正念干预联合信息支持对早产儿父亲心理健康状况的影响

doi:10.3761/j.issn.0254-1769.2023.12.005

摘要/Abstract

摘要：

目的探讨正念干预联合信息支持对早产儿父亲心理健康状况的影响。方法该研究为非同期对照试验，采用便利抽样法，选取2021年7月—10月北京市某三级甲等医院NICU收治的70例早产儿的父亲作为研究对象，将2021年7月—8月入组的早产儿父亲作为试验组，2021年9月—10月入组的作为对照组。在早产儿住院期间，试验组接受正念干预及信息支持，对照组接受常规健康教育。于干预前、干预结束时、干预后1个月，采用爱丁堡产后抑郁量表、焦虑自评量表、压力知觉量表和五因素正念度量表分别评估早产儿父亲的抑郁发生率、焦虑水平、压力水平和正念水平。结果共脱落9名，其中试验组脱落4名，对照组脱落5名。广义估计方程或重复测量方差分析结果显示，不同时间点两组抑郁发生率、焦虑水平、压力水平和正念水平比较，组间效应、交互效应均具有统计学意义（P<0.05）。简单效应分析结果显示，干预前两组抑郁发生率、焦虑水平、压力水平和正念水平比较，差异均无统计学意义（P>0.05）；干预结束时，试验组抑郁发生率和压力水平低于对照组，正念水平高于对照组，差异具有统计学意义（P<0.05）；干预后1个月，试验组抑郁发生率、焦虑水平和压力水平均低于对照组，正念水平高于对照组，差异具有统计学意义（P<0.05）。结论实施正念干预联合信息支持可以降低早产儿父亲的抑郁发生率及压力水平，改善焦虑症状，提高其正念水平，对早产儿父亲的心理健康状况具有积极影响。

关键词: 正念, 信息支持, 早产儿, 父亲, 焦虑, 抑郁, 压力, 新生儿护理

Abstract:

Objective To explore the effects of mindfulness intervention combined with information support on the mental health status of fathers of premature infants. Methods This study was a non-synchronous controlled trial. Convenience sampling method was used to select 70 fathers of preterm infants admitted to NICU of a tertiary A hospital in Beijing from July to October 2021 as research subjects. Fathers of preterm infants enrolled from July to August 2021 were selected as an experimental group，and those enrolled from September to October 2021 as a control group. During the hospitalization，the experimental group received mindfulness intervention and information support，and the control group received routine health education. The Edinburgh Postpartum Depression Scale，Self-rating Anxiety Scale，Perceived Stress Scale and Five-factor Mindfulness Scale were used to evaluate the incidence of depression，anxiety，stress and mindfulness of fathers before，at the end of intervention and a month after inter-vention. Results A total of 9 cases were dropped，including 4 cases in the experimental group and 5 cases in the control group. The results of generalized estimation equation or repeated measure analysis of variance showed that the incidence rate of depression，anxiety level，stress level and mindfulness level of the 2 groups at different time points were statistically significant （P<0.05）. Simple effect analysis showed that there were no significant differences in depression incidence，anxiety level，stress level and mindfulness level between the 2 groups before intervention （P>0.05）. At the end of intervention，the incidence of depression and stress level of experimental group were lower than that of the control group，and the level of mindfulness was higher than that of the control group，and the difference was statistically significant（P<0.05）. A month after intervention，the incidence of depression，anxiety level and stress level of experimental group were lower than that of the control group，while the level of mindfulness was higher than that of the control group，with statistical significance（P<0.05）. Conclusion The implementation of mindfulness intervention combined with information support can reduce the incidence of depression，improve the symptoms of anxiety and stress，and increase the level of mindfulness in fathers of premature infants，which has a positive impact on the mental health status of fathers of premature infants.

