Volume 20, Issue 9 (December 2022)                   Nursing and Midwifery Journal 2022, 20(9): 755-764 | Back to browse issues page

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Nasiri P, Hemmati Maslakpak M. THE EFFECT OF THE SUPPORTIVE-EDUCATIONAL INTERVENTION ON THE STRESS OF MOTHERS OF PREMATURE INFANTS HOSPITALIZED IN THE NEONATAL INTENSIVE CARE UNIT. Nursing and Midwifery Journal 2022; 20 (9) :755-764
URL: http://unmf.umsu.ac.ir/article-1-3886-en.html
THE EFFECT OF THE SUPPORTIVE-EDUCATIONAL INTERVENTION ON THE STRESS OF MOTHERS OF PREMATURE INFANTS HOSPITALIZED IN THE NEONATAL INTENSIVE CARE UNIT
Paria Nasiri1 , Masumeh Hemmati Maslakpak * 2
1- Master's student, internal surgical nursing, Urmia University of Medical Sciences, Iran
2- Professor of Nursing, Maternal and Child Obesity Research Center, Urmia University of Medical Sciences and Health Services, Urmia, Iran (Corresponding Author) , hemmatma@yahoo.com
Abstract:   (482 Views)
Background & Aims: Hospitalization of a premature infant immediately after the birth is unavoidable and due to the need for special care is very stressful. Failure to pay attention to the emotional and psychological stress of mothers has caused insufficient attachment to their babies, which increases the vulnerability of the mothers of these babies. The present study was conducted with the aim of determining the effect of the implementation of supportive-educational intervention on the stress of mothers of premature babies hospitalized in the neonatal intensive care unit.
Materials & Methods: This is a semi-experimental study, and 70 mothers of premature infants hospitalized in the Neonatal Intensive Care Unit of Maragheh Shahid Beheshti hospital were selected and allocated to two intervention and control groups of 35 infants. The parental stress questionnaire was completed before and after the intervention. The intervention group received the educational support program during 6 sessions. After collecting the data, it was analyzed by SPSS version 16 software using descriptive and analytical statistics.
Results: Before the supportive-educational intervention, there was no statistically significant difference between the mean stress score of the two groups (p=0.09). After the intervention, the stress decreased in the intervention group compared to the control group, which was statistically significant. (p<0.0001). Regarding the dimensions of stress, the mean score of the relationship with the baby and the role of the mother, the stressful factors of the ward environment and the appearance, and behavior of the baby between the two intervention and control groups after the implementation of the supportive-educational intervention, there was a statistically significant difference (p<0.0001).
Conclusion: The supportive educational program reduced stress on the mothers. Therefore, it is recommended that healthcare providers and nurses in the neonatal ward included supportive-educational intervention in their work priorities.
Keywords: Education, Mother, Preterm infant, Stress, Support
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Type of Study: Research | Subject: پرستاری
References
1. Schreiber M. What We Didn't Expect: Personal Stories about Premature Birth. 1st ed. Melville House UK. 2020. [URL]
2. Shakhbehai Zadeh ES, Raei V. Neonatal intensive care nursing. 1th ed. Tehran: Boshra Tohfeh; 2011. (Persian) [URL]
3. Vogel JP, Chawanpaiboon S ,Watananirun K et al.Global regional and national levels and trends of preterm birth rates for 1990 to 2014: protocol for development of World Health Organization estimates. Reprod Health 2016;13:76. [DOI:10.1186/s12978-016-0193-1] [PMID] [PMCID]
4. Ghaderighahfarokhi S, Sadeghifar J, Mozafari M. A model to predict low birth weight infants and affecting factors using data mining techniques. J Basic Res Med Sci 2018; 5(3):1-8. [DOI:10.29252/jbrms.5.3.1] [DOI:10.29252/jbrms.5.3.1]
