Peyrovi Hamid, Mosayebi Ziba, Mohammad-Doost Fatemeh, Chehrzad Minoo-Mitra, Mehran Abbas
a Center for Nursing Care Research, Department of Critical Care Nursing , School of Nursing and Midwifery, Iran University of Medical Sciences , Tehran , Iran .
b Department of Neonatology , Children's Medical Center, Tehran University of Medical Sciences , Tehran , Iran .
J Matern Fetal Neonatal Med. 2016 Mar;29(5):752-7. doi: 10.3109/14767058.2015.1017461. Epub 2015 Mar 17.
Poor readiness of mothers to take care of their premature infant at the time of hospital discharge is associated with potential adverse consequences. The aim of this study was to examine the effect of empowerment program on "perceived readiness for discharge" of mothers of premature infants at the time of discharge.
A quasi-experimental before-after study design with consecutive inclusion of all mother-child pairs was used to conduct the study. Eighty mothers and their premature infants (40 pairs of mother-infant in the experimental group and 40 pairs of mother-infant in the control group) were recruited in the study. The program to empower the parents was implemented as a 3-stage training plan for the experimental group. "Parent discharge readiness" questionnaire was completed by mothers before intervention and at discharge time, and was evaluated by nurses at discharge time. The groups were compared in terms of readiness for discharge according to the scores given by mothers and nurses.
At discharge time, there was a statistically significant difference between technical readiness of control and experimental groups according to mothers' self-report (p < 0.001) and nurse evaluation (p < 0.0001). Also, there was a statistically significant difference between emotional readiness of mothers in control and experimental groups according to mothers' self-report (p < 0.0001) and nurse evaluation (p = 0.003).
The implementation of empowerment program is an effective strategy to promote the readiness of mothers of premature infants at discharge time.
母亲在医院出院时照顾早产婴儿的准备不足与潜在的不良后果相关。本研究的目的是检验赋权计划对早产婴儿母亲出院时“感知出院准备度”的影响。
采用前后对照的准实验研究设计，连续纳入所有母婴对进行研究。本研究招募了80位母亲及其早产婴儿（实验组40对母婴，对照组40对母婴）。为实验组实施了一项分三阶段的家长赋权培训计划。母亲们在干预前和出院时填写“家长出院准备度”问卷，并由护士在出院时进行评估。根据母亲和护士给出的分数，对两组在出院准备度方面进行比较。
出院时，根据母亲的自我报告（p < 0.001）和护士评估（p < 0.0001），对照组和实验组在技术准备度方面存在统计学显著差异。此外，根据母亲的自我报告（p < 0.0001）和护士评估（p = 0.003），对照组和实验组母亲在情感准备度方面也存在统计学显著差异。
实施赋权计划是提高早产婴儿母亲出院时准备度的有效策略。
