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护理学报 ›› 2022, Vol. 29 ›› Issue (9): 58-63.doi: 10.16460/j.issn1008-9969.2022.09.058

• 调查研究 • 上一篇    下一篇

父亲抑郁情绪和家庭功能在早产儿母亲抑郁情绪与母婴情感联结间的中介效应

罗爽, 尹华英, 雷莉, 王海梅   

  1. 重庆医科大学附属儿童医院 儿童青少年生长发育与心理健康中心,重庆 400014
  • 收稿日期:2021-11-01 出版日期:2022-05-10 发布日期:2022-06-09
  • 通讯作者: 尹华英（1964-）,女,四川彭州人,本科学历,教授,硕士研究生导师。E-mail:sarah6524@126.com
  • 作者简介:罗爽（1994-）,女,四川渠县人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    重庆市教委护理学“十三五”重点学科资助项目（2019hlxk03）; 重庆市2020年科卫联合医学科研项目（2020MSXM019）

Mediating Effect of Paternal Depression and Family Function between Maternal Depression and Mother-Infant Bonding after Discharge of Preterm Infants

LUO Shuang, YIN Hua-ying, LEI Li, WANG Hai-mei   

  1. Dept. of Children Development and Psychology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China
  • Received:2021-11-01 Online:2022-05-10 Published:2022-06-09

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摘要： 目的 探究父亲抑郁情绪和家庭功能在早产儿母亲抑郁情绪与母婴情感联结的中介效应。方法 便利抽样选取2020年7月—2021年1月在重庆市某三级儿童医院新生儿科治疗后出院的早产儿的父母作为调查对象,母亲完成一般资料调查表、抑郁自评量表、家庭功能量表、中文版母婴依恋量表,父亲完成抑郁自评量表,采用SPSS24.0分析父亲抑郁、母亲抑郁、家庭功能与母婴情感联结之间的相关性;采用AMOS 24.0对中介假设进行检验。结果 早产儿父亲抑郁情绪、母亲抑郁情绪、家庭功能、母婴情感联结总分分别为（49.34±11.69）分、（53.02±11.62）分、（2.28±0.31）分、（78.54±14.73）分;母婴情感联结总分与父亲抑郁、母亲抑郁、家庭功能总分均呈负相关（r=-0.272、-0.331、-0.174,均P<0.01）;母亲抑郁情绪对母婴情感联结有直接负向预测作用（β=-0.299,P<0.001）;父亲抑郁情绪和家庭功能在母亲抑郁情绪与母婴情感联结间起部分中介作用,中介效应值为-0.082,效应占比36.52%。结论 早产儿父母的抑郁情绪显著高于国内常模,家庭功能处于中等偏低水平,母婴情感联结处于中等偏上水平,父母的抑郁情绪和家庭功能可直接或间接影响母婴情感联结,出院后除了要关注患儿的生长发育和疾病康复,还应重视父母的情绪疏导、家庭功能和母婴依恋情感的建立,以期促进早产儿心理行为的发展。

关键词: 早产儿, 出院后, 父母抑郁, 家庭功能, 母婴情感联结, 中介效应

Abstract: Objective To explore the mediating effect of paternal depression and family function between maternal depression and mother-infant bonding after the discharge of preterm infants. Methods With convenience sampling, the parents of premature infants discharged from the neonatal center of a tertiary children's hospital were investigated from July 2020 to January 2021. Mothers completed the Self-rating Depression Scale, Family Assessment Device and Chinese version of Maternal Attachment Inventory and fathers completed the Self-rating Depression Scale. Results The total score of paternal depression, maternal depression, family function and mother-infant bonding were 49.34±11.69, 53.02±11.62, 2.28±0.31, 78.54±14.73, respectively. Paternal depression, maternal depression and family function were negatively correlated with the mother-infant bonding(r=-0.272,-0.331,-0.174,all P<0.01). Maternal depression had a directly negative predictive effect on mother-infant emotional connection (β=-0.299,P<0.001); paternal depression and family function played a partial mediating role between maternal depression and mother-infant bonding, with mediating effect value of -0.082, and the proportion of the mediating effect was 36.52%. Conclusion Depression of parents of preterm infants is significantly higher than domestic norm and family function is at a medium low level. Parents' depression and family function can directly or indirectly affect the establishment of the mother-infant bonding. Medical staff should pay attention to the life care and disease rehabilitation after the discharge of preterm infants as well as parents' emotion counseling, family function and the establishment of mother-infant bonding in order to promote the development of premature infants' physiological and psychological behavior.

Key words: preterm infant, post-discharge, parental depression, family function, mother-infant bonding, mediating effect

中图分类号: 

  • R473.72
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