以质量求发展,以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (23): 55-60.doi: 10.16460/j.issn1008-9969.2019.23.055

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Analysis the Influence of Maternal Emotional and Psychological Factors and Family Management on Preterm Infants Underweight at 12 Months of Corrected Age

ZHAO Li-jin1, DUAN Yi1, ZHAO Min-hui1, ZHANG Ying2   

  1. 1. Shanghai First Maternal and Infant Hospital Affiliated to Tongji University, Shanghai 201204, China;
    2. School of Nursing, Shanghai Jiaotong University, Shanghai 200025, China
  • Received:2019-09-18 Published:2020-07-27

Abstract: Objective To analysis the influence of maternal emotional and psychological factors and family management on preterm infants underweight at 12 months of corrected age (CA). Methods With convenient sampling, a total of 264 preterm infants with their mothers were recruited from one tertiary grade A maternal and infant hospital in Shanghai were recruited from July 2016 to December 2017 and investigated by the self-rating anxiety scale (SAS), the perinatal PTSD questionnaire (PPQ) and the Chinese version of Family Management Measure (FaMM) at the 1st month of CA. Binany Logistic regression was used to analyze the influencing factors of preterm infants underweight at 12 months of CA. Results According to the weight, the ratio of growth retardation was 27.3% on preterm infants at 12 months. The results of binany Logistic regression analysis showed that higher scores of child identity (OR=0.855, P=0.045) and caring ability at the 1st month of CA (OR=0.904, P=0.019) were protective factors of weight growth at 12 months of CA. Boy (OR=3.409, P=0.002), mother's anxiety (OR=1.085, P=0.032) and caring burden at the 1st month of CA (OR=1.183, P=0.043) were risk factors of weight growth at 12 months of CA. Conclusion The factors influencing preterm infants underweight at 12 months CA include low child identity at the 1st month CA, condition management ability at the 1st month CA, boys, high maternal anxiety at the 1st month CA, and high condition management effort at the 1st month. We should teach mothers the knowledge and basic skills of caring for premature infants before they discharged, cooperate with community hospitals, establish and perfect the follow-up system for premature infants. Pay attention to the growth outcome of boys, find out the reason of underweight, and give corresponding treatment. Psychological counselors intervene to help mothers of premature infants build up confidence. Meanwhile, through peer communication to relieve mothers' anxiety and condition management effort, improve their recognition of premature infants, so as to ensure catch up growth of premature infants and reduce the occurrence of underweight at 12 months CA.

Key words: preterm infant, underweight, mother, anxiety, family management

CLC Number: 

  • R473.71
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