Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Factors Influencing Post-traumatic Growth in Mothers with Premature Infants Admitted to the Neonatal Intensive Care Unit

신생아집중치료실에 입원 경험이 있는 미숙아 어머니의 외상 후 성장에 영향을 미치는 요인

  • Lee, Hyeun Soo (Department of Nursing Science, The Graduate School, Ewha Womans University.Ewha Womans University Mokdong Hospital) ;
  • Kang, Sook Jung (College of Nursing, Ewha Womans University)
  • 이현수 (이화여자대학교 대학원 간호과학과.이화여자대학교부속 목동병원) ;
  • 강숙정 (이화여자대학교 간호대학)
  • Received : 2020.03.09
  • Accepted : 2020.04.05
  • Published : 2020.04.30
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Abstract

Purpose: Caring for a vulnerable premature baby is a challenging task, but some mothers experience growth through that process. The purpose of this study was to investigate the factors influencing post-traumatic growth in mothers with premature infants admitted to the neonatal intensive care unit. Methods: A correlational research design was used and 105 mothers of premature infants were recruited from an online community. Data were collected from January 15 to January 25, 2019. Post-traumatic growth was measured using the Korean version of the Posttraumatic Growth Inventory. Data were analyzed using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical multiple regression. Results: The final model developed in this study explained 45.5% of post-traumatic growth (F=13.66, p<.001). Resilience (β=.54, p<.001) was the strongest predictor of post-traumatic growth, followed by the age of the mother when giving birth (β=.17, p=.028) and current employment status (β=.17, p=.049). Conclusion: For mother with premature infants to grow psychologically after their experience, it may be needed to support them to develop and strengthen their resilience through either education or their own support network.