Key words: Mindfulness, Information Support, Premature Infants, Fathers, Anxiety, Depression, Pressure, Neonatal Nursing

宁时安, 姜梅, 柳学华, 黎珍, 陈京立. 正念干预联合信息支持对早产儿父亲心理健康状况的影响[J]. 中华护理杂志, 2023, 58(12): 1442-1448.

NING Shian, JIANG Mei, LIU Xuehua, LI Zhen, CHEN Jingli. Effects of mindfulness intervention combined with information support on the mental health status of fathers of premature infants[J]. Chinese Journal of Nursing, 2023, 58(12): 1442-1448.

图/表 3

表1 早产儿父亲正念干预内容

Table 1 Contents of mindfulness intervention for fathers of premature infants

表2 两组一般资料比较

Table 2 Comparison of general data between the 2 groups

表3 两组不同时间点抑郁发生率、焦虑水平、压力水平和正念水平比较

Table 3 Comparison of the incidence of depression and scores of anxiety， stress and mindfulness between the 2 groups at different time points

参考文献 26

[1]	宁时安, 李琳琳, 王茹霞, 等. 早产儿父亲创伤后成长体验的质性研究[J]. 解放军护理杂志, 2021, 38(7):56-59.
	Ning SA, Li LL, Wang RX, et al. The posttraumatic growth of fathers of preterm infants:a qualitative research[J]. Nurs J Chin PLA, 2021, 38(7):56-59.
[2]	Garfield CF, Lee YS, Warner-Shifflett L, et al. Maternal and paternal depression symptoms during NICU stay and transition home[J]. Pediatrics, 2021, 148(2):e2020042747.
[3]	Alnuaimi N, Tluczek A. Father’s bonding with an infant born prematurely:a qualitative meta-synthesis[J]. West J Nurs Res, 2022, 44(5):493-505. DOI URL
[4]	Cheung K, Theule J. Paternal depression and child externalizing behaviors:a meta-analysis[J]. J Fam Psychol, 2019, 33(1):98-108. DOI URL
[5]	陈杭健. 信息支持对住院早产儿父亲疾病不确定感的效果研究[D]. 北京: 北京协和医学院, 2015.
	Chen HJ. Effect of information support on the uncertainty of illness of hospitalized premature infants’ fathers[D]. Beijing: Peking Union Medical College, 2015.
[6]	Shorey S, Ng ED. The efficacy of mindful parenting interventions:a systematic review and meta-analysis[J]. Int J Nurs Stud, 2021, 121:103996.
[7]	Warriner S. An evaluation of mindfulness-based childbirth and parenting courses for pregnant women and prospective fathers/partners within the UK NHS(MBCP-4-NHS)[J]. Midwifery, 2018, 64:1-10. DOI PMID
[8]	郑琪, 丁霞. 互联网微信支持对NICU出院早产儿父母焦虑、抑郁情绪的影响[J]. 全科护理, 2018, 16(34):4285-4288.
	Zheng Q, Ding X. Influence of Internet support on anxiety and depression of parents of premature infants discharged from NICU[J]. Chin Gen Pract Nurs, 2018, 16(34):4285-4288.
[9]	Witarto BS, Visuddho V, Witarto AP, et al. Effectiveness of online mindfulness-based interventions in improving mental health during the COVID-19 pandemic:a systematic review and Meta-analysis of randomized controlled trials[J]. PLoS One, 2022, 17(9):e0274177.
[10]	Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale[J]. Br J Psychiatry, 1987, 150:782-786. DOI URL
[11]	郭秀静, 王玉琼, 陈静. 爱丁堡产后抑郁量表在成都地区产妇中应用的效能研究[J]. 中国实用护理杂志, 2009, 25(1):4-6.
	Guo XJ, Wang YQ, Chen J. Study on the efficacy of the Edinburgh Postnatal Depression Scale in puerperas in Chengdu[J]. Chin J Pract Nurs, 2009, 25(1):4-6.
