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参与式教育对新生儿重症监护病房中早产儿母亲角色适应的影响。

The effect of participation education on maternal role adaptation in mothers with premature infants in the neonatal intensive care unit.

作者信息

Ghafari Rad Hoda, Arzani Afsaneh, Zabihi Ali, Akbarian Rad Zahra, Qalehsari Mojtaba Qanbari, Jafarian Amiri Seyedeh Roghayeh

机构信息

Student Research Committee, Babol University of Medical Sciences, Babol, Iran.

Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Nursing and Midwifery School, Babol University of Medical Sciences, Babol, Iran.

出版信息

J Educ Health Promot. 2024 Jul 5;13:196. doi: 10.4103/jehp.jehp_1462_23. eCollection 2024.

DOI:10.4103/jehp.jehp_1462_23
PMID:39268450
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11392316/
Abstract

BACKGROUND

The birth of a premature infant, hospitalization, and separation from the family cause disruption on maternal role adaption. This study was conducted with the aim of investigating the effect of participation education on maternal role adaption in mothers of premature infants hospitalized in the neonatal intensive care unit.

MATERIALS AND METHODS

This semiexperimental study was conducted with the participation of 129 eligible mothers with premature infants into three groups of 43 (face-to-face education, virtual education, and control). Data collection was done using a checklist measuring adaptation to the maternal role. Data were analyzed by descriptive statistical and multiple linear regression tests at a significance level of < 0.05.

RESULTS

The mean age of mothers was 30.8 years, the mean gestational age of infants was 31.7 weeks, the mean birth weight was 1781.4 g, and the most common (84.5%) reason for hospitalization of infants was respiratory distress. Multiple linear regression analysis showed that the total score of maternal role adaptation at the time of discharge was significantly different in the two groups of virtual education (134.362 ± 0.925) ( < 0.001) and face-to-face education (132.421 ± 0.928) ( = 0.005) with the control group (128.286 ± 0.924).

CONCLUSION

The implementation of educational programs is a suitable solution to improve maternal role adaption. Therefore, it is recommended that managers and healthcare planners consider codified and regular educational programs in order to increase the ability of mothers, in order to adapt to the maternal role.

摘要

背景

早产儿的出生、住院以及与家人分离会导致母亲角色适应受到干扰。本研究旨在调查参与式教育对新生儿重症监护病房住院早产儿母亲的母亲角色适应的影响。

材料与方法

本半实验性研究纳入了129名符合条件的早产儿母亲,分为三组,每组43人(面对面教育组、虚拟教育组和对照组)。使用一份衡量母亲角色适应情况的清单进行数据收集。数据采用描述性统计和多元线性回归检验进行分析,显著性水平为<0.05。

结果

母亲的平均年龄为30.8岁,婴儿的平均孕周为31.7周,平均出生体重为1781.4克,婴儿住院最常见的原因(84.5%)是呼吸窘迫。多元线性回归分析表明,出院时虚拟教育组(134.362±0.925)(<0.001)和面对面教育组(132.421±0.928)(=0.005)的母亲角色适应总分与对照组(128.286±0.924)相比有显著差异。

结论

实施教育项目是改善母亲角色适应的合适解决方案。因此,建议管理人员和医疗保健规划者考虑制定规范的定期教育项目,以提高母亲适应母亲角色的能力。

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本文引用的文献

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Validating the use of the revised childbirth experience questionnaire in Hong Kong.验证香港使用修订版分娩经历问卷的有效性。
BMC Pregnancy Childbirth. 2022 Feb 15;22(1):126. doi: 10.1186/s12884-022-04456-x.
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The effect of a training program on maternal role adaptation and self-esteem of mothers with preterm infants: a quasi-experimental study.培训计划对早产儿母亲的母亲角色适应和自尊的影响:一项准实验研究。
BMC Womens Health. 2021 Aug 11;21(1):296. doi: 10.1186/s12905-021-01440-z.
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Health care staff support for mothers in NICU: a focused ethnography study.新生儿重症监护病房中医护人员对母亲的支持:一项聚焦民族志研究。
BMC Pregnancy Childbirth. 2021 Jul 21;21(1):520. doi: 10.1186/s12884-021-03991-3.
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Determinants of maternal role adaptation in mothers with preterm neonates.母亲角色适应的决定因素:早产儿母亲。
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PREMM: preterm early massage by the mother: protocol of a randomised controlled trial of massage therapy in very preterm infants.PREMM:母亲早期对早产儿的按摩:极早产儿按摩疗法随机对照试验方案
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Evaluation of the effect of narrative writing on the stress sources of the parents of preterm neonates admitted to the NICU.评估叙事写作对入住新生儿重症监护病房(NICU)的早产儿父母压力源的影响。
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Does family-centred neonatal discharge planning reduce healthcare usage? A before and after study in South West England.以家庭为中心的新生儿出院计划能否减少医疗保健的使用?英格兰西南部的一项前后对照研究。
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