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

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