Keywords

References

  1. Statistics Korea. 2017 birth tables for Korea [Internet]. Seoul: Statistics Korea; 2018 [cited 2018 August 22]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&bSeq=&aSeq=369566&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=
  2. Romero R, Dey SK, Fisher SJ. Preterm labor: One syndrome, many causes. Science. 2014;345(6198):760-765. https://doi.org/10.1126/science.1251816
  3. Hall RAS, Hoffenkamp HN, Braeken J, Tooten A, Vingerhoets AJJM, van Bakel HJA. Maternal psychological distress after preterm birth: Disruptive or adaptive? Infant Behavior and Development. 2017;49:272-280. https://doi.org/10.1016/j.infbeh.2017.09.012
  4. Lee JY, Ju HO. Predictors of early postpartum depression in mothers of preterm infants in neonatal intensive care units. Child Health Nursing Research. 2014;20(2):87-95. https://doi.org/10.4094/chnr.2014.20.2.87
  5. Choi E, Lee Y. A mother's experience of hospitalization of her newborn in the neonatal intensive care unit. Child Health Nursing Research. 2018;24(4):407-419. https://doi.org/10.4094/chnr.2018.24.4.407
  6. Muzik M, Rosenblum KL. Motherhood in the face of trauma: Pathways towards healing and growth. Cham: Springer; 2017. p. 227-247.
  7. Aftyka A, Rozalska-Walaszek I, Rosa W, Rybojad B, Karakula-Juchnowicz H. Post-traumatic growth in parents after infants' neonatal intensive care unit hospitalisation. Journal of Clinical Nursing. 2017;26(5-6):727-734. https://doi.org/10.1111/jocn.13518
  8. Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress. 1996;9(3):455-471. https://doi.org/10.1007/bf02103658
  9. Rossman B, Greene MM, Meier PP. The role of peer support in the development of maternal identity for "NICU Moms". Journal of Obstetric, Gynecologic and Neonatal Nursing. 2015;44(1):3-16. https://doi.org/10.1111/1552-6909.12527
  10. Rossman B, Greene MM, Kratovil AL, Meier PP. Resilience in mothers of very-low-birth-weight infants hospitalized in the NICU. Journal of Obstetric, Gynecologic and Neonatal Nursing. 2017;46(3):434-445. https://doi.org/10.1016/j.jogn.2016.11.016
  11. Jang H, Kim JS. A meta-analysis on relationship between post-traumatic growth and related variables. Korean Journal of Counseling. 2017;18(5):85-105. https://doi.org/10.15703/kjc.18.5.201710.85
  12. Eutrope J, Thierry A, Lempp F, Aupetit L, Saad S, Dodane C, et al. Emotional reactions of mothers facing premature births: Study of 100 mother-infant dyads 32 gestational weeks. PLoS ONE. 2014;9(8):e104093. https://doi.org/10.1371/journal.pone.0104093
  13. Helle N, Barkmann C, Ehrhardt S, von der Wense A, Nestoriuc Y, Bindt C. Postpartum anxiety and adjustment disorders in parents of infants with very low birth weight: Cross-sectional results from a controlled multicentre cohort study. Journal of Affective Disorders. 2016;194:128-134. https://doi.org/10.1016/j.jad.2016.01.016
  14. Boztepe H, Inci F, Tanhan F. Posttraumatic growth in mothers after infant admission to neonatal intensive care unit. Paediatria Croatica. 2015;59(1):14-18. https://doi.org/10.13112/pc.2015.3
  15. Connor KM, Davidson JR. Development of a new resilience scale: The connor-davidson resilience scale (CD-RISC). Depression and Anxiety. 2003;18(2):76-82. https://doi.org/10.1002/da.10113
  16. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the Connor-Davidson Resilience Scale. Psychiatry Investigation. 2010;7(2):109-115. https://doi.org/10.4306/pi.2010.7.2.109
  17. Shin JS, Lee YB. The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare. 1999;37:241-269.
  18. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment. 1988;52(1):30-41. https://doi.org/10.1207/s15327752jpa5201_2
  19. Song SH, Kim KH, Lee HS, Park J. Validity and reliability of the Korean version of the posttraumatic growth inventory. Korean Journal of Health Psychology. 2009;14(1):193-214. https://doi.org/10.17315/kjhp.2009.14.1.012
  20. Kim M, Choi SY. The comparative study for pregnancy stress, anxiety and birth outcomes of pregnant women under 35 years old and over 35 years old. Journal of The Korean Data Analysis Society. 2014;16(4):2177-2190.
  21. Chung SS, Joung KH. Comparative study on predictors of maternal confidence between primipara and multipara. Jouranl of Korean Academy of Child Health Nursing. 2011;17(3):181-189. https://doi.org/10.4094/jkachn.2011.17.3.181
  22. Park JY, Bang KS. Knowledge and needs of premature infant development and rearing for mothers with premature infants. The Academic Society of Parent-Child Health. 2013;16(1):17-26.
  23. Lee HJ, Jun SS. Factors related to posttraumatic growth in patients with colorectal cancer. Korean Jouranl of Adult Nursing. 2016;28(3):247-255. https://doi.org/10.7475/kjan.2016.28.3.247
  24. Kim MY. Factors influencing posttraumatic growth in fathers of chronically ill children. Journal of Korean Academy of Nursing. 2015;45(6):890-899. https://doi.org/10.4040/jkan.2015.45.6.890
  25. Kim JO, Yoon JH. Effects of social support perceived by youth on post-traumatic growth: Mediating effects of hope and deliberate rumination. Korean Journal of Youth Studies. 2017;24(11):229-252. https://doi.org/10.21509/kjys.2017.11.24.11.229
  26. Kantrowitz-Gordon I, Altman MR, Vandermause R. Prolonged distress of parents after early preterm birth. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2016;45(2):196-209. https://doi.org/10.1016/j.jogn.2015.12.004
  27. Kim MA, Lee JH, Kim SH. Service needs for parenting a child with cancer: Perspectives of the parents. Korea Institute for Health and Social Affairs. 2016;36(2):544-580. https://doi.org/10.15709/hswr.2016.36.2.544
  28. Yoo HJ. The mediating effect of social support and deliberate rumination in the influence of resilience and distress perception on posttraumatic growth. Korean Journal of Counseling. 2014;15(1):59-85. https://doi.org/10.15703/kjc.15.1.201402.59
  29. Jamali A, Ghaljaei F, Keikhaei A, Jalalodini A. Effect of peer education on the resilience of mothers of children with leukemia: A clinical trial. Medical-Surgical Nursing Journal. 2019;8(2):e92686. https://doi.org/10.5812/msnj.92686
  30. Kim YH, Kim HJ, Lee EJ, Lee JY, Lee MK. Effects of the home health care program on maternal anxiety and confidence, premature infants' growth and hospital utilization. Journal of The Korean Society of Maternal and Child Health. 2015;19(2):189-200. https://doi.org/10.21896/jksmch.2015.19.2.189

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