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读懂早产儿行为与个体化照护指导效果探讨

Effect of Reading Preterm Infants’ Behavioral Cues and Implementation of Individual-based Care Instruction

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【作者】 赵敏慧姚莉莉袁浩斌陈超张玉侠

【Author】 ZHAO Minhui,YAO Lili,YUAN Haobin,CHEN Chao,ZHANG Yuxia(School of Nursing,Fudan University,Shanghai 200032,China)

【机构】 复旦大学护理学院妇儿教研室复旦大学附属儿科医院新生儿科

【摘要】 目的探讨读懂早产儿行为与个体化照护指导对父母的早产儿互动行为认知及情绪的影响。方法将符合入选标准的低危早产儿家庭随机分为观察组(19个家庭,31名父母)和对照组(19个家庭,32名父母)。对照组阅读读懂早产宝宝行为的宣教手册;观察组在此基础上,给予个体化的读懂早产儿行为照护指导。采用自制早产儿互动行为知识调查表、抑郁自评量表(SDS)和焦虑自评量表(SAS)评价干预效果。结果早产儿互动知识、SDS及SAS评分观察组均显著优于对照组(均P<0.05)。出院后父母互动知识水平越高,其抑郁、焦虑水平越低,呈显著负相关(均P<0.01)。结论读懂早产儿行为及个体化照护指导能有效促进父母的早产儿互动行为认知和积极情绪的形成。

【Abstract】 Objective To examine the effect of reading preterm infants’ behavioral cues and implementation of individual-based care instruction to parents.Methods A total of 38 families were enrolled in a time-lag control trial and randomized into an intervention group(19 families,31 parents) and a control group(19 families,32 parents).The parents in the control group were given instruction handbook of reading preterm infants’ behavioral cues,while those in the intervention group were subjected to individual-based care education on the basis of the control group.Self-designed Knowledge of Preterm Infant Interactive Behavior Scale(KPIIBS) and Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS) were used to evaluate the effect.Results The scores of KPIIBS,SDS and SAS of the intervention group were significantly higher than those of the control group(P<0.05 for all).There was statistically negative correlation between knowledge of interactive behavior and depression,anxiety as well(P<0.01 for both).Conclusion Reading preterm infants’ behavioral cues and implementing individual-based care instruction to parents can promote cognition of interactive behavior in parents,and form positive emotion.

【关键词】 早产儿行为父母个体化照护焦虑抑郁护理
【Key words】 premature infantbehaviorparentsindividual-based careanxietydepressionnursing
【基金】 复旦大学护理科研项目(200508)
  • 【文献出处】 护理学杂志 ,Journal of Nursing Science , 编辑部邮箱 ,2008年19期
  • 【分类号】R473.72
  • 【被引频次】12
  • 【下载频次】127
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