在印度尼西亚实施辅导方法以降低青少年母亲的育儿压力水平：一项准实验研究。
Implementation of coaching methods to decrease the parenting stress levels among teenage mothers in Indonesia: A quasi-experimental study.
作者信息
Saleh Ariyanti, Irwan Andi Masyitha, Latif Aulia Insani, Syahrul Syahrul, Hadju Veni, Andriani Irma, Restika Indah
机构信息
Faculty of Nursing, Hasanuddin University, Makassar, Indonesia.
Faculty of Public Health, Hasanuddin University, Makassar, Indonesia.
出版信息
Belitung Nurs J. 2024 Apr 28;10(2):192-200. doi: 10.33546/bnj.3071. eCollection 2024.
BACKGROUND
The high rate of early marriage, teenage pregnancy, and teenage mothers increases the prevalence of emotional and mental disorders, depression, parenting stress, and child stunting. Parenting coaching is among the effective ways to overcome parenting stress and improve parents' knowledge, skills, and behaviors, thereby avoiding child stunting. However, studies on parenting coaching are not widely conducted, particularly in Indonesia.
OBJECTIVE
This study aimed to present the current status of parenting stress among teenage mothers and assess whether parenting coaching effectively reduces parenting stress among teenage mothers.
METHODS
A quasi-experimental design was used. The participants were randomly selected into two groups: the intervention group receiving parenting coaching intervention and the control group receiving standard education using a leaflet. Data were collected in June 2021 in Takalar Regency, South Sulawesi, Indonesia. Statistical Program for Social Science version 21 (Armonk, NY, USA) was employed for all statistical analyses.
RESULTS
The parenting coaching intervention had a significant effect on parenting stress ( <0.001), with significant positive changes in knowledge, attitude ( <0.001), behavior ( <0.001), self-efficacy ( <0.001), and maternal function ( <0.001). Additionally, a significant difference in the achievement of z-score values was observed between the intervention and control groups based on Body Weight/Age (BW/A) ( <0.001) and Body Length/Age (BL/A) ( <0.001). However, Body Weight/Body Length (BW/BL) did not show a significant difference in the achievement of z-score ( = 0.34) in the third month.
CONCLUSION
Parenting coaching can reduce parenting stress among teenage mothers and improve their knowledge, attitudes, behavior, self-efficacy, and maternal function; hence, this intervention can be used as a reference in the nursing process to reduce parenting stress and prevent child stunting.
背景
早婚、少女怀孕和少女母亲的高比例增加了情绪和精神障碍、抑郁症、育儿压力以及儿童发育迟缓的患病率。育儿指导是克服育儿压力、提高父母知识、技能和行为从而避免儿童发育迟缓的有效方法之一。然而，关于育儿指导的研究开展并不广泛，尤其是在印度尼西亚。
目的
本研究旨在呈现少女母亲育儿压力的现状，并评估育儿指导是否能有效降低少女母亲的育儿压力。
方法
采用准实验设计。参与者被随机分为两组：干预组接受育儿指导干预，对照组使用传单接受标准教育。2021年6月在印度尼西亚南苏拉威西省塔卡拉尔县收集数据。所有统计分析均使用社会科学统计程序第21版（美国纽约州阿蒙克）。
结果
育儿指导干预对育儿压力有显著影响（<0.001），在知识、态度（<0.001）、行为（<0.001）、自我效能感（<0.001）和母亲功能（<0.001）方面有显著的积极变化。此外，基于体重/年龄（BW/A）（<0.001）和身长/年龄（BL/A）（<0.001），干预组和对照组在z评分值的达成上存在显著差异。然而在第三个月，体重/身长（BW/BL）在z评分的达成上未显示出显著差异（=0.34）。
结论
育儿指导可以减轻少女母亲的育儿压力，提高她们的知识、态度、行为、自我效能感和母亲功能；因此，这种干预措施可作为护理过程中的参考，以减轻育儿压力并预防儿童发育迟缓。
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