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http://dx.doi.org/10.4094/chnr.2018.24.2.252

Effects of Maternal Empowerment Program on Stress, Anxiety, Depression and Parenting Confidence in Mothers of Preterm Infants in the Neonatal Intensive Care Unit  

Shin, Yeonghee (College of Nursing, Keimyung University)
Lim, Jung Hee (Department of Nursing, Hosan University)
Kim, Gaeun (College of Nursing, Keimyung University)
Publication Information
Child Health Nursing Research / v.24, no.2, 2018 , pp. 252-261 More about this Journal
Abstract
Purpose: This study aimed to evaluate the effects of an empowerment program on maternal stress, anxiety, depression and parenting confidence. Methods: A total of 44 mothers of preterm infants were assigned into an experimental or a control group (n=22 each). The experimental group received the usual nursing care and 7 sessions of an empowerment program. The control group only received the usual care. The program was implemented from June to December, 2016 in the neonatal intensive care unit of K university-affiliated hospital in Daegu, Korea. The outcome variables measured were parental stress (PSS: NICU), anxiety (STAI), depression (CES-D) and parenting confidence. Data were analyzed using t-test or repeated measures ANOVA. Results: Scores for both parental stress (t=3.07 p=.004) and depression (F=3.76, p=.26) were significantly lower in the experimental group than in the control group. However, there were no significant differences in anxiety between the groups (F=0.79, p=.505). Parenting confidence scores (F=9.05, p=.001) were significantly higher in the experimental group than in the control group. Conclusion: A maternal empowerment program can be an effective means of reducing parental stress and depression as well as enhancing parenting confidence, for mothers of preterm infants.
Keywords
Anxiety; Intensive care units; Mothers; Preterm infant; Emotional stress;
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1 Choi HS, Shin YH. Effects on maternal attachment, parenting stress, and maternal confidence of systematic information for mothers of premature infants. Child Health Nursing Research. 2013; 19(3):207-215. https://doi.org/10.4094/chnr.2013.19.3.207   DOI
2 Miles MS, Funk SG, Carlson J. Parental stressor scale: Neonatal intensive care unit. Nursing Research. 1993;42(3):148-152.
3 Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191. https://doi.org/10.3758/bf03193146   DOI
4 Jeon CS. Family stress, resiliency and adaptation perceived by parents of the hospitalized prematurity in NICU [dissertation]. Seoul: Hanyang University; 2011. p. 1-92.
5 Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. The New Medical Journal. 1978;21(11):69-75.
6 Spielberger CD, Gorsuch RL, Lushene RE. Manual for the State-Trait Anxiety Inventory: STAI. 10st ed. California: Palo Alto, Consulting Psychologists Press; 1970. p. 24.
7 Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401. https://doi.org/10.1177/014662167700100306   DOI
8 Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of The Korean Neuropsychiatric Association. 1993;32(3):381-399.
9 Lederman RP, Weingarten CG, Lederman E. Postpartum self-evaluation questionnaire: Measures of maternal adaptation. Birth Defects Original Article Series. 1981;17(6):201-231.
10 Lee YE. An experimental study on the impact of an agreement on the means to achieve nursing goals in the early postpartum period of primiparous mothers and enhance their self-confidence and satisfaction in maternal role performance [dissertation]. Seoul: Ewha Womans University; 1991. p. 1-102.
