Tajalli Saleheh, Parvizy Soroor, Ebadi Abbas, Zamaniashtiani Fateme, Kenner Carole
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Nursing and Midwifery Care Research Center, Pediatric Nursing Department, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
BMC Pediatr. 2025 Jan 29;25(1):72. doi: 10.1186/s12887-024-05338-1.
Preterm infants may experience many health and developmental issues, which continue even after discharge from the neonatal intensive care unit. Once home, the mother, as a non-professional and the primary caregiver will be responsible for the essential care of her preterm infant.
Understanding the take care ability in mothers with preterm infants.
The content analysis method was used. The data were collected using in-depth and semi-structured interviews from April 2021 to February 2022. Eleven mothers, two fathers, two grandmothers, one neonatal nurse, and two neonatologists with a mean age of 36.05 ± 10.88 years were selected using purposeful and snowballing sampling in Tehran, Iran. Allocating adequate time for data collection, gathering data through different methods, peer checking by two qualitative researchers, long interaction with the settings, maximum variation sampling, appropriate quotations, and showing the range of facts fairly and honestly were considered to ensure the trustworthiness of this study. The data were analyzed through Lindgren et al.'s approach using MAXQDA software.
Based on the findings and participants' experiences in 18 deep interviews, the mothers with desirable care ability have adequate ability as described by 17 subcategories and are categorized into five dimensions. The care ability of the mothers of preterm infants upon neonatal intensive care unit discharge consisted of five categories including maternal identity, infant's needs, cognitive ability, technical ability, and psychological ability.
In the mothers of preterm infants, maternal identity and the infant's needs are antecedents of the care ability concept. The care ability of the mothers with preterm infants is distinct from those of other caregivers. This is a multi-dimensional concept and trait related to maternal cognitive ability, technical ability, and maternal psychological ability. Professional neonatal nurses should assess their care ability from multiple perspectives: cognitive, technical, and psychological abilities. They should be considered in designing empowerment and engagement programs for the improvement of the care ability of the mothers of preterm infants. Both mothers and professional neonatal nurses should take responsibility for improving the mothers' ability to take care of their preterm infants.
早产儿可能会经历许多健康和发育问题，即使从新生儿重症监护病房出院后这些问题仍会持续。一旦回到家中，作为非专业人员且是主要照顾者的母亲将负责对其早产儿的基本护理。
了解早产儿母亲的照顾能力。
采用内容分析法。于2021年4月至2022年2月通过深入的半结构化访谈收集数据。在伊朗德黑兰采用目的抽样和滚雪球抽样法选取了11位母亲、2位父亲、2位祖母、1位新生儿护士和2位新生儿科医生，平均年龄为36.05±10.88岁。为确保本研究的可信度，考虑了为数据收集分配足够的时间、通过不同方法收集数据、由两名定性研究人员进行同行检查、与研究环境进行长时间互动、最大差异抽样、恰当引用以及公正诚实地呈现事实范围。使用MAXQDA软件通过林德格伦等人的方法对数据进行分析。
基于18次深度访谈的结果和参与者的经历，具有理想照顾能力的母亲具备由17个子类别描述的足够能力，并被分为五个维度。新生儿重症监护病房出院时早产儿母亲的照顾能力包括五个类别，即母亲身份认同、婴儿需求、认知能力、技术能力和心理能力。
在早产儿母亲中，母亲身份认同和婴儿需求是照顾能力概念的前提。早产儿母亲的照顾能力与其他照顾者的不同。这是一个与母亲认知能力、技术能力和母亲心理能力相关的多维概念和特质。专业的新生儿护士应从认知、技术和心理能力等多个角度评估她们的照顾能力。在设计增强权能和参与计划以提高早产儿母亲的照顾能力时应考虑到这些能力。母亲和专业新生儿护士都应负责提高母亲照顾早产儿的能力。
