Ji Eun Sun, Shim Ka Ka
Associate Professor, Department of Nursing, KonKuk University Glocal Campus, Seoul, Korea.
Assistant Professor, Department of Nursing, SangMyung University 2Campus, Cheonan, Korea.
Child Health Nurs Res. 2020 Jul;26(3):366-375. doi: 10.4094/chnr.2020.26.3.366. Epub 2020 Jul 31.
This study was conducted to evaluate the efficacy of a community-based follow-up program on parenting stress, parenting efficacy, and coping among parents with premature infants.
A non-equivalent control group pre-post quasi-experimental design was used. This program consisted of structured home visits and self-help group meetings for 6 months. The experimental group (n=29) received visits by an experienced neonatal intensive care unit (NICU) nurse and the control group (n=27) was visited by a visiting nurse. Data were analyzed using the test, t-test, and analysis of covariance.
Parents' coping behavior significantly differed in the experimental group compared to the control group (t=3.14, =.003). In particular, coping subscale I, for maintaining the family situation (t=2.63, =.011), and subscale III, for understanding the infant's medical situation (t=4.30, <.001), showed significant differences in the experimental group. There were no significant between-group differences in parenting stress or parenting efficacy.
The findings of this study suggest that home visits by an experienced NICU nurse provided through a community-based follow-up program were an effective intervention to improve coping behavior among parents with premature infants.
本研究旨在评估基于社区的随访项目对早产儿父母的育儿压力、育儿效能及应对方式的效果。
采用非等效对照组前后测准实验设计。该项目包括为期6个月的结构化家访和自助小组会议。实验组（n = 29）由经验丰富的新生儿重症监护病房（NICU）护士进行家访，对照组（n = 27）由访视护士进行家访。数据采用检验、t检验和协方差分析。
与对照组相比，实验组父母的应对行为存在显著差异（t = 3.14，P =.003）。特别是，应对分量表I（用于维持家庭状况，t = 2.63，P =.011）和分量表III（用于了解婴儿的医疗状况，t = 4.30，P <.001）在实验组中显示出显著差异。育儿压力或育儿效能在组间无显著差异。
本研究结果表明，通过基于社区的随访项目由经验丰富的NICU护士进行家访是改善早产儿父母应对行为的有效干预措施。
