Faculty of Nursing, Hiroshima International University, Kure 737-0112, Japan.
Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan.
Int J Environ Res Public Health. 2022 Feb 22;19(5):2520. doi: 10.3390/ijerph19052520.
This study investigated the necessity for a parenting record handbook that is specifically tailored to the needs of low birth weight infants (LBWIs) and their families, especially mothers, who face parenting difficulties and challenges. The participants were 20 mothers, raising LBWIs, discharged from the neonatal intensive care unit. The mean age and weight of the children were 2.75 ± 0.35 years and 1417.50 ± 152.06 g, respectively; the mean duration of neonatal intensive care unit hospitalization was 78.75 ± 14.10 days. At the time of the study, 35% (7/20) were nursery children, 10% (2/20) were kindergarten children, 20% (4/20) were using rehabilitation centers, and 10% (2/20) were using the medical rehabilitation handbook. The needs of the mothers were investigated through focus group interviews or individual interviews, and content analyses were performed. The mothers required the promotion of peer support that assists the alleviation of mental burden and postpartum mental and physical care, as well as the publication of counseling service counters and reliable information sources for parenting difficulties in the parenting record handbook. The mothers required the publication and recording of the growth indicators of LBWIs, parenting records, information management of children since birth, and for the handbook to function as a multidisciplinary information sharing tool. In addition, the requirements for the parenting record handbook were the early provision of the parenting record handbook and measures to cope with poor maternal physical condition. The results of this study suggest that mothers with LBWIs require a parenting record handbook that can provide comprehensive maternal and child health assurance, starting from pregnancy, to resolve childcare difficulties for LBWIs, as well as mental support.
本研究旨在探讨是否需要一本专门针对低出生体重儿(LBWI)及其家庭,尤其是面临育儿困难和挑战的母亲的育儿记录手册。参与者为 20 名从新生儿重症监护病房出院的 LBWI 母亲。儿童的平均年龄和体重分别为 2.75 ± 0.35 岁和 1417.50 ± 152.06 克;新生儿重症监护病房住院时间的平均时长为 78.75 ± 14.10 天。在研究时,35%(7/20)的儿童在托儿所,10%(2/20)的儿童在幼儿园,20%(4/20)的儿童在使用康复中心,10%(2/20)的儿童在使用医疗康复手册。通过焦点小组访谈或个人访谈调查了母亲的需求,并进行了内容分析。母亲们需要促进同伴支持,以帮助减轻精神负担和产后身心护理,以及在育儿记录手册中发布咨询服务柜台和育儿困难的可靠信息来源。母亲们需要出版和记录 LBWI 的生长指标、育儿记录、自出生以来的儿童信息管理,并希望该手册成为多学科信息共享工具。此外,育儿记录手册的要求是尽早提供育儿记录手册,并采取措施应对母亲身体状况不佳的问题。本研究结果表明,LBWI 母亲需要一本能够提供全面母婴健康保障的育儿记录手册,从怀孕开始,以解决 LBWI 的育儿困难和精神支持问题。