[12]	Lee DTS, Yip SK, Chiu HFK, et al. Detecting postnatal depres-sion in Chinese women[J]. Br J Psychiatry, 1998, 172(5):433-437. DOI URL
[13]	赖敏华, 温馨, 李文硕, 等. 新生儿父亲产后抑郁发生现状及其影响因素的研究[J]. 中华护理杂志, 2015, 50(5):546-551.
	Lai MH, Wen X, Li WS, et al. Incidence and its influencing factors of paternal postpartum depression[J]. Chin J Nurs, 2015, 50(5):546-551.
[14]	Zung WWK. A rating instrument for anxiety disorders[J]. Psychosomatics, 1971, 12(6):371-379. DOI PMID
[15]	戴晓阳. 常用心理评估量表手册[M]. 北京: 人民军医出版社, 2010:170-172.
	Dai XY. Manual of Common Psychological Assessment Scale[M]. Beijing: People’s Military Medical Publishing House, 2010:170-172.
[16]	刘伟静, 王学焕, 郭青华, 等. 回授法宣教模式对NICU患儿父亲焦虑和照护能力及护患信任度的影响[J]. 护理与康复, 2022, 21(10):27-31.
	Liu WJ, Wang XH, Guo QH, et al. Effect of teach-back health education method on anxiety and care ability of NICU children’s fathers and nurse-patient trust[J]. J Nurs Rehabil, 2022, 21(10):27-31.
[17]	Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress[J]. J Health Soc Behav, 1983, 24(4):385-396. PMID
[18]	杨廷忠. 社会转型中城市人群心理压力研究[J]. 中华流行病学杂志, 2002, 23(6):473-475.
	Yang TZ. Research on the psychological pressure of urban crowds in social transformation[J]. Chin J Epidemiol, 2002, 23(6):473-475.
[19]	Baer RA, Smith GT, Hopkins J, et al. Using self-report assessment methods to explore facets of mindfulness[J]. Assessment, 2006, 13(1):27-45. DOI PMID
[20]	邓玉琴, 刘兴华, 梁耀坚, 等. 觉知抗抑郁训练对参与者抑郁情绪干预初探[J]. 中国临床心理学杂志, 2010, 18(6):813-816.
	Deng YQ, Liu XH, Liang YJ, et al. A pilot study of mindfulness-based anti-depression intervention for depressive participants[J]. Chin J Clin Psychol, 2010, 18(6):813-816.
[21]	Kral TRA. Impact of short-and long-term mindfulness meditation training on amygdala reactivity to emotional stimuli[J]. NeuroImage, 2018, 181:301-313. DOI URL
[22]	王茹霞. 新生儿重症监护室早产儿父亲应对方式的现状及影响因素研究[D]. 北京: 北京协和医学院, 2021.
	Wang RX. Study on the status and influencing factors of fathers’ coping styles of preterm infants in neonatal intensive care unit[D]. Beijing: Peking Union Medical College, 2021.
[23]	Bishop M, Cohen LL, Robbertz AS. Illness-related parenting stress and maladjustment in congenital heart disease:mindfulness as a moderator[J]. J Pediatr Psychol, 2020, 45(10):1208-1215. DOI URL
[24]	Mishel MH. Perceived uncertainty and stress in illness[J]. Res Nurs Health, 1984, 7(3):163-171. PMID
[25]	孙潇潇, 陈朔晖, 刘丹, 等. NICU早产儿父亲出院准备度的研究进展[J]. 中华护理杂志, 2022, 57(10):1262-1267. DOI URL
	Sun XX, Chen SH, Liu D, et al. Research progress on discharge readiness of fathers of premature infants in NICU[J]. Chin J Nurs, 2022, 57(10):1262-1267. DOI URL
[26]	陈利群, 牟绍玉, 丁福, 等. 护理临床思维训练平台的构建[J]. 中华护理杂志, 2019, 54(5):649-653. DOI URL
	Chen LQ, Mu SY, Ding F, et al. Construction of nursing clinical thinking training platform[J]. Chin J Nurs, 2019, 54(5):649-653. DOI URL