Volume 20, Issue 4 (July - August 2021)
Payesh 2021, 20(4): 451-460 |
Back to browse issues page
Ethics code: IR.SKUMS.REC.1398.233
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Heidary S, Heydari H, choopani R, sedehi M. The effect of supportive care program based on Bandura self-efficacy on stress-exacerbating and stress-relieving factors of neonatal mothers admitted to neonatal intensive care unit. Payesh 2021; 20 (4) :451-460
URL: http://payeshjournal.ir/article-1-1641-en.html
URL: http://payeshjournal.ir/article-1-1641-en.html
1- Faculty of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord
2- Shahrekord University of Medical Sciences, Shahrekord, Iran
3- School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
2- Shahrekord University of Medical Sciences, Shahrekord, Iran
3- School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
Abstract: (1699 Views)
Objectives: The birth of a premature baby can change all the emotions of parents and replace stress. It is necessary to identify the factors that aggravate and relieve maternal stress and adopt strategies to reduce it. The aim of this study was to analyze the effect of supportive care program based on Bandura’s self-efficacy on aggravating and stress relieving factors of mothers of neonates admitted to the neonatal intensive care unit
Methods: A quasi-experimental study was performed in 2020 on 90 mothers of premature infants admitted to the neonatal intensive care unit of a Hospital in Shahrekord by convenience sampling method. The experimental group has received an educational intervention based on the theory of self-efficacy in four two-hour sessions with the presentation of an educational booklet. Data were collected using a self-designed questionnaire before and after the intervention in both groups and were analyzed using SPSS software version 24 performing paired t-test, independent t-test, and Chi-square.
Results: The results showed that the mean score of stressors in mothers of preterm infants in the control group decreased from 42.73 ± 6.26 to 42.62 ± 7.09, which was not statistically significant (P= 0.906) while in the experimental group it was decreased from 48.78 ± 4.36 to 25.33 ± 4.84, which was statistically significant (P <0.001). The mean score of soothing agents for mothers of preterm infants increased from 2.98 ± 2.61 to 3.07 ± 2.29 in the control group which was not statistically significant (P = 0.415) and in the experimental group it was increased from 4.51±1.72 to 7.29 ± 1.16, which was statistically significant (P <0.001).
Conclusion: Based on the findings of the study, it is recommended to implement interventions to make parents of premature infants, especially mothers ready to face the baby in the intensive care unit.
Methods: A quasi-experimental study was performed in 2020 on 90 mothers of premature infants admitted to the neonatal intensive care unit of a Hospital in Shahrekord by convenience sampling method. The experimental group has received an educational intervention based on the theory of self-efficacy in four two-hour sessions with the presentation of an educational booklet. Data were collected using a self-designed questionnaire before and after the intervention in both groups and were analyzed using SPSS software version 24 performing paired t-test, independent t-test, and Chi-square.
Results: The results showed that the mean score of stressors in mothers of preterm infants in the control group decreased from 42.73 ± 6.26 to 42.62 ± 7.09, which was not statistically significant (P= 0.906) while in the experimental group it was decreased from 48.78 ± 4.36 to 25.33 ± 4.84, which was statistically significant (P <0.001). The mean score of soothing agents for mothers of preterm infants increased from 2.98 ± 2.61 to 3.07 ± 2.29 in the control group which was not statistically significant (P = 0.415) and in the experimental group it was increased from 4.51±1.72 to 7.29 ± 1.16, which was statistically significant (P <0.001).
Conclusion: Based on the findings of the study, it is recommended to implement interventions to make parents of premature infants, especially mothers ready to face the baby in the intensive care unit.
