Kuo Su-Chen, Chen Ya-Shan, Lin Kuan-Chia, Lee Tzu-Ying, Hsu Chi-Ho
Graduate Institute of Nurse-Midwifery, National Taipei College of Nursing, Taipei, Taiwan.
J Clin Nurs. 2009 Jun;18(11):1592-601. doi: 10.1111/j.1365-2702.2008.02732.x.
The objectives of this study were to evaluate an Internet education programme provided to primigravida in the third trimester of pregnancy with the aim of enhancing mothers' knowledge about newborn care and increasing their maternal confidence.
Shorter hospital stays have had an impact on the traditional role of mother-baby nurses in providing education about parenting to their parturient women. Internet education is an efficient way to provide nursing instruction.
A randomised controlled trial was used. A total of 118 women receiving prenatal care in a hospital clinic who met study criteria and who consented were assigned randomly to intervention and control groups. The study was conducted at a hospital in Taiwan.
The target population was women at 32-34 weeks gestation, using the Internet on a regular basis. The primigravida were randomly assigned to either the control group (n = 57) or the experimental group (n = 61). Two primary outcome measures were newborn-care knowledge and maternal confidence.
The changes in newborn-care knowledge were 7.21 for the experimental group, compared with 1.95 for the control group; the difference between the least-squares means computed by ancova was 5.73 and statistically significant (p < 0.001). The changes in maternal confidence were 8.46 for the experimental group and 3.05 for the control group; the difference between the least-squares means computed by ancova was 5.94 and statistically significant (p < 0.001).
Results suggest that Internet education about newborn care may contribute to greater care knowledge and maternal confidence. Relevance to clinical practice. Internet newborn-care education programmes can achieve success in promoting newborn care and provide health professionals with evidence-based intervention.
本研究旨在评估一项为孕晚期初产妇提供的网络教育项目，以增强母亲对新生儿护理的知识并提高其母亲自信心。
住院时间缩短对母婴护士在为产妇提供育儿教育方面的传统角色产生了影响。网络教育是提供护理指导的有效方式。
采用随机对照试验。共有118名在医院诊所接受产前护理且符合研究标准并同意参与的女性被随机分配到干预组和对照组。该研究在台湾的一家医院进行。
目标人群为妊娠32 - 34周且经常使用互联网的女性。初产妇被随机分配到对照组（n = 57）或实验组（n = 61）。两个主要结局指标是新生儿护理知识和母亲自信心。
实验组新生儿护理知识的变化为7.21，而对照组为1.95；协方差分析计算的最小二乘均值差异为5.73，具有统计学意义（p < 0.001）。实验组母亲自信心的变化为8.46，对照组为3.05；协方差分析计算的最小二乘均值差异为5.94，具有统计学意义（p < 0.001）。
结果表明，关于新生儿护理的网络教育可能有助于增加护理知识和母亲自信心。与临床实践的相关性。网络新生儿护理教育项目在促进新生儿护理方面可以取得成功，并为卫生专业人员提供循证干预措施。