11 De Bernardo G, Svelto M, Giordano M, Sordino D, Riccitelli M. Supporting parents in taking care of their infants admitted to a neonatal intensive care unit: A prospective cohort pilot study. Italian Journal of Pediatrics. 2017;43(1):36. https://doi.org/10.1186/s13052-017-0352-1   DOI
12 Melnyk BM, Finstein NF, Alpert-Gillis L, Fairbanks E, 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-e1427. https://doi.org/10.1542/peds.2005-2580   DOI
13 Holditch-Davis D, Santos H, Levy J, White-Traut R, O'Shea TM, Geraldo V, et al. Patterns of psychological distress in mothers of preterm infants. Infant Behavior and Development. 2015;41:154-163. https://doi.org/10.1016/j.infbeh.2015.10.004   DOI
14 Ashwani N, Rekha NA, Kumar CS. Parental stress experiences with NICU admission in a tertiary care centre. International Journal of Psychology and Behavioral Sciences. 2017;7(1):27-31. https://doi.org/10.5923/j.ijpbs.20170701.05
15 Trombini E, Surcinelli P, Piccioni A, Alessandroni R, Faldella G. Environmental factors associated with stress in mothers of preterm newborns. Journal of Acta Paediatrica. 2008;97(7):894-898. https://doi.org/10.1111/j.1651-2227.2008.00849.x   DOI
16 Turner M, Chur-Hansen A, Winefield H, Stanners M. The assessment of parental stress and support in the neonatal intensive care unit using the Parent Stress Scale - Neonatal intensive care unit. Women and Birth. 2015;28(3):252-258. https://doi.org/10.1016/j.wombi.2015.04.001   DOI
17 Glasheen C, Richardson GA, Fabio A. A systematic review of the effects of postnatal maternal anxiety on children. Archives of Women's Mental Health. 2010;13(1):61-74. https://doi.org/10.1007/s00737-009-0109-y   DOI
18 Song AS, Park IH, Joo AR. Effects of supportive care using the telephone for mothers of premature infants on anxiety and confidence of baby care after discharge. Journal of The Korean Society of Maternal and Child Health. 2007;11(1):98-108. https://doi.org/10.21896/jksmch.2007.11.1.98   DOI
19 Goldberg S. Prematurity: Effects on parent-infant interaction. Journal of Pediatric Psychology. 1978;3(3):137-144. https://doi.org/10.1093/jpepsy/3.3.137   DOI
20 Statistics Korea. Final results of birth statistics in 2015 [Internet]. Seoul: Statistics Korea; 2016 [cited 2017 May 17]. Available from: http://kostat.go.kr/portal/eng/pressReleases/8/10/index.-board?bmode=read&bSeq=&aSeq=356403&pageNo=1&row-Num=10&navCount=10&currPg=&sTarget=title&sTxt.
21 Davis L, Edwards H, Mohay H, Wollin J. The impact of very premature birth on the psychological health of mothers. Early Human Development. 2003;73(1-2):61-70. https://doi.org/10.1016/S0378-3782(03)00073-2   DOI
22 Pace CC, Spittle AJ, Molesworth CM, Lee KJ, Northam EA, Cheong JL, et al. Evolution of depression and anxiety symptoms in parents of very preterm infants during the newborn period. JAMA Pediatrics. 2016;170(9):863-870. https://doi.org/10.1001/jamapediatrics.2016.0810   DOI
23 Feeley N, Gottlieb L, Zelkowitz P. Mothers and fathers of very lowbirthweight infants: Similarities and differences in the first year after birth. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2007;36(6):558-567. https://doi.org/10.1111/j.1552-6909.2007.00186.x   DOI
24 Treyvaud K, Doyle LW, Lee KJ, Roberts G, Lim J, Inder TE, et al. Social-emotional difficulties in very preterm and term 2 year olds predict specific social-emotional problems at the age of 5 years. Journal of Pediatric Psychology. 2012;37(7):779-785. https://doi.org/10.1093/jpepsy/jss042. Epub 2012 Mar 9   DOI
25 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. Iranian Journal of Nursing & Midwifery Research. 2014;19(4):349-353.
26 Kim Y. Effects of a breast-feeding empowerment program on exclusive breast-feeding. Journal of Korean Academy of Nursing. 2009;39(2):279-287. https://doi.org/10.4040/jkan.2009.39.2.279   DOI
27 Kwon H, Kwon M. Effect of discharge education program for mothers of premature infants on maternal role confidence and parenting stress. Journal of Korean Academy of Child Health Nursing. 2007;13(1):58-65.
28 Kang JS, Choi SY, Ryu EJ. Effects of a breastfeeding empowerment programme on Korean breastfeeding mothers: A quasi-experimental study. International Journal of Nursing Studies. 2008;45(1):14-23. https://doi.org/10.1016/j.ijnurstu.2007.03.007   DOI