首页|期刊导航|中西医结合护理(中英文)|基于时机理论的二元应对方案对早产儿家庭参与式照护母婴健康的影响

基于时机理论的二元应对方案对早产儿家庭参与式照护母婴健康的影响OA

Impact of a dyadic coping strategy based on timing theory on maternal and child health in family integrated care for premature infants

中文摘要英文摘要

目的 探讨基于时机理论的二元应对方案在早产儿家庭参与式照护中的应用效果.方法 选取 2024 年 3 月至 2025 年 4 月福州市第一总医院新生儿重症监护室收治的 100 例早产儿及其父母开展研究,按照入院时间先后顺序分为对照组和观察组(各 50 例).对照组实施常规家庭参与式照护,观察组在此基础上引入基于时机理论的"二元应对"干预路径,比较 2 组干预前后的护理效果.结果 干预后,观察组的过渡期早产儿父母照护能力评估量表(PICCS)评分、照护过程测量表(MPOC-20)评分、母亲客体关系量表[MORS(Child)]评分及Lock-Wallace婚姻调适测定量表(MAT)评分均明显高于对照组(P均<0.05).干预后,观察组的婚姻适应良好率高于对照组(P<0.05);2 组的院内感染发生率和出院后30 d内再入院率相比,差异均无统计学意义(P均>0.05).结论 基于时机理论的二元应对方案能够显著提升早产儿家庭的参与照护能力和家长满意度,促进母婴依恋和夫妻关系的良性发展.

Objective To explore the application effect of dyadic coping strategies based on timing theory in family integrated care for premature infants.Methods A study was conducted on 100 premature infants and their parents admitted to the neonatal intensive care unit of Fuzhou First General Hospital from March 2024 to April 2025.They were divided into a control group and an observation group(50 cases in each group)according to the order of admission time.The control group implemented routine family integrated care,while the observation group introduced a"dyadic coping"intervention path based on timing theory on this basis,and compared the nursing effects before and after the intervention between the two groups.Results After the intervention,the scores of Premature Infant Care Competence Scale for Parents in Transition(PICCS),Measure of Processes of Care(MOPC-20),Mothers'object relationship-child(MORS[Child])and Marriage Adjustment Test(MAT)in the observation group were significantly higher than those in the control group(P<0.05).After the intervention,the observation group had a higher rate of good marital adaptation than the control group(P<0.05).There was no statistically significant difference in the incidence of nosocomial infections and the readmission rate within 30 days after discharge between the two groups(P>0.05).Conclusion The dyadic coping strategy based on the timing theory can significantly improve the participation and care ability of premature infant families,as well as the satisfaction of parents,and promote the healthy development of mother infant attachment and marital relationships.

邱少锋;陈庚;游晓青;蒋丹炜;林小平

福州市第一总医院,福建 福州,350009福州市第一总医院,福建 福州,350009福州市第一总医院,福建 福州,350009福州市第一总医院,福建 福州,350009福州市第一总医院,福建 福州,350009

医药卫生

时机理论二元应对早产儿家庭参与式照护母婴心理健康

timing theorydyadic copingpremature infantfamily integrated carematernal and infant mental health

《中西医结合护理(中英文)》 2026 (1)

25-28,4

福州市卫生健康科技计划项目(2023-S-Wr4)

10.11997/nitcwm.202601007

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