5. 5 . Mianaei SJ, Karahroudy FA, Rassouli M, Tafreshi MZ. [The effect of Creating Opportunities for Parent Empowerment program on maternal stress, anxiety, and participation in NICU wards in Iran]. Iran J Nurs Midwifery Res 2014;19(1):94. (Persian) [PMCID]
6. Franck LS, Cox S, Allen A, Winter I. Measuring neonatal intensive care unit-related parental stress. J Adv Nurs 2005;49(6):608-15. [DOI:10.1111/j.1365-2648.2004.03336.x] [PMID]
7. Dewey KG. Maternal and fetal stress is associated with impaired lactogenesis in humans. J Nutrition 2011;131(11):3012S-5S [DOI:10.1093/jn/131.11.3012S] [PMID]
8. Mackley AB, Locke RG,Spear ML, Joseph R. Forgotten parent: NICU paternal emotional response. Adv Neonat Care 2010;10(4):200. [DOI:10.1097/ANC.0b013e3181e946f0] [PMID]
9. Huntsinger E, Luecken L. Attachment relationship and health behaivior: the meditational role of self-steem. Psychol Health 2011;19(4):515-26. [DOI:10.1080/0887044042000196728]
10. Valizadeh l, Akbarbeiglo M, Asadollahi M. Stressors affecting the mothers of premature infants hospitalized in neonatal intensive care units. J Tabriz Univ Med Sci 2009;4(1):85-90. (Persian)
11. Gray PH, Edwards DM, O'Callaghan MJ, Cuskelly M, Gibbons K. Parenting stress in mothers of very preterm infants --influence of development,temperament and maternal depression. Early Hum Dev 2013;89(9):625-9. [DOI:10.1016/j.earlhumdev.2013.04.005] [PMID]
12. Trombini E, Surcinelli P, Piccioni A, AlessandroniR, Faldella G. Environmental factors associated withstress in mothers of preterm newborns. Acta Pediatrica 2008;97:894-98. [DOI:10.1111/j.1651-2227.2008.00849.x] [PMID]
13. Zelkowitz P, Papageorgiou A, Bardin C, Wang T.Persistent maternal anxiety affects the interaction between mothers and their very low birth weight children at 24 months. Early Hum 2009;85(1):51-8. [DOI:10.1016/j.earlhumdev.2008.06.010] [PMID]
14. Kohan M, Borhani F, Abbaszadeh A, Soltanahmadi J, Khajehpoor M. Experience of Mothers with Premature Infants in Neonatal Intensive Care Unit. J Qualit Res Health Sci 2012; 1(1): 41-51.(Persian) [Google Scholar]
15. Yu-Chun K, Andrew E, Brian R, Kerstin E, Yu-Tung EK. A Case Study of Integrating Interwise: Interaction, Internet Self-Efficacy, and Satisfaction in Synchronous Online Learning Environments. Int Rev Res Open Dis Learn 2014;15(1):161-81. [DOI:10.19173/irrodl.v15i1.1664]
16. heidari h, hasanpor m, foladi m. Exploring parental stress relief factors in neonatal intensive care unit (s). J Urmia Nurs Midwifery Fac 2015;13(7):639-47.( In Persian) [URL]
17. Morsy AAK. Nursing support and stress among mothers of hospitalized children. J Am Sci 2012;8(Suppl 1):135-41.
18. Borim Nejad L, Mehrnosh N, Seyyed Fatemi N, Haghghani H. Maternal stressor agents with premature infants in neonatal intensive care units. J Crit Care Nurs 2011;4(1):39-44. (Persian) [Google Scholar]
19. 19 - Finlayson K, Dixon A, Smith C, Dykes F, Flacking R. Mothers' perceptions of family centred care in neonatal intensive care units. Sex Reprod Healthc 2014 Oct; 5(3): 119-24. [DOI:10.1016/j.srhc.2014.06.003] [PMID]
20. Myonghwa P, Moonhee G. Applying e-learning for Multicultural Healthcare Education. Int J Multimedia Ubiq Eng 2013;8(6):367-76. [DOI:10.14257/ijmue.2013.8.6.36]
21. Akbarbegloo M, Valizadeh L, Asadollahi M. Mothers and nurses viewpoint about importance and perceived nursing supports for parents with hospitalized premature newborn in natal intensive care unit. Indian J Crit Care Nurs 2007;14(1):11-7. [URL]
22. Ghavami SR, Borimnejad L, Seyedfatemi N, Haghani H.[The effect of parental role training on stress in the parents of hospitalized newborns in a neonatal intensive care unit]. Hayat 2017;23(3):243-53. (Persian) [Google Scholar]
