|
|
|
| Analysis of Parenting Stress and its Influencing Factors among Mothers of Preterm Infants at 1 Year Corrected Age |
| SHI Junxia, LIN Lin |
| Department of Child Health, Women and Childrens Hopital, School of Medicine, Xiamen University, Xiamen Fujian 361003 |
|
|
|
|
Abstract 【Objective】 To explore the current status and influencing factors of parenting stress among mothers of preterm infants at 1 year corrected age. 【Methods】 A total of 500 preterm infants at 1 year corrected age and their mothers who received follow-up in the high-risk infant clinic of our hospital from January 2024 to December 2025 were enrolled by random sampling method. The Parenting Stress Index-Short Form (PSI-SF), Maternal and Child Feeding Difficulty Scale (MCH-FS), Brief Infant Sleep Questionnaire (BISQ), and Neuropsychological Development Scale for Children Aged 0-6 Years were adopted for investigation. Parenting stress scores of mothers with different basic characteristics were compared, and multiple linear regression analysis was performed to analyze the influencing factors of parenting stress among mothers of preterm infants at 1 year corrected age. 【Results】 Significant differences were found in parental distress (PD), parent-child dysfunctional interaction (P-CDI), difficult child (DC) scores and total PSI-SF scores among mothers with different educational levels, annual family incomes, numbers of children, previous adverse pregnancy histories and quantities of gestational complications (P<0.05). Similarly, the above scores differed significantly in groups stratified by infants' small for gestational age status, birth weight, neonatal complications, twin pregnancy/multiple pregnancy status and in vitro fertilization conception status (P<0.05). In addition, statistically significant differences existed in PD, P-CDI, DC and total PSI-SF scores among mothers of infants with different developmental quotient (DQ) at 1 year corrected age, sleep regularity, falling-asleep difficulty, sleep disorders and feeding difficulty degrees (P<0.05). Multiple linear regression analysis showed that infant sleep difficulty, irregular sleep, feeding difficulty, developmental quotient, number of neonatal complications, number of children in the family and twin pregnancy were independent influencing factors for maternal parenting stress (P<0.05). 【Conclusion】 Parenting stress among mothers of preterm infants at 1 year corrected age is affected by multiple factors. In high-risk infant management, medical staff should attach great importance to the screening and intervention of infant sleep and feeding problems, and provide targeted psychosocial support for families with high-risk characteristics, so as to promote maternal and infant health.
|
|
Received: 11 December 2025
|
|
|
|
|
|
[1] OHUMA E O, MOLLER A B, BRADLEY E, et al. National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis[J].Lancet,2023, 402(10409): 1261-1271.
[2] 吴新萍, 谷传丽, 韩树萍, 等. 极早产儿存活率和并发症的多中心回顾性研究[J].中国当代儿科杂志, 2021,23(8):814-820.
[3] 孔祥永, 张珊, 封志纯, 等.中国14家医院超/极早产儿早期预后的多中心调查[J].中国医刊,2018,53(12):1356-1362.
[4] STAVER M A, MOORE T A, HANNA K M, et al. An integrative review of maternal distress during neonatal intensive care hospitalization[J].Arch Womens Ment Health,2021,24(2):217-229.
[5] 陈丽萍, 王慧馨, 李丽珍. 极低/超低出生体质量儿家庭功能及母亲亲职压力关系研究[J].护理学报, 2017, 24(17): 72-76.
[6] 钱小芳, 苏晓娟, 刘桂华, 等. 极低出生体质量早产儿母亲心理状态与亲职压力的相关性分析[J].护理管理杂志, 2018,18(2): 85-88.
[7] YEH C H, CHEN M L, LI W, et al. The Chinese version of the Parenting Stress Index: a psychometric study[J].Acta Paediatr,2001, 90(12): 1470-1477.
[8] 戴琼, 徐海青, 汪鸿. 婴幼儿喂养困难评分量表中文版标化研究[J].中国妇幼健康研究, 2011, 22(3): 258-259.
[9] DEL-PONTE B, XAVIER M O, BASSANI D G, et al. Validity of the Brief Infant Sleep Questionnaire (BISQ) in Brazilian children[J].Sleep Med,2020, 69: 65-70.
[10] 金春华. 儿童神经心理行为检查量表2016版[M]. 北京:北京出版社, 2016.
[11] 姚莉莉,赵敏慧. NICU出院早产儿母亲育儿压力轨迹及影响因素研究[J].护理学杂志,2022,37(12):68-71.
[12] GRAY P H, EDWARDS D M, GIBBONS K. Parenting stress trajectories in mothers of very preterm infants to 2 years[J].Arch Dis Child Fetal Neonatal Ed,2018, 103(1):F43-F48.
[13] 李雨霏,袁瑜翎,王玲艳. 0~3岁婴幼儿母亲育儿压力现状与影响因素[J].学前教育研究,2019,297(9):68-80.
[14] SCHMÖKER A,FLACKING R,UDO C, et al. Longitudinal cohort study reveals different patterns of stress in parents of preterm infants during the first year after birth[J].Acta Paediatr,2020,109:1778-1786.
[15] 刘维韦,娄海琴,付路,等. 南通市学龄前儿童母亲育儿压力与家庭社会资本的相关性研究[J].现代预防医学,2018,45(22):4083-4085.
[16] DEMPSEY A G, KELLER-MARGULIS M A. Developmental and medical factors associated with parenting stress in mothers of toddlers born very preterm in a neonatal follow-up clinic[J].Infant Mental Health J,2020,41(5):651-661. |
|
|
|