Bang Kyung-Sook
College of Nursing, Ajou University, Youngtong-gu, Suwon, Korea.
J Korean Acad Nurs. 2009 Dec;39(6):796-804. doi: 10.4040/jkan.2009.39.6.796.
This quasi-experimental study was performed to evaluate the effectiveness of an early nursing intervention program to support mothers of children aged 0-3 yr living in poverty.
In this study, mothers who received financial support from the government were recruited from one city and assigned to an intervention group (24) and comparison group (18). They completed a baseline questionnaire about depression, child rearing burden, agreement on physical punishment, and child temperament. Also, Denver II screening of the children was performed by the researcher. Mothers in the intervention group received a home visit intervention every two weeks for three months. At 3-months post-baseline, questionnaire and Denver II screening were reused to compare these two groups.
Mother's depression, child rearing burden, agreement on physical punishment, and child temperament were not significantly different between the two groups. However, the percentage of depression declined only in the intervention group. Mothers in the intervention group showed higher Home Observation for Measurement of the Environment (HOME) scores than mothers in the comparison group.
The findings of the study show that this nursing intervention is an effective parenting program. The early nursing program for mothers with infant and toddlers in poverty is effective in promoting HOME, the child rearing home environment.
本准实验研究旨在评估一项早期护理干预项目对贫困家庭中0至3岁儿童母亲的支持效果。
在本研究中，从一个城市招募接受政府经济资助的母亲，将其分为干预组（24名）和对照组（18名）。她们完成了一份关于抑郁、育儿负担、对体罚的认同以及孩子气质的基线调查问卷。此外，研究人员对儿童进行了丹佛发育筛查测验Ⅱ。干预组的母亲每两周接受一次为期三个月的家访干预。在基线后3个月，再次使用调查问卷和丹佛发育筛查测验Ⅱ对两组进行比较。
两组母亲的抑郁、育儿负担、对体罚的认同以及孩子气质无显著差异。然而，仅干预组的抑郁发生率有所下降。干预组母亲的家庭环境观察量表（HOME）得分高于对照组母亲。
研究结果表明，这种护理干预是一项有效的育儿项目。针对贫困家庭中婴幼儿母亲的早期护理项目在促进家庭环境观察量表得分、改善育儿家庭环境方面是有效的。
