
华洁
陶亚琴
马兰
HUA Jie;TAO Yaqin;MA Lan(Department of Neonatology, Wuxi Maternal and Child Health care Hospital, Wuxi, Jiangsu, 214002;School of Nursing Shanghai Donghai Vocational and Technical College, Shanghai, 200241)
出处
《中西医结合护理（中英文）》
2020年第7期12-16,共5页
Journal of Clinical Nursing in Practice
基金
无锡市医院管理中心医学科研面上项目(YGZXM1518)。
关键词
婴儿
早产儿
母亲
社会支持
乐观倾向
疾病不确定感
中介因素
infant
premature infant
mother
social support
optimistic tendency
uncertainty in illness
mediator effect