type of study: Descriptive |
Received: 2021/05/7 | Accepted: 2021/07/31 | ePublished ahead of print: 2021/08/24 | Published: 2021/09/5
Received: 2021/05/7 | Accepted: 2021/07/31 | ePublished ahead of print: 2021/08/24 | Published: 2021/09/5
References
1. Benzies KM, Shah V, Aziz K, Isaranuwatchai W, Palacio-Derflingher L, Scotland J, et al. Family Integrated Care [FICare] in Level II Neonatal Intensive Care Units: study protocol for a cluster randomized controlled trial. Trials 2017;18:467-489 [DOI:10.1186/s13063-017-2181-3]
2. Caporali C, Pisoni C, Gasparini L, Ballante E, Zecca M, Orcesi S, et al. A global perspective on parental stress in the neonatal intensive care unit: a meta-analytic study. Journal of Perinatology 2020;40: 1739-1752 [DOI:10.1038/s41372-020-00798-6]
3. Malakouti J, Jabraeeli M, valizadeh s, babapour j. Mothers'experience of having a preterm infant in the neonatal intensive care unit, a Phenomenological Study 2013;5:172-181[Persion]
4. Pichler-Stachl E, Urlesberger P, Mattersberger C, Baik-Schneditz N, Schwaberger B, Urlesberger B, et al. Parental Stress Experience and Age of Mothers and Fathers After Preterm Birth and Admission of Their Neonate to Neonatal Intensive Care Unit; A Prospective Observational Pilot Study. Frontiers in Pediatrics 2019;7:3 [DOI:10.3389/fped.2019.00439]
5. Bialoskurski MM, Cox C, Wiggins R. The relationship between maternal needs and priorities in a neonatal intensive care environment. Journal of Advanced Nursing 2002;37:9-62 [DOI:10.1046/j.1365-2648.2002.02057.x]
6. Sajadi H, Akhoundzadeh G, Hojjati H. The Effect of Empowerment Program on Participation of Mothers with Premature Infants Hospitalized in Neonatal Intensive Care Unit of Sayyed Shirazi Hospital in Gorgan, in 2018. Indian Journal of Forensic Medicine & Toxicology 2020;14:1269-1276 [Persion]
7. Wereszczak J, Miles MS, Holditch-Davis D. Maternal recall of the neonatal intensive care unit. Neonatal Network 1997;16:33-40
8. Mercer RT. Becoming a mother versus maternal role attainment. Journal of nursing scholarship 2004;36:226-232 [DOI:10.1111/j.1547-5069.2004.04042.x]
9. Bandura A. Human agency in social cognitive theory. American Psychologist 1989;44:11-75 [DOI:10.1037/0003-066X.44.9.1175]
10. Strecher VJ, McEvoy DeVellis B, Becker MH, Rosenstock IM. The role of self-efficacy in achieving health behavior change. Health Education Quarterly 1986;13:73-92 [DOI:10.1177/109019818601300108]
11. Heidarzadeh A, Azizzadeh Forouzi M, Taheri Z, Dehghan M. Study of effect of Educational program on stress of parents of premature infants in neonatal intensive care units A Clinical Trial. Iranian Journal of Pediatric Nursing 2019;5:18-25 [Persion]
12. Heidari H, Hasanpour M, Fooladi M, Awat F. Construction of a Questionnaire to Assess Parental Stress in Neonatal Intensive Care Unit. Iranian Journal of Neonatology (IJN) 2015;6:6-12 [Persion]
13. Korahroudi FA, Shakibifard M, Nikfarid L, Nasiri M, Nouriyan M, Farahani ASA. The Effect of Empowering Mothers of Infants Hospitalized at the Neonatal Intensive Care Unit on Their Participation in Neonatal Care. Advances in Nursing & Midwifery 2018;27:26-31 [Persion]
14. Benedetto L, Ingrassia M. Parental Self-efficacy in Promoting Children Care and Parenting Quality: InTech 2018: 6th. Academic Publishers: The Londen, Available from: https://app.dimensions.ai/details/publication/pub.1100897815 [DOI:10.5772/intechopen.68933]
15. Rasti M, Aliabadi F.F, Shafarodi N, Rafiee, F, Kalani, M. Specification of the educational needs of parents with premature infants admitted to neonatal intensive care unit. Mod Rehab 2014;8:21-9 [Persian]
16. Brett J, Staniszewska S, Newburn M, Jones, N, Taylor L. A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants. BMJ 2011;12:3 [DOI:10.1136/bmjopen-2010-000023]
17. Heidary S, Heidari H, Choopani R. Development of an educational content for mothers of premature infants admitted to the neonatal intensive care unit in Iran: a narrative review. International Journal of Epidemiology and Health Sciences 2021;2:1-11 [DOI:10.51757/IJEHS.2.5.2021.242846]
18. Association IN. Infant Care Guide. Center YPiR, editor. 1st Edition, Teb gostar:Yazd, 2015 [Persian]
19. Nore shdkam M, Nore shadkam Z. Premature infant care: 1st Edition; Teb gostar:Yazd, 2015 [Persian]
20. Fraser D. Understanding the NICU: What Parents of Preemies and Other Hospitalized Newborns Need to Know. Neonatal network: 2017;36:321 [DOI:10.1891/0730-0832.36.5.321]
21. Leahy-Warren P, McCarthy G. Maternal parental self-efficacy in the postpartum period. Midwifery 2011;27:802-810 [DOI:10.1016/j.midw.2010.07.008]
