Party Committee Office, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, Shandong, China.
Department of Neonatology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, Shandong, China.
Sci Rep. 2024 Aug 21;14(1):19404. doi: 10.1038/s41598-024-70365-y.
Post-discharge coping difficulty presents a significant challenge for mothers of preterm infants. The readiness for hospital discharge and parenting self-efficacy are crucial factors influencing post-discharge coping difficulty. However, the pathways through which these factors impact post-discharge coping difficulty remain unclear. This study aims to investigate the impact of readiness for hospital discharge on post-discharge coping difficulty and the mediating role of parenting self-efficacy among mothers of preterm infants. A prospective study involving 462 mothers of preterm infants from six tertiary hospitals in Shandong Province was conducted. Mothers were evaluated on the day of discharge (using the Baseline characteristics and Readiness for Hospital Discharge Scale) and three weeks post-discharge (utilizing the Parenting Sense of Competence Scale-Efficacy subscale and Post-Discharge Coping Difficulty Scale). Structural equation modeling was employed to analyze the mediating effect. The results of this study revealed that readiness for hospital discharge significantly decreased post-discharge coping difficulty (β = - 0.533, P < 0.001), and parenting self-efficacy also significantly reduced post-discharge coping difficulty (β = - 0.419, P < 0.001). Furthermore, parenting self-efficacy partially mediated the relationship between readiness for hospital discharge and post-discharge coping difficulty, accounting for 25.35% of the total effect. Mothers reported a moderate level of post-discharge coping difficulty. In assisting mothers of premature infants to alleviate post-discharge coping difficulty, nurses could implement strategies focused on enhancing readiness for hospital discharge and parenting self-efficacy.
早产儿母亲出院后应对困难是一个重大挑战。出院准备和育儿自我效能感是影响出院后应对困难的关键因素。然而，这些因素影响出院后应对困难的途径仍不清楚。本研究旨在探讨早产儿母亲出院准备对出院后应对困难的影响，以及育儿自我效能感在其中的中介作用。本研究采用前瞻性研究方法，纳入了山东省六所三级医院的 462 名早产儿母亲。母亲在出院当天（使用基本特征和出院准备量表）和出院后三周（使用父母效能感量表-效能分量表和出院后应对困难量表）进行评估。采用结构方程模型分析中介效应。研究结果表明，出院准备显著降低了出院后应对困难（β=-0.533，P<0.001），育儿自我效能感也显著降低了出院后应对困难（β=-0.419，P<0.001）。此外，育儿自我效能感部分中介了出院准备和出院后应对困难之间的关系，占总效应的 25.35%。母亲报告出院后应对困难处于中等水平。在帮助早产儿母亲减轻出院后应对困难方面，护士可以实施旨在增强出院准备和育儿自我效能感的策略。
