Scientific Journal of Nursing, Midwifery and Paramedical Faculty
فصلنامه پرستاری، مامایی و پیراپزشکی
SJNMP
Medical Sciences
http://sjnmp.muk.ac.ir
1
admin
2476-4841
2476-4841
10.29252/sjnmp
48604
fa
jalali
1404
10
1
gregorian
2026
1
1
11
2
online
1
fulltext
fa
مقایسه اضطراب مادران دارای نوزاد نارس و ترم بستری در بخش مراقبت‌های ویژه نوزادان در دوران همه‌گیری کووید-۱۹
Comparison of Anxiety Among Mothers of Preterm and Term Infants Hospitalized in Neonatal Intensive Care Units During the COVID-19 Pandemic
عمومى
General
پژوهشي
Research
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#2419f7"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.1pt">زمینه</span></span></span></span></span></span></b><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#2419f7"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.1pt"> و هدف:</span></span></span></span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">همه‌گیری کووید-</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">۱۹</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> به‌طور قابل‌توجهی در سلامت روان عمومی تأثیر گذاشت. مادران نوزادان نارس به‌دلیل بستری نوزاد در بخش مراقبت‌های ویژه نوزادان، در معرض اضطراب قرار دارند و همه‌گیری کووید-</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">۱۹</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> می‌تواند </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">بار روانی آنان را تشدید کند. مطالعه حاضر با هدف مقایسه اضطراب میان مادران دارای نوزاد نارس و مادران دارای نوزاد ترم در طول همه‌گیری کووید-</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">۱۹ انجام شد.</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#2419f5">مواد و روش‌ها</span></span></span></b><b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#2419f5">:</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> این مطالعه توصیفی‌مقطعی از نوع مقایسه‌ای، در سال </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">۱۴۰۱</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> در بخش‌های مراقبت ویژه نوزادان بیمارستان کودکان بهرامی تهران انجام شد. در مجموع، </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">۲۲۰</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> مادر، شامل </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">۱۱۰</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> مادر دارای نوزاد نارس و </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">۱۱۰</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> مادر دارای نوزاد ترم، به روش نمونه‌گیری در دسترس وارد مطالعه شدند. داده‌ها با استفاده از پرسش‌نامه جمعیت‌شناختی، پرسش‌نامه اضطراب حالت-صفت اشپیلبرگر و مقیاس اضطراب بیماری کرونا جمع‌آوری و با استفاده از آزمون‌های تی مستقل، مجذور کای و تحلیل کوواریانس در نرم‌افزار</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""> SPSS </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">نسخه </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">۲۴</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> تحلیل شدند.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#2419f5">یافته‌ها</span></span></span></b><b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">:</span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> نتایج تحلیل کوواریانس نشان داد </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">مادران دارای نوزاد نارس در مقایسه با مادران دارای نوزاد ترم، در اضطراب حالت </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">(4/80</span></span><span lang="AR-SA" style="font-size:10.0pt"><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">48/38</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> در برابر </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">2/96</span></span><span lang="AR-SA" style="font-size:10.0pt"><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">26/82، </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">0/001</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">، اضطراب صفت </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">(6/75</span></span><span lang="AR-SA" style="font-size:10.0pt"><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">42/29</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> در برابر </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">4/50</span></span><span lang="AR-SA" style="font-size:10.0pt"><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">28/33، </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">0/001</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">)</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">و اضطراب کرونا </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">(3/56</span></span><span lang="AR-SA" style="font-size:10.0pt"><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">33/03</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> در برابر </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">7/23</span></span><span lang="AR-SA" style="font-size:10.0pt"><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">20/90، </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">0/001</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> به‌طور معناداری نمرات بالاتری داشتند.