Browse > Article
http://dx.doi.org/10.4094/chnr.2020.26.1.11

Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates  

Jang, Eun Hye (Department of Nursing, Dong-A University.Registered Nurse, Pusan National University Hospital)
Ju, Hyeon Ok (Department of Nursing, Dong-A University)
Publication Information
Child Health Nursing Research / v.26, no.1, 2020 , pp. 11-22 More about this Journal
Abstract
Purpose: The purpose of this study was to evaluate the effects of an education program for mothers of late-preterm infants on parenting confidence, breastfeeding rate, and infants' growth and readmission rate. Methods: The participants were 53 mothers of late-preterm infants (26 in the experimental group and 27 in the control group). The experimental group was administered the late-preterm care education program while the control group received standard care. The program consisted of two sessions during hospitalization after birth, one session at the time of discharge, and telephone and social networking service consultations at weekly intervals for the month following discharge. The collected data were analyzed using the t-test, x2 test, and repeated-measures analysis of variance. Results: Parenting confidence and the breastfeeding rate were significantly higher in the experimental group than in the control group. However, there was no significant difference in the late-preterm infants' growth and readmission rates between the experimental and control groups. Conclusion: A care education program for mothers of late-preterm infants can be a useful nursing intervention in clinical practice.
Keywords
Premature infant; Parenting; Breast feeding; Growth; Patient readmission;
Citations & Related Records
Times Cited By KSCI : 9  (Citation Analysis)
연도 인용수 순위
1 Lapillonne A, Bronsky J, Campoy C, Embleton N, Fewtrell M, Fidler Mis N, et al. Feeding the late and moderately preterm infant: A position paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on nutrition. Journal of Pediatric Gastroenterology and Nutrition. 2019;69(2):259-270. https://doi.org/10.1097/mpg.0000000000002397   DOI
2 Walker M. Breastfeeding the late preterm infant. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2008;37(6):692-701. https://doi.org/10.1111/j.1552-6909.2008.00293.x   DOI
3 Premji SS, Pana G, Currie G, Dosani A, Reilly S, Young M, et al. Mother's level of confidence in caring for her late preterm infant: A mixed methods study. Journal of Clinical Nursing. 2018;27(5-6):e1120-e1133. https://doi.org/10.1111/jocn.14190   DOI
4 Vance AJ, Brandon DH. Delineating among parenting confidence, parenting self-efficacy and competence. Advanced in Nursing Science. 2017;40(4):E18-E37. https://doi.org/10.1097/ANS.0000000000000179   DOI
5 Young PC, Korgenski K, Buchi KF. Early readmission of newborns in a large health care system. Pediatrics. 2013;131(5):e1538-e1544. https://doi.org/10.1542/peds.2012-2634   DOI
6 Jang YS. Effects of a workbook program on the perceived stress level, maternal role confidence and breast feeding practice of mothers of premature infants. Journal of Korean Academy of Nursing. 2005;35(2):419-427. https://doi.org/10.4040/jkan.2005.35.2.419   DOI
7 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.
8 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
9 Shin Y, Lim JH, Kim G. Effects of maternal empowerment program on stress, anxiety, depression and parenting confidence in mothers of preterm infants in the neonatal intensive care unit. Child Health Nursing Research. 2018;24(2):252-261. https://doi.org/10.4094/chnr.2018.24.2.252   DOI
10 Park MS. A comparative on primiparas' self confidence of taking care of neonates between rooming-in and conventional group [master's thesis]. Seoul: Korea University; 1991. p. 1-59.
11 World Health Organization. Indicators for assessing breastfeeding practices [internet]. Geneva: World Health Organization; 1991 [cited 2016 December 17]. Available from: http://apps.who.int/iris/bitstream/10665/62134/1/WHO_CDD_SER_91.14.pdf
12 Jeong GH. Effect of the nursing intervention program on promoting the breast-feeding practice in primipara [dissertation]. Seoul: Ewha Womans University; 1997. p. 1-134.
13 Phillips RM, Goldstein M, Hougland K, Nandyal R, Pizzica A, Santa-Donato A, et al. Multidisciplinary guidelines for the care of late preterm infants. Journal of Perinatology. 2013;33:S5-S22. https://doi.org/10.1038/jp.2013.53   DOI
14 The Academy of Breastfeeding Medicine. ABM Clinical Protocol #10: Breastfeeding the late preterm infant (340/7 to 366/7 weeks gestation) (first revision June 2011). Breastfeeding Medicine. 2011;6(3):151-156. https://doi.org/10.1089/bfm.2011.9990   DOI
15 Lee JE, Kim SH. Effects of radiation safety management education with the use of a booklet for intensive care unit nurses. Journal of Korean Critical Care Nursing. 2017;10(2):1-13.
16 You SW, Lim HT, Kwon CH, Lee SJ, Lee SD, Jun HJ. Instructional method and technology. 3rd ed. Paju: Yangseowon; 2017. p. