中国健康心理学杂志2025，Vol.33Issue(1) ：32-36.DOI:10.13342/j.cnki.cjhp.2025.01.006

新生儿重症监护室新生儿家长疾病不确定感调查及与心理弹性和感知护士支持的相关性

Investigation on uncertainty in illness among parents of neonates in NICU and its correlation with psychological resilience and perceived nurses'support

薛云丽 马登慧 辛苑梦 赵伟 路尧 常俊明
中国健康心理学杂志2025，Vol.33Issue(1) ：32-36.DOI:10.13342/j.cnki.cjhp.2025.01.006
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新生儿重症监护室新生儿家长疾病不确定感调查及与心理弹性和感知护士支持的相关性

Investigation on uncertainty in illness among parents of neonates in NICU and its correlation with psychological resilience and perceived nurses'support

薛云丽 1马登慧 1辛苑梦 1赵伟 1路尧 1常俊明1
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作者信息

  • 1. 河南省南阳市中心医院NICU 473000
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摘要

目的:调查分析新生儿重症监护室(NICU)新生儿家长疾病不确定感调查以及与心理弹性和感知护士支持的相关性.方法:选取2022年5月至2024年1月某院NICU的122例新生儿家长为研究对象,采用中文版父母用疾病不确定感量表(PPUS)、中文版心理弹性量表(CD-RISC)、护士对患儿家长支持量表(NPST)分别调查疾病不确定感调查、心理弹性以及感知护士支持情况,分析疾病不确定感与心理弹性、感知护士支持之间的相关性,并进行多因素分析,探讨NICU新生儿家长疾病不确定感相关影响因素.结果:122例NICU新生儿家长PPUS评分为94.85±11.36分,其中女性、年龄＜25岁、分娩时孕龄＜37周的PPUS评分相对更高(t=2.010,2.003,2.070;P＜0.05),经相关性分析,NICU新生儿家长疾病不确定感与心理弹性以及感知护士支持之间存在负相关性(r=-0.480,-0.466;P＜0.05),经多因素分析,性别、CD-RISC、NPST评分均为导致NICU新生儿家长产生疾病不确定感的独立影响因素(β=-0.953,-1.977,-1.635,SE=0.411,0.756,0.709;P＜0.05).结论:NICU 新生儿家长普遍存在疾病不确定感,且与心理弹性、感知护士支持之间呈负相关性,临床可通过加强患儿家属心理弹性,优化护理干预措施层面减轻疾病不确定感.

Abstract

Objective:To investigate and analyze uncertainty in illness among parents of neonates in the neonatal in-tensive care unit(NICU),and its correlation with psychological resilience and perceived nurses'support.Methods:U-sing the random sampling method,122 parents of neonates admitted to NICU of Nanyang Central Hospital from May 2022 to January 2024 were selected as the research subjects.The Chinese version of the Parent Perception of Uncertainty Scale(PPUS),the Chinese version of the Connor-Davidson Resilience Scale(CD-RISC),and the Nurse Parent Support Tool(NPST)were used to investigate uncertainty in illness,psychological resilience,and perceived nurses'support,respectively.The correlation between uncertainty in illness and psychological resilience,and perceived nurses'support was analyzed.Multivariate analysis was conducted to explore the factors influencing uncertainty in ill-ness among parents of neonates in NICU.Results:PPUS score of parents included in the study was 94.85±11.36.Fe-males,those under 25 years old,and those under 37 weeks of gestational age at delivery had relatively higher PPUS scores(t=2.010,2.003,2.070;P＜0.05).Correlation analysis found that there was a negative correlation between un-certainty in illness and psychological resilience,and perceived nurses'support among parents of neonates in NICU(r=-0.480,-0.466;P＜0.05).Multivariate analysis revealed that gender,CD-RISC score,and NPST score were inde-pendent influencing factors of uncertainty in illness among parents of neonates in NICU(β=-0.953,-1.977,-1.635,SE=0.411,0.756,0.709;P＜0.05).Conclusion:Uncertainty in illness is common among parents of neonates in NICU.It is negatively correlated with psychological resilience and perceived nurses'support.In clinical practice,uncer-tainty in illness can be alleviated by strengthening psychological resilience of family members of the children and op-timizing nursing intervention.

关键词

新生儿重症监护室/新生儿家长/疾病不确定感/心理弹性

Key words

NICU/Parents of neonates/Uncertainty in illness/Psychological resilience

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出版年

2025
中国健康心理学杂志
中国心理卫生协会

中国健康心理学杂志

影响因子：1.264
ISSN：1005-1252
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