The Effect Of Nursing Intervention To High-risk Pregnancy Mothers' Physical And Psychological State After Being Separated From Their Newborns

ObjectiveTo investigate and analyze the physical and psychological state of high-risk pregnancy mothers after their babies being transferred to Neonatal Intensive Care Unit,evaluate the effect of nursing methods,and discuss the influential factors of this intervention. Eventually,to explore a scientific nursing intervention model for high-risk pregnancy mothers after being separated from their newborns.MethodsDuring May of 2007 and December of 2007,a quasi-experiment design was conducted among a convenient sample of 126 high-risk pregnancy mothers recruited after being separated from their newborns.During the study,there were 12 mothers lost to follow up.Finally,114 subjects were recruited which were divided into two groups with 56 in intervention group and 58 in control group.For the intervention group,the researcher provided nursing intervention,while the control group was only given routine nursing care.Data were collected on the 1^st,7^thand 42^ndday of cesarean section(including STA-I,EPDS,HR,SBP,BS,Mammary Swelling Incidence and Breastfeeding Incidence).T-test,Chi-square test,Mann-Whitney U test and Multivariate stepwise regression were performed throughout the data analysis.Result1.On the 1^stday of cesarean section,the psychological state of high-risk pregnancy mothers after being separated from their newborns:①The S-AI score is 43.80±7.43 and significantly higher than the normal standard in China.②The EPDS score is 10.22±4.43 and Postpartum Depression Incidence is 57.9%.2.The influential factors of psychological stress:Multivariate stepwise regression identified the independent determinants are neonatal birth week,trait anxiety and pregnancy complication.3.Effect of nursing intervention on psychological state of high-risk pregnancy mothers after being separated from their newborns:①on the 7^thand 42^ndday of cesarean section,compared with control group,the S-AI score and Postpartum Depression Incidence in intervention group decreased significantly.②on the 1^st,7^thand 42^ndday of cesarean section,the S-AI score and EPDS in intervention group decreased significantly;on the 1^st,7^thday of cesarean section,the control groups' S-AI score and EPDS have no statistics differences.③on the 7^thday of cesarean section,the two groups' endocrine indexes have statistics differences.④on the 42^ndday of cesarean section,there were no statistics differences of EPDS scores between two groups.⑤on the 7^thday of cesarean section,the two groups' physical indexes have no statistics differences.4.Effect of nursing intervention on physical state of high-risk pregnancy mothers after being separated from their newborns:①on the 3^rdday of cesarean section,compared with control group,the Mammary Swelling Incidence in intervention group decreased significantly.②on the 42^ndday of cesarean section,compared with control group,the Breastfeeding Incidence in intervention group increased significantly.5.The correlated factors of nursing intervention when mothers hospitalized: Multivariate stepwise regression identified the independent determinants were educational background and neonatal birth week.Conclusions1.As a stressor,mother-baby separation can bring about a series of stress responses to high-risk pregnancy mothers.The neonatal birth week,personality characteristics and pregnancy complication can influence the stress response intensity.2.Nursing intervention can effectively relieve the response intensity of the stress, decrease the Mammary Swelling Incidence and improve breastfeeding.3.Lower educational background and premature mothers should be paid more attention during the nursing intervention.