中国健康心理学杂志2026，Vol.34Issue(7)：986-991,6.DOI:10.13342/j.cnki.cjhp.2026.07.005
家庭中心式心理干预对早产儿神经行为及亲子互动的影响:父母心理压力的中介作用
Effect of family—centered psychological intervention on neurobehavioral and parent—child interaction in premature infants:The mediating role of parental psychological stress
摘要
Abstract
Objective:To explore whether family-centered psychological intervention can promote the neurobehav-ioral development of premature infants and improve the quality of parent-child interaction by alleviating the psy-chological pressure of parents.Methods:A total of 136 premature infants admitted to our hospital from March 2024 to March 2025 were convenient selected and divided into observation group(n=68,routine intervention)and control group(n=68,family-centered psychological intervention on the basis of routine nursing intervention)according to the random number table method.The neurobehavioral and parent-child interaction quality of premature infants,as well as the scores of stress anxiety and parenting stress of premature infants' parents before and after intervention were compared between the two groups,and the correlation and mediating effect between stress anxiety,parenting stress and neurobehavioral outcome of premature infants' parents were analyzed.Results:The NBNA scores of the observation group immediately after intervention and at 6 months of corrected age were higher than those of the con-trol group(t=2.494,17.754;P＜0.05).The scores of parent-child interaction quality in the observation group were higher than those in the control group at 6 months after discharge,and the scores of tension anxiety and parenting stress were lower than those in the control group(t=12.256,-8.965,-4.523,P＜0.05).Parents' anxiety was positive-ly correlated with parenting stress(r=0.511,P＜0.001)and negatively correlated with neurobehavioral(r=-0.345,P＜0.001).Parenting stress was negatively correlated with neurobehavioral(r=-0.388,P＜0.001).The mediating effect test showed that parental stress negatively predicted neurobehavioral outcomes in premature infants(β=-0.352,P＜0.001),and parenting stress negatively predicted neurobehavioral outcomes in premature infants(β=-0.482,P＜0.001).The mediating effect of parenting stress was-0.282(95％CI:-0.42～-0.15),and the interval did not contain 0,indicating that the mediating effect of parenting stress between parental stress and neurobehavioral outcomes in premature infants was statistically significant.Conclusion:Family-centered psychological intervention can effectively improve the neurobehavioral outcome of premature infants,improve the quality of parent-child inter-action,and alleviate the negative emotions and stress of parents.Parenting stress plays a key mediating role in the process of parents' tension and anxiety affecting the neurobehavioral process of premature infants.关键词
心理干预/早产儿/家庭/神经行为/心理支持Key words
Psychological intervention/Premature infants/Family/Neurobehavioral/Psychological support分类
医药卫生引用本文复制引用
宋娅楠,杨青丽,姚瑶..家庭中心式心理干预对早产儿神经行为及亲子互动的影响:父母心理压力的中介作用[J].中国健康心理学杂志,2026,34(7):986-991,6.基金项目
河南省医学科技攻关计划项目(编号:LHGJ20221027) （编号:LHGJ20221027）
