Khosravan S, Khoshahang M, Heidarzadeh M, Basirimoghadam M
Department of Community Health and Nursing Management, Faculty of Nursing, Research Center for Social Factors Affecting Health, Gonabad University of Medical Sciences, Gonabad, Iran.
School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Ann Ig. 2020 Nov-Dec;32(6):627-634. doi: 10.7416/ai.2020.2384.
Birth of the preterm babies creates a huge amount of stress in mothers and makes it hard for them to contribute to the care of their off springs. The Newborn Individualized Developmental Care and Assessment Program (NIDCAP)is designed to empower the parents in comprehensively caring for their preterm baby after discharge from the hospital. The present research was intended to study the effects of NIDCAP follow up on the stress and anxiety of the mothers.
In this clinical trial, 20 mothers of preterm babies with the gestational age of 26 to 32 weeks were studied at Omolbanin Hospital, Mashhad, Iran. The NIDCAP was performed during the hospital stay and two times after discharge. The control group received routine care without the NIDCAP. Anxiety and stress of the mothers were assessed through the Spielberger and Cohen questionnaires. Data were analyzed by Independent t-test, Chi-square and Fisher's Exact test in SPSS 20 software.
At the baseline, there were no statistically significant differences between the experimental and the control group. After the intervention, the average score of anxiety was significantly lower among mothers in the experimental group compared to the control group(P=0.009). NIDCAP and its follow up also reduced the stress of the mothers in the experiment group (P=0.033).
Implementation of the NIDCAP and its home follow up was effective in reducing the stress and the anxiety of the mothers of preterm babies. Execution of the NIDCAP is recommended to all hospital of the country for mothers of preterm babies.
早产儿的出生给母亲带来巨大压力，使她们难以参与对子女的照料。新生儿个体化发育护理与评估计划（NIDCAP）旨在使父母能够在早产儿出院后全面照料其子女。本研究旨在探讨NIDCAP随访对母亲压力和焦虑的影响。
在这项临床试验中，对伊朗马什哈德奥莫尔巴宁医院20名孕周为26至32周的早产儿母亲进行了研究。NIDCAP在住院期间及出院后进行了两次实施。对照组接受无NIDCAP的常规护理。通过斯皮尔伯格问卷和科恩问卷评估母亲的焦虑和压力。在SPSS 20软件中通过独立t检验、卡方检验和费舍尔精确检验对数据进行分析。
在基线时，实验组和对照组之间没有统计学上的显著差异。干预后，实验组母亲的焦虑平均得分显著低于对照组（P = 0.009）。NIDCAP及其随访也降低了实验组母亲的压力（P = 0.033）。
实施NIDCAP及其家庭随访可有效降低早产儿母亲的压力和焦虑。建议该国所有医院对早产儿母亲实施NIDCAP。
