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Effects of a Workbook Program on the Perceived Stress Level, Maternal Role Confidence and Breast Feeding Practice of Mothers of Premature Infants  

Jang Yung-sook (Department of Nursing, Mokpo Catholic University)
Publication Information
Journal of Korean Academy of Nursing / v.35, no.2, 2005 , pp. 419-427 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the effects of a workbook program on percieved stress levels, maternal role confidence and breastfeeding practices of mothers of premature infants. Method: This study employed a quasi-experimental non-equivalent pre-and-post test to compare the two groups. Data was collected from 32 subjects from March 10. to September 5, 2003 at an NICU located in S. city. In the sample, fifteen mothers were in the experimental group and seventeen were in the control group. A workbook program was provided twice during a period from two-three days after the baby's admission to one week after the first intervention. The instruments used were the PSS and self confidence scale. Data was analyzed by means of frequency, SD, $x^2-test$, Fisher's exact test, Mann-Whitney test, and the Wilcoxon signed rank test. Result: There was a significant difference in perceived stress levels between the experimental and control group (U=2.366, p=.018). There was not a significant difference in maternal role confidence between the two groups (U=1.002, p=.316). There was a significant difference in breastfeeding practice between the two groups ($x^2=4.910$, p=.035). Conclusion: It is concluded that a program using a workbook has a positive effect on decreasing the perceived stress level and increasing breastfeeding practice.
Keywords
Premature birth; Stress; Maternal behavior; Breast feeding;
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1 Cho, K. J.,Yu, I. Y., Park, Y. S., Kim, H. S., Song, J. H., Park, I. S., Kim, M. W., & Shin, H. S. (2000). Family centered Nursing Care of Children(Rev. 2nd ed). Seoul : Hyunmoonsa
2 Joung, K. H. (1998). Effect of planned nursing intervention on the stress, the maternal role strain, and the maternal role performance of mothers of premature infants. J Korean Acad of Child Health Nur, 5(1), 70-83
3 Kim, M. S., Kim, J. U., An, Y. M., Bae, S. M., & Kim, M. J. (2003). The research on the breast feeding and its related factors of premature infant. J Korean Acad of Child Health Nur, 9(3), 272-284
4 Park, M. S. (1991). A comparative on primiparas'self confidence of taking care of neonates between rooming-in and conventional group. Unpublished master's thesis. Korea University, Seoul
5 Lee, J. H. (1994). Perception and emotions of mothers of high-risk newborn infants. J Korean Acad Nur, 24(4), 557-567
6 Miles, M. S., Funk, S. G., & Carlson, J. (1993). Parental Stress Scale; P.I.C.U. Nursing Research, 42(3), 148-152
7 Meyer, E. C.. Coil, C., Lester, B. M., Boukydis, C. F. Z., McDonough, S. M., & Oh, W. (1994). Family-Based Intervention Improves Maternal Psychological Well-being and Feeding Interaction of Preterm Infants. Pediatrics, 93(2), 241-246   PUBMED
8 Lee, J. H. (1999). The effect of social support intervention on mood and maternal confidence of premature's mothers. Unpublished doctoral dissertation. Yunsei University. Seoul
9 Moon, J. H. (2000). The lived experience of mothers whose first baby is premature. Unpublished doctoral dissertation. Yunsei University. Seoul
10 Steele, K. H. (1987). Caring for parents of critically ill neonate during hospitalization: Strategies for health care professionals. Materal-Child Nursing Journal, 16(1), 13-27
11 Kim, T. I. (2000). A study on the perceived stress level of mothers in the neonatal intensive care unit patients. J Korean Acad of Child Health Nur, 6(2), 224-239
12 Kim, M. J., Son, D. W., Chang, Y. p. Tchah, H., Choi, J. H., & Yun, C. K. (1990). Statistical study on the incidence of prematurity and low birth weight infant. Kor J Perinatol. 1(2), 224-234
13 Walker, L. O, Crain, H., & Thompson, E. (1986a). Maternal role attainment and identity in the postpartum period Stability and change. Nursing Research, 35(2), 68-71   PUBMED
14 Sung, M. H. (2002). Study on the perceived stress degree and content of mother of high-risk infants in neonatal intensive care unit. J Korean Acad of Child Health Nur , 8(1), 97-109
15 Bang, K. S., Kim, Y. S., & Park, J. W. (2002). Study on the comparison of emotion between the mothers with low-birth weights and normal infants and the effect of home visiting for the low-birth weights. Korean Parent-Child Health j, 5(1), 75-89
16 Melnyk, B. M., Alpert-Gillis, L., Feinstein, N. F., & Fairbanks, E. (2001). Improving Cognitive Development of Low-Birth-Weight Premature Infants with the COPE Program: A Pilot Study of the Benefit of Early NICU Intervention With Mothers. Research in Nursing & Health, 24, 373-389   DOI   ScienceOn
17 Rubin, R. (1967a). Attainment of the maternal role part I : Process. Nursing Research, 16(3), 237-245
18 Han, K. J. (1997). The study on the maternal burden of caretaking, the support and educational need for the caretaking activities of the infants' mother. J Korean Acad of Child Health Nur, 3(2), 228-240
19 Lim, J. Y (1996). Effect of supportive care and infant care information on the percieved stress level and health status of mothers of premature infants. Unpublished doctoral dissertation. Yunsei University. Seoul
20 Ahn, Y. M. (2002). Development of the model for community-based health care program for premature infants and family. J Korean Acad of Child Health Nur, 8(2), 129-140
21 Kim, H. M. (1996). Advances in neonatal care and outcome of low birth weight infants. J Pediatric Acad, 39(6), 762-772
22 Pharis, M. E. (1978). Age and sex differences in expectation for parenting among couples in a first pregnancy and among university students. Unpublished doctoral dissertation. The university of Texas at Austin
23 Shin, Y. H. (2003). Current status of Korean premature infant care and its prospective., J Korean Acad of Child Health Nur, 9(1), 96- 106
24 Choi, S. H. (1998). A study on the perceived stress of mothers in neonatal intensive care unit. J Korean Acad of Child Health Nur, 4(1), 60-75
25 Kwon, M. K. (1998). Effects of a mother-infant interaction promotion program for low birth weight infants and their mothers. Unpublished doctoral dissertation. Seoul National University. Seoul
26 Oh, J. H. (1995). Stressors perceived by parents of the critically ill newborn. Unpublished master's thesis. Ewha Womans University, Seoul
27 Bae, C. W. (2000). Recent advances of mortality, morbidity and outcome in very low birth weight infants In Korea. Kor J Perinatal, 11(2), 131-141
28 Chae, S. M. (2001). Development and evaluation of transitional care program for low birth infants and mothers. Unpublished doctoral dissertation. Yunsei University. Seoul
29 Han, K. J. (2001). Development of a home-based nursing intervention, mothering program for low-birth-weight infants. J Korea Acad Soc. of Home Care Nur, 8(1), 5-24
30 Flacking, R., Nyqvist, K. H., Ewald, U., & Wallin, L. (2003). Long-term Duration of Breastfeeding in Swedish Low Birth Weight Infants. J Hum Lact 19(2), 157-165.   DOI   ScienceOn