23. Miles MS, Carlson J, Brunssen S. The nurse parent support tool. J Pediatric Nurs 1999;14(1):44-50. [DOI:10.1016/S0882-5963(99)80059-1] [PMID]
24. . Hosseini S,Baniasadi H,Pouraboli B. Stressors of Parents of Hospitalized Preterm Infants: a study in Neonatal Intensive Care Unit of Afzalipour Hospita, Kerman, Iran. J Health Develop 2016;4(4):337-48. [Google Scholar]
25. Akbberglu M, Valizadeh L, Assadullahi M. Comparison of Mothers 'and Nurses' Views on the Stress Resources of Parents of Neonatal Neonates Admitted to Neonatal Intensive Care Units. Sci Res J Shahid Beheshti Univ Med Sci 2012;21(75):6-11. [URL]
26. Valizadeh L, Zamanzadeh V, Akbarbegloo M, Sayadi L. Importance and availability of nursing support for mothers in NICU: a comparison of opinions of Iranian mothers and nurses. Iran J Pediatr 2012;22(2):191-6. [PMCID]
27. Khoramirad A, Ansari Shahidi M, Rezaii Jamaloi H, Sadeghimoghaddam P. The Effect of Mindfulness-Based Developmental Care on Maternal Stress and Bonding with Premature Infants Hospitalized in NICU. Qom Univ Med Sci J 2020;14(1):61-73 [DOI:10.29252/qums.14.1.61]
28. Turan T, Baskale H, Oncel G. Determining the psychometric properties of the Turkish version of the nurse-parent support tool and the stress levels of parents of premature infants hospitalized in the Neonatal Intensive Care Unit. Clin Nurse Spec 2016;30(3):E1-10. [DOI:10.1097/NUR.0000000000000204] [PMID]
29. Steedman WK. Stress experienced by parents from the neonatal intensive care unit; 2007. [Google Scholar]
30. Tandberg BS, Sandtrø HP, Vårdal M, Rønnestad A. Parents of preterm evaluation of stress and nursing support. J Neonat Nurs 2013;19(6):317-26. [DOI:10.1016/j.jnn.2013.01.008]
31. Noergaard B, Johannessen H, Fenger-Gron J, Kofoed PE, Ammentorp J. Participatory action research in the field of neonatal intensive care: developing an intervention to meet the fathers' needs. A Case Study. J Public Health Res 2016;5(3):744. [DOI:10.4081/jphr.2016.744] [PMID] [PMCID]
32. 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. Iran J Pediatr Nurs 2019;5(4):18-25 [Google Scholar]
33. Karami K, Sh R, Ghadirian F. Effect of educational-supportive interventions on premature infants' lentgh of hospitalization and maternal stress. Yafteh 2009;11(2):67-73. [URL]
34. Melnyk BM, Feinstein NF, Alpert-Gillis L, FairbanksE, Crean HF, Sinkin RA, et al. Reducing premature infants' length of stay and improving parents' mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: a randomized, controlled trial. Pediatrics 2006;118(5):e1414-27. [DOI:10.1542/peds.2005-2580] [PMID]
35. Abdeyazdan Z, Shahkolahi Z, Mehrabi T, Hajiheidari M. A family support intervention to reduce stress among parents of preterm infants in neonatal intensive care unit. Iran J Nurs Midwifery Res 2014;19(4):349. [PMCID]
36. Mianaei SJ, Karahroudy FA, Rassouli M, Tafreshi MZ. The effect of Creating Opportunities for Parent Empowerment program on maternal stress, anxiety, and participation in NICU wards in Iran. Iran J Nurs Midwifery Res 2014;19(1):94-100 [PMCID]
37. Hoseinpour S, Borimnejad L, Rasooli M, Hardani A K, Alhani F. The Effect of Implementing a Family-centered Empowerment Model on the Quality of Life of Parents of Premature Infants Admitted to a Neonatal Intensive Care Unit. Iran J Nurs 2022;34(134):2-17 [DOI:10.32598/ijn.34.6.1]
38. Chourasia N, Surianarayanan P, Adhisivam B, Vishnu Bhat B. NICU admissions and maternal stress levels. Indian J Pediatr 2013;80(5):380-4. [DOI:10.1007/s12098-012-0921-7] [PMID]
39. 38 . Heinemann AB, Hellstrom-Westas L, Hedberg Nyqvist K. Factors affecting parents' presence with their extremely preterm infants in a neonatal intensive care room. Acta Paediatr 2013;102(7):695-702. [DOI:10.1111/apa.12267] [PMID]
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