22. Prasopkittikun T, Tilokskulchai F, Sinsuksai N, Sitthimongkol Y. Self efficacy in Infant Care Scale: Development and psychometric testing. Nursing & Health Sciences 2006;8:44-50 [DOI:10.1111/j.1442-2018.2004.00266.x]
23. Azhare S, Bghane R, Akhlaghe F, Ebrahimzadeh S, Salehi Fedardi J. Comparison of the effect of two methods of breastfeeding education with and without direct intervention of the educator on the level of breastfeeding self-efficacy in primiparous mothers. Sabzevar University of Medical Sciences )asrar( 2011;17:54-58 [Persion]
24. Samra HA, McGrath JM, Fischer S, Schumacher B, Dutcher J, Hansen J. The NICU parent risk evaluation and engagement model and instrument [PREEMI] for neonates in intensive care units. Journal of Obstetric, Gynecologic & Neonatal Nursing 2015;44:114-126 [DOI:10.1111/1552-6909.12535]
25. Young Seok L, Garfield C, Hyung Nam K, editors. Self-efficacy theory as a framework for interventions that support parents of NICU infants. 2012 6th International Conference on Pervasive Computing Technologies for Healthcare [PervasiveHealth] and Workshops 2012: 151-154
26. Miles MS, Funk SG, Kasper MA. The stress response of mothers and fathers of preterm infants. Research in Nursing & Health 1992;15:261-269 [DOI:10.1002/nur.4770150405]
27. Sloan K, Rowe J, Jones L. Stress and coping in fathers following the birth of a preterm infant. Journal of Neonatal Nursing 2008;14:108-115 [DOI:10.1016/j.jnn.2007.12.009]
28. Paul IM, Downs DS, Schaefer EW, Beiler JS, Weisman CS. Postpartum anxiety and maternal-infant health outcomes. Pediatrics 2013;131:e1218-1224 [DOI:10.1542/peds.2012-2147]
29. Busse M, Stromgren K, Thorngate L, Thomas KA. Parents' Responses to Stress in the Neonatal Intensive Care Unit. Critical care nurse 2013;33:9-52 [DOI:10.4037/ccn2013715]
30. Borim Nejad L, Mehrnosh N, Seyyed Fatemi, Haghghani H. Maternal Stressor Agents with Premature Infants in Neonatal Intensive Care Units. Journal of Critical Care Nursing 2011;4:39-49 [Persion]
31. Hosseini SS, Baniasadi H, Pouraboli B. Stressors of Parents of Hospitalized Preterm Infants: a study in Neonatal Intensive Care Unit of Afzalipour Hospital, Kerman, Iran. Health and Development Journal 2015;4:337-348 [Persion]
32. Baía I, Amorim M, Silva S, Kelly-Irving M, de Freitas C, Alves E. Parenting very preterm infants and stress in Neonatal Intensive Care Units. Early Human Development 2016;101:3-9 [DOI:10.1016/j.earlhumdev.2016.04.001]
33. Mehdizadeh S, Abbasi S. The parental stress sources and some related factors in mothers of premature s Infants in Neonatal Intensive Care Units. Iranian Journal of Pediatric Nursing 2019;5:44-50 [Persion]
34. Varma JR, Nimbalkar SM, Patel D, Phatak AG. The Level and Sources of Stress in Mothers of Infants Admitted in Neonatal Intensive Care Unit. Indian Journal of Psychological Medicine 2019;41:338-342 [DOI:10.4103/IJPSYM.IJPSYM_415_18]
35. Leahy-Warren P, Coleman C, Bradley R, Mulcahy H. The experiences of mothers with preterm infants within the first-year post discharge from NICU: social support, attachment and level of depressive symptoms. BMC Pregnancy and Childbirth 2020;20:1-10 [DOI:10.1186/s12884-020-02956-2]
36. Tsironi S, Bovaretos N, Tsoumakas K, Giannakopoulou M, Matziou V. Factors affecting parental satisfaction in the neonatal intensive care unit. Journal of Neonatal Nursing 2012;18:183-192 [DOI:10.1016/j.jnn.2011.11.005]
37. Ionio C, Mascheroni E, Colombo C, Castoldi F, Lista G. Stress and feelings in mothers and fathers in NICU: identifying risk factors for early interventions. Primary Health Care Research & Development 2019;20:1-7 [DOI:10.1017/S1463423619000021]
38. Perra O, Wass S, McNulty A, Sweet D, Papageorgiou KA, Johnston M, et al. Very preterm infants engage in an intervention to train their control of attention: results from the feasibility study of the Attention Control Training [ACT] randomised trial. Pilot and Feasibility Studies 2021;7:1-23 [DOI:10.1186/s40814-021-00809-z]
39. Altimier L, Phillips RM. The neonatal integrative developmental care model: seven neuroprotective core measures for family-centered developmental care. Newborn and Infant Nursing Reviews 2013;13:9-22 [DOI:10.1053/j.nainr.2012.12.002]
40. Büssing A, Waßermann U, Christian Hvidt N, Längler A, Thiel M. Spiritual needs of mothers with sick new born or premature infants-A cross sectional survey among German mothers. Women and Birth 2018;31:e89-e98 [DOI:10.1016/j.wombi.2017.08.002]
41. Fróes GF, Mendes ENW, Pedroza GA, Cunha M. Stress experienced by mothers of preterm newborns in a neonatal intensive care unit. Revista Gaúcha de Enfermagem (RGE) 2020;41:e20190145 [DOI:10.1590/1983-1447.2020.20190145]
Send email to the article author
| Rights and Permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |