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父亲接受培训支持妻子对早产儿母亲在新生儿重症监护病房中的应激和自我效能的影响:一项准实验研究。

The effect of training the fathers to support their wives on stress and self-efficacy in mothers of premature newborns hospitalized in NICU: a quasi-experimental study.

机构信息

Department of Nursing, School of Nursing and Midwifery, Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

BMC Pregnancy Childbirth. 2022 Feb 4;22(1):102. doi: 10.1186/s12884-022-04413-8.

Abstract

BACKGROUND

The birth of premature newborns and their separation from family due to their hospitalization in the Neonatal Intensive Care Unit (NICU) cause stress in the parents, especially mothers. We conducted this study aimed to evaluate whether training the fathers to support their wives impacts premature newborn mothers' stress and self-efficacy or not?

METHODS

A quasi-experimental (before-after study) including one experimental and control group was used. Data were collected from Seventy-five parents with newborns hospitalized in NICU (n = 30) in the intervention and (n = 45) in usual care groups. Settings were the NICUs of the two international, educational, specialty, and subspecialty Nemazee and Hafez hospitals of the Shiraz University of Medical Science. Fathers in the intervention group learned how to support their wives and provide care for their premature newborns. The control group received the usual care. Mother's stress and self-efficacy were measured using validated questionnaires.

RESULTS

Data analysis showed that the mean scores of mothers' stress and self-efficacy from pre-intervention to post-intervention were significantly decreased and increased respectively in the intervention group (p <0.001). At the same time, there was no significant difference in the control group.

CONCLUSION

When fathers are trained to support their wives and do so, it relieves the stress and improves the mothers' self-efficacy, and has a direct effect on providing care to their premature newborns. Therefore, it is recommended that measures should be taken so that the fathers be present, participate in providing care, and support their wives and newborns in NICU.

TRIAL REGISTRATION

IRCT20171130037691N1 .

摘要

背景

早产儿的诞生以及他们因住院于新生儿重症监护病房(NICU)而与家人分离,会给父母带来压力,尤其是母亲。我们进行这项研究旨在评估培训父亲来支持妻子是否会影响早产儿母亲的压力和自我效能感?

方法

采用准实验(前后对照研究)设计,包括一个实验组和一个对照组。研究数据来自于在设拉子大学医学科学Nemazee 和 Hafez 两所国际、教育、专科和亚专科医院的 NICU 住院的 75 对父母(实验组 n=30,对照组 n=45)。父亲在实验组中学习如何支持妻子并为早产儿提供护理。对照组接受常规护理。采用经过验证的问卷评估母亲的压力和自我效能感。

结果

数据分析显示,实验组母亲的压力和自我效能感评分从干预前到干预后均显著降低和升高(p<0.001)。同时,对照组没有显著差异。

结论

当父亲接受培训来支持妻子并这样做时,可以减轻母亲的压力并提高其自我效能感,从而直接影响到对早产儿的护理。因此,建议采取措施确保父亲在场、参与护理并支持妻子和新生儿在 NICU。

试验注册

IRCT20171130037691N1 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f87/8817545/8933f92b47f7/12884_2022_4413_Fig1_HTML.jpg

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