家庭中心式心理干预对早产儿神经行为及亲子互动的影响:父母心理压力的中介作用OA
Effect of family—centered psychological intervention on neurobehavioral and parent—child interaction in premature infants:The mediating role of parental psychological stress
目的:探讨家庭中心式心理干预能否通过缓解父母的心理压力,进而促进早产儿的神经行为发育并改善亲子互动质量.方法:便利选取2024年3月—2025年3月某院收治的早产儿136例,按照随机数字表法分为观察组(n=68,常规干预)和对照组(n=68,在常规护理干预基础上采取家庭中心式心理干预),比较两组干预前后早产儿神经行为、亲子互动质量以及早产儿父母紧张焦虑感、育儿压力得分,并分析早产儿父母紧张焦虑感、育儿压力、早产儿神经行为结局之间的相关性和中介效应.结果:观察组干预后即刻、矫正月龄6个月时的NBNA得分均高于对照组(t=2.494,17.754;P＜0.05),差异有统计学意义.观察组出院后6个月的亲子互动质量得分均高于对照组,紧张焦虑感和育儿压力得分均低于对照组(t=12.256,-8.965,-4.523;P＜0.05),差异有统计学意义.早产儿父母紧张焦虑感与育儿压力呈正相关(r=0.511,P＜0.001),与早产儿神经行为呈负相关(r=-0.345,P＜0.001),育儿压力与早产儿神经行为呈负相关(r=-0.388,P＜0.001).中介效应检验显示,早产儿父母紧张焦虑感负向预测早产儿神经行为(β=-0.352,P＜0.001),育儿压力负向预测早产儿神经行为(β=-0.482,P＜0.001),育儿压力的中介效应值为-0.282(95％CI:-0.42～-0.15),区间不包含0,表明育儿压力在父母紧张焦虑感与早产儿神经行为结局之间的中介效应具有统计学意义.结论:家庭中心式心理干预能够有效改善早产儿的神经行为结局,提升亲子互动质量,并缓解父母的负面情绪与压力,育儿压力在父母紧张焦虑感影响早产儿神经行为的过程中起到关键中介作用.
Objective:To explore whether family-centered psychological intervention can promote the neurobehav-ioral development of premature infants and improve the quality of parent-child interaction by alleviating the psy-chological pressure of parents.Methods:A total of 136 premature infants admitted to our hospital from March 2024 to March 2025 were convenient selected and divided into observation group(n=68,routine intervention)and control group(n=68,family-centered psychological intervention on the basis of routine nursing intervention)according to the random number table method.The neurobehavioral and parent-child interaction quality of premature infants,as well as the scores of stress anxiety and parenting stress of premature infants' parents before and after intervention were compared between the two groups,and the correlation and mediating effect between stress anxiety,parenting stress and neurobehavioral outcome of premature infants' parents were analyzed.Results:The NBNA scores of the observation group immediately after intervention and at 6 months of corrected age were higher than those of the con-trol group(t=2.494,17.754;P＜0.05).The scores of parent-child interaction quality in the observation group were higher than those in the control group at 6 months after discharge,and the scores of tension anxiety and parenting stress were lower than those in the control group(t=12.256,-8.965,-4.523,P＜0.05).Parents' anxiety was positive-ly correlated with parenting stress(r=0.511,P＜0.001)and negatively correlated with neurobehavioral(r=-0.345,P＜0.001).Parenting stress was negatively correlated with neurobehavioral(r=-0.388,P＜0.001).The mediating effect test showed that parental stress negatively predicted neurobehavioral outcomes in premature infants(β=-0.352,P＜0.001),and parenting stress negatively predicted neurobehavioral outcomes in premature infants(β=-0.482,P＜0.001).The mediating effect of parenting stress was-0.282(95％CI:-0.42～-0.15),and the interval did not contain 0,indicating that the mediating effect of parenting stress between parental stress and neurobehavioral outcomes in premature infants was statistically significant.Conclusion:Family-centered psychological intervention can effectively improve the neurobehavioral outcome of premature infants,improve the quality of parent-child inter-action,and alleviate the negative emotions and stress of parents.Parenting stress plays a key mediating role in the process of parents' tension and anxiety affecting the neurobehavioral process of premature infants.
宋娅楠;杨青丽;姚瑶
河南省漯河市中心医院NICU 462000河南省漯河市中心医院NICU 462000河南省漯河市中心医院NICU 462000
医药卫生
心理干预早产儿家庭神经行为心理支持
Psychological interventionPremature infantsFamilyNeurobehavioralPsychological support
《中国健康心理学杂志》 2026 (7)
986-991,6
河南省医学科技攻关计划项目(编号:LHGJ20221027)
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