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#2419f5">نتیجه‌گیری</span></span></span></b><b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#2419f5">:</span></span></span></b> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">در </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">دوران همه‌گیری کووید-</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">۱۹، </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">مادران دارای نوزاد نارس بستری در بخش مراقبت‌های ویژه نوزادان در مقایسه با مادران دارای نوزاد ترم، اضطراب بیشتری را گزارش کردند. توجه به نیازهای روانی مادران دارای نوزاد نارس و فراهم‌کردن حمایت‌های روان‌شناختی، مشاوره و راهبردهای مدیریت اضطراب در شرایط بحران‌های بهداشت عمومی ضروری است.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#2140a3"><span style="letter-spacing:.15pt">Background and Aim:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">The COVID-19 pandemic significantly affected the mental health of the general population. Mothers of preterm infants are at risk of anxiety due to their infants’ hospitalization in the neonatal intensive care unit (NICU), and the COVID-19 pandemic may exacerbate their psychological burden. This study aimed to compare anxiety between mothers of preterm infants and mothers of term infants during the COVID-19 pandemic.</span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="EN" style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#2140a3">Materials and</span></span></span></b><b> </b><b><span lang="EN" style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#2140a3">Methods:</span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">This comparative descriptive cross-sectional study was conducted in 2022 in the neonatal intensive care units of Bahrami Children’s Hospital, Tehran, Iran. A total of 220 mothers, including 110 mothers of preterm infants and 110 mothers of term infants, were recruited using convenience sampling. Data were collected using a demographic questionnaire, the Spielberger State-Trait Anxiety Inventory, and the Corona Disease Anxiety Scale. Data were analyzed using independent-samples t-test, chi-square test, and analysis of covariance (ANCOVA) in SPSS software (version 24).</span></span><span lang="EN" style="font-size:9.0pt"><span style="font-family:Optima"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="EN" style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#2140a3">Results</span></span></span></b><b><span lang="EN" style="font-size:9.0pt"><span style="font-family:Optima">:</span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">The results of ANCOVA showed that mothers of preterm infants had significantly higher scores, compared to the mothers of term infants in terms of state anxiety (48.38±4.80 vs. 26.82±2.96, P<0.001), trait anxiety (42.29±6.75 vs. 28.33±4.05, P<0.001), and COVID-19 anxiety (33.03±3.56 vs. 20.90±7.23, P<0.001).</span></span><span lang="EN" style="font-size:9.0pt"><span style="font-family:Optima"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="EN" style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#2140a3">Conclusion</span></span></span></b><b><span lang="EN" style="font-size:9.0pt"><span style="font-family:Optima">:</span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">During the COVID-19 pandemic, mothers of preterm infants hospitalized in neonatal intensive care units reported higher levels of anxiety, compared to the mothers of term infants. Attention to the psychological needs of mothers of preterm infants and the provision of psychological support, counseling, and anxiety-management strategies are essential during public health crises.</span></span></span></span></span></span>
اضطراب, بخش مراقبت ویژه نوزادان, نوزادان نارس, مادران, سلامت روان, کووید-۱۹
Anxiety, Intensive Care Units, Neonatal, Infant, Premature, Mothers, Mental Health, COVID-19
157
165
http://sjnmp.muk.ac.ir/browse.php?a_code=A-10-680-2&slc_lang=fa&sid=1
Akram Sadat
Sadat Hosseini
اکرم سادات
سادات حسینی
tehrantarasht@gmail.com
10031947532846008236
10031947532846008236
No
Department of Pediatric Nursing and Neonatal Intensive Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran. Iran
گروه پرستاری کودکان و مراقبت ویژه نوزادان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران. ایران
Jamalodin
Begjani
جمال الدین
بگجانی
jamalbegjani@gmail.com
10031947532846008237
10031947532846008237
No
Department of Pediatric Nursing and Neonatal Intensive Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran. Iran
گروه پرستاری کودکان و مراقبت ویژه نوزادان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران. ایران
Mojgan
Azarnia Ghavam
مژگان
آذرنیا قوام
mr640445@gmail.com
10031947532846008238
10031947532846008238
No
Department of Pediatric Nursing and Neonatal Intensive Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran. Iran
گروه پرستاری کودکان و مراقبت ویژه نوزادان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران. ایران
Mohammad Mehdi
Rajabi
محمد مهدی
رجبی
mmehdirajabi1379@gmail.com
10031947532846008239
10031947532846008239
Yes
Department of Pediatric Nursing and Neonatal Intensive Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran. Iran
گروه پرستاری کودکان و مراقبت ویژه نوزادان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران. ایران