| 其他摘要 | The neonatal period can be a "sensitive period" for individual. Studies have shown that SSC is not only beneficial to the p场sical and mental health of mother and infant, but also promotes the establishment of the mother-infant relationship.
Currently, domestic research focuses mainly on the p场Biological effects of SSC on infants. What is the effect of SSC on postpartum depression and maternal psychological feelings? How does it affect the establishment of maternal-infant relationship? Based on the above background and questions, this study uses the mixed research method to explore SSC from the maternal perspective, the sub researches are mutually supportive and complementary, jointly confirm the conclusions.
Study I:[Objective]To explore the effect of SSC on postpartum depression and maternal-infant bonding.[Methods]Randomized controlled trials were conducted on mothers and infants who had delivered naturally. Routine care was provided in the control group, SSC was carried out in the experimental group. The intervention effect was evaluated using the EPDS and the C-PBQ. The evaluation time points are T1:24 hours postpartum, T2: 42 days postpartum.[Result](1) The depression scores of both groups at time point T2 were higher than T1，no statistically significant difference between the groups at two time points, a statistical difference within the experimental group, the comparison within the control group is marginal significance. (2) At Tl，the proportion of depression in the experimental group was higher than control group, moderate depression is less than the control group, no statistically significant difference; At T2, the proportion of severe depression in the control group was higher than the experimental group, with a statistical difference; There were differences in the proportion of depression between the two groups compared within the group. (3) There is a statistical difference between the two groups in terms of abuse risk dimension and Q19 score; The proportion of normal connections in the experimental group was higher than the control group; The proportion of mild connection abnormalities and significant rejection in the control group was higher than the experimental group.
Study II:[Objective]To explore mothers' SSC feelings and its impact on maternal-infant relationship.[Methods]Based on research I, using grounded theory research strategy, 18 pregnant women in the experimental group were received semi-structured interviewed, and Nvivol2 coding software was used to refine the core themes.[Result] (1) Five core themes: delivery experience, role switching, contact experience, mother-baby bonding and parenting effectiveness. They collectively have a positive impact on the establishment of maternal-infant relationship. (2) The number of coding nodes after SSC is greater than before SSC, including positive feelings, newborn physical characteristics，mother-baby bonding, role switching, and delivery experience. (3) Five core themes from the interview notes: maternal body language, contact feelings, new perspectives, new implementation strategies, and researcher sentiment.
Study III:[Objective]To explore the implementation of EMIC and the influence for maternal-infant relationship.[Method]A total of 64 pregnant women in study I were selected as research subjects, and they were instructed to continue EMIC after returning home. A self-administered questionnaire was used to investigate the implementation status, and a semi-structured interview was conducted with 19 mothers to evaluate the intervention effect[Result]Three core themes: the impact of EMIC on maternal-infant relationship, the implementation of EMIC, and the influencing factors of EMIC. EMIC continuously influences the development of mother-infant boding from five aspects: relationship, interaction, role adjustment, contact experience, and parenting efficacy; the duration and participation rate of EMIC between mothers and fathers are similar, with 59.6% of mothers know about SSC，of which 5.9% are through maternity classes; father involvement became the biggest promoting factor; obstructing factors include physiological, cognitive, environmental, temporal, psychological, and family support system conditions.
Conclusions of this study include:
(1) The immediate effect of SSC on PPD is not significant; EMIC has some effect on reducing the incidence of severe PPD;
(2) SSC plays a role in regulating maternal parenting anxiety and reducing the risk of abuse, thereby promoting the establishment of mother-infant bonding;
(3) Maternal-infant bonding is related to SSC, and its research scope includes delivery experience, role switching, contact experience, maternal-infant bonding, and parenting effectiveness;
(4) SSC promotion strategies can start from adjusting mothers' awareness, enriching educational strategies, and improving implementation processes; EMIC continues to play a positive role in mother-infant relationship, and fathers' involvement can support mothers, mobilize parents' participation in childcare, and create a harmonious family environment, which can make EMIC family oriented.
This study shows that SSC has a positive effect on maternal psychology feelings and maternal-infant relationship, and can be promoted as an effective intervention measure; EMIC can serve as a new measure to promote the development of parent-child relationships. |
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