创伤后应激障碍是针对新生儿重症监护病房的父母的特征
Lisa McKeown1, Sonia Pervin2, Kylie Burke3
1Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, St Lucia, Australia; Women's and Newborn Services, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Herston, QLD, Australia.
概括
新生儿重症监护室 (NICU) 的入院对父母来说是创伤性的,可能导致创伤后应激障碍 (PTSD). 这项研究发现,13%的父母在入院时可能患有PTSD,母亲更容易受到影响,尽管大多数人都康复了.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 新生儿护理 新生儿护理
- 家长的心理健康
背景情况:
- 婴儿进入新生儿重症监护室 (NICU) 是父母的一个重大压力因素.
- 父母暴露在NICU环境中可能导致创伤后应激障碍 (PTSD) 症状.
- 有限的数据存在可能的PTSD在NICU父母使用验证的措施的流行率.
研究的目的:
- 确定在婴儿重症监护室的父母中可能患有PTSD的患病率.
- 在入院后的12个月内跟踪PTSD症状的流行情况.
- 为了调查母亲和父亲之间PTSD患病率的性别差异.
主要方法:
- 一项试点研究选了102名父母,使用DSM-5 (PCL-5) 的PTSD检查清单.
- 查发生在NICU入院,出院,以及3,6和12个月的婴儿年龄进行了校正.
- 可能的PTSD是由PCL-5分数≥31.1定义的.
主要成果:
- 在入院时,13%的父母的查结果为可能的PTSD呈阳性.
- 母亲报告PTSD症状的几率是父亲的两倍.
- 虽然大多数父母都康复了,但6%的孩子在12个月后出现了持续的严重症状.
结论:
- DSM-5的PTSD检查清单可以帮助护士识别父母的压力.
- 早期查和转诊途径是必要的,以改善父母的结果.
- 进一步的研究应该评估对NICU家长的干预措施的有效性.
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