發(fā)布時(shí)間：2018-06-21 14:45

  本文選題：新生兒重癥監(jiān)護(hù)病房 + 家庭　； 參考：《山東大學(xué)》2017年碩士論文

【摘要】：目的調(diào)查住院早產(chǎn)兒家屬的心理需求現(xiàn)況和影響因素,探討早產(chǎn)兒家屬心理需求的影響因素以及與應(yīng)對(duì)方式和社會(huì)支持之間的關(guān)系。方法本研究屬于橫斷面調(diào)查,采用方便抽樣的方法于2016年4月～2016年11月,選取山東省某三甲醫(yī)院NICU住院治療的258名早產(chǎn)患兒的家屬進(jìn)行現(xiàn)場(chǎng)問(wèn)卷調(diào)查。調(diào)查內(nèi)容包括四部分:一般資料調(diào)查表、危重癥患者家屬需求量表(CCFNI)、簡(jiǎn)易應(yīng)對(duì)方式問(wèn)卷和社會(huì)支持評(píng)定量表。采用均數(shù)和百分比等對(duì)資料進(jìn)行統(tǒng)計(jì)描述;采用t檢驗(yàn)、Pearson相關(guān)分析以及多元線性逐步回歸分析對(duì)資料進(jìn)行統(tǒng)計(jì)推斷。結(jié)果1、早產(chǎn)兒家屬心理需求處于中等水平。早產(chǎn)兒家屬需求的排列順序?yàn)?病情保證維度、獲取維度、被接納維度、支持維度及舒適維度。2、早產(chǎn)兒家屬工作狀況的差異對(duì)家屬心理需求總分有影響,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),早產(chǎn)兒不同胎齡、體重及不同出生方式,對(duì)家屬心理需求總分有影響,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。3、早產(chǎn)兒家屬積極應(yīng)對(duì)維度得分為(19.41 ± 4.22)分,消極應(yīng)對(duì)維度得分為(12.45 ± 3.54)分,總得分為(31.86 ± 5.69)分。4、早產(chǎn)兒家屬主觀支持維度得分為(20.39 ± 4.10)分,客觀支持維度得分為(11.23 ± 3.42)分,支持利用度得分為(8.16 ± 1.99)分,總得分為(39.77± 6.48)分。5、Pearson相關(guān)分析發(fā)現(xiàn),簡(jiǎn)易應(yīng)對(duì)與心理需求總分、支持維度得分及獲取維度得分呈負(fù)相關(guān)(P0.05),積極應(yīng)對(duì)與獲取維度呈負(fù)相關(guān)(P0.05),消極應(yīng)對(duì)與心理需求總分、支持維度得分、舒適維度得分及病情保證維度得分呈負(fù)相關(guān)(P0.05)。6、使用Pearson相關(guān)分析發(fā)現(xiàn),社會(huì)支持與心理需求總分、支持維度得分、舒適維度得分及被接納維度得分呈負(fù)相關(guān)(P0.05),主觀支持與心理需求總分、支持維度得分及舒適維度得分呈負(fù)相關(guān)(P0.05),客觀支持與心理需求總分、支持維度得分及病情保證維度得分呈負(fù)相關(guān)(P0.05),對(duì)支持的利用度與心理需求總分、支持維度得分及被接納維度得分呈負(fù)相關(guān)(P0.05)。7、多元分層回歸分析顯示,胎齡、體重、出生方式、消極應(yīng)對(duì)、主觀支持和利用度是早產(chǎn)兒家屬心理需求的影響因素,共解釋早產(chǎn)兒家屬心理需求總變異的34.0%。早產(chǎn)兒出生體重越低、胎齡越小,其家屬心理需求得分越高;接受剖宮產(chǎn)分娩手術(shù)的早產(chǎn)兒家屬心理需求得分高;消極應(yīng)對(duì)的早產(chǎn)兒家屬心理需求得分低;主觀支持越多、對(duì)支持的利用度越好,早產(chǎn)兒家屬心理需求得分越低。結(jié)論1、早產(chǎn)兒家屬心理需求處于中等水平。早產(chǎn)兒家屬需求排在第一位的是病情保證維度。2、早產(chǎn)兒家屬不同工作狀況,早產(chǎn)兒不同胎齡、體重,不同出生方式,對(duì)家屬心理需求的得分影響不同。3、早產(chǎn)兒家屬的心理需求越高,越少采取消極應(yīng)對(duì)方式。早產(chǎn)兒家屬的心理需求越低,則得到的社會(huì)支持水平越高。4、胎齡、體重、出生方式、消極應(yīng)對(duì)、主觀支持和利用度是早產(chǎn)兒家屬心理需求的影響因素。
[Abstract]:Objective to investigate the psychological needs status and influencing factors of family members of preterm infants, and to explore the relationship between psychological needs and coping styles and social support. Methods from April 2016 to November 2016, 258 family members of preterm infants in NICU of a hospital in Shandong Province were investigated by the convenient sampling method. The investigation includes four parts: general information questionnaire, CCFNIV, simple coping style questionnaire and Social support rating scale. The data were statistically described by means and percentages, and the data were inferred by using t-test Pearson correlation analysis and multivariate linear stepwise regression analysis. Results 1. The psychological needs of the family members of preterm infants were at the medium level. The order of family needs of preterm infants was as follows: condition assurance dimension, acquisition dimension, accepted dimension, support dimension and comfort dimension. The difference of work status of family members of premature infants had influence on the total score of family psychological needs. The difference was statistically significant (P 0.05). The total score of family members' psychological needs was affected by different gestational age, body weight and birth style of premature infants. The difference was statistically significant (P 0.05). The score of positive coping dimension of family members of premature infants was 19.41 鹵4.22). The negative