Mousavi Seyedeh Fatemeh, Bakht Rafat, Tapak Leili, Goli Mojde Afkhami, Refaei Mansoureh
Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Mother and Child Health, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
BMC Pregnancy Childbirth. 2025 Jul 28;25(1):794. doi: 10.1186/s12884-025-07910-8.
Premature birth and hospitalization in the neonatal intensive care unit (NICU) can stress mothers and impact their self-efficacy post-discharge. This study aimed to assess the effects of tele counseling and an educational pamphlet on the self-efficacy and anxiety of these mothers.
This three-group parallel clinical trial in 2023 involved 135 mothers of premature infants with a gestational age of 32-36 weeks, discharged from the NICU of Fatemieh hospital in Hamadan, Iran. Randomization used performed permuted blocks to assign participants to tele counseling (A), educational pamphlet (B), and control (C) groups. Data were collected through questionnaires on Perceived maternal parenting self-efficacy and Spielberger's anxiety. The tele counseling group received four tele counseling sessions over two weeks. ANCOVA was used for group comparisons. The statistical analyst was blinded to group allocation.
After intervention, while controlling for the effects of confounding variables, there was a significant difference among the three groups in self-efficacy [F(2, 127) = 86.02, p < 0.001; Mean ± Standard deviation for groups A, B, and C were 77.12 (± 1.01), 68.28 (± 1.10), and 57.43 (± 1.07), respectively, with an effect size of 0.57], trait anxiety [F(2,127) = 67.26, p < 0.001; M ± SD for groups A, B, and C were 30.218(± 1.10), 40.36 (± 1.14), and 48.09 (± 1.11), effect size: 0.51], and state anxiety [F(2,127) = 76.46, p < 0.001; M ± SD for groups A, B, and C were 28.16 (± 1.17), 39.89 (± 1.21), and 48.044 (± 1.18), effect size: 0.85].
The use of tele counseling and pamphlet was associated with an improvement in maternal self-efficacy and a reduction in anxiety among mothers of infants discharged from the NICU.
The protocol for this trial has been registered with the Iranian Registry of Clinical Trials on 03/12/2023, under the reference number IRCT20221217056842N2.
早产以及新生儿重症监护病房（NICU）住院经历会给母亲带来压力，并影响她们出院后的自我效能感。本研究旨在评估远程咨询和教育手册对这些母亲自我效能感和焦虑情绪的影响。
2023年的这项三组平行临床试验纳入了135名孕周为32 - 36周的早产儿母亲，她们均从伊朗哈马丹法特米耶医院的新生儿重症监护病房出院。采用随机排列分组法将参与者随机分配至远程咨询组（A组）、教育手册组（B组）和对照组（C组）。通过关于感知到的母亲育儿自我效能感和斯皮尔伯格焦虑量表的问卷收集数据。远程咨询组在两周内接受了四次远程咨询。采用协方差分析进行组间比较。统计分析人员对分组情况不知情。
干预后，在控制混杂变量的影响后，三组在自我效能感[F(2, 127) = 86.02, p < 0.001；A组、B组和C组的均值±标准差分别为77.12（±1.01）、68.28（±1.10）和 57.43（±1.07），效应量为0.57]、特质焦虑[F(2,127) = 67.26, p < 0.001；A组、B组和C组的均值±标准差分别为30.218（±1.10）、40.36（±1.14）和48.09（±1.11），效应量：0.51]和状态焦虑[F(2,127) = 76.46, p < 0.001；A组、B组和C组的均值±标准差分别为28.16（±1.17）、39.89（±1.21）和48.044（±1.18），效应量：0.85]方面存在显著差异。
远程咨询和手册的使用与新生儿重症监护病房出院婴儿母亲的自我效能感提高和焦虑情绪减轻有关。
本试验方案已于2023年12月3日在伊朗临床试验注册中心注册，注册号为IRCT20221217056842N2。