coping dimension score was 12.45 鹵3.54, the total score was 31.86 鹵5.69, the subjective support dimension score was 20.39 鹵4.10), the objective support dimension score was 11.23 鹵3.42, the support utilization score was 8.16 鹵1.99, and the negative coping dimension score was 12.45 鹵3.54, the total score was 31.86 鹵5.69, the subjective support dimension score was 20.39 鹵4.10, the objective support dimension score was 11.23 鹵3.42, the support utilization score was 8.16 鹵1.99. The total score was 39.77 鹵6.48). Pearson correlation analysis showed that simple coping had a negative correlation with the total score of psychological needs, support dimension and acquisition dimension, positive coping had negative correlation with acquisition dimension (P 0.05), negative coping had negative correlation with total psychological demand, and negative coping had a negative correlation with total psychological demand. The scores of support dimension, comfort dimension and condition assurance dimension were negatively correlated (P0.05N. 6). Using Pearson correlation analysis, we found that social support was associated with total score of psychological needs, and score of support dimension. There was a negative correlation between the scores of comfort dimension and accepted dimension, subjective support and total psychological need, support dimension and comfort dimension, objective support and total psychological demand. The scores of support dimension and condition assurance dimension were negatively correlated with the total score of psychological needs, the scores of support dimension and accepted dimension were negatively correlated with the total score of psychological needs, and the multiple stratified regression analysis showed that gestational age, weight, birth style. Negative coping, subjective support and utilization were the influencing factors of the psychological needs of the family members of premature infants, which explained 34.0% of the total variation of the psychological needs of the family members of premature infants. The lower the birth weight and the smaller the gestational age, the higher the score of the psychological needs of the family members; the higher the score of the psychological needs of the family members of the premature infants undergoing cesarean section; the lower the score of the psychological needs of the families of the premature infants with negative coping; the more the subjective support. The better the use of support, the lower the score of family members' psychological needs. Conclusion 1. The psychological needs of the family members of preterm infants are at the medium level. The first place for the needs of the family members of premature infants is the dimension of disease assurance. The family members of preterm infants have different working conditions, different gestational ages, different body weights, and different birth styles. The scores of psychological needs of family members were different. 3. The higher the psychological needs of preterm infants, the less negative coping styles. The lower the psychological needs of the family members of premature infants, the higher the level of social support. Gestational age, body weight, birth style, negative coping, subjective support and utilization degree are the factors that affect the psychological needs of family members of premature infants.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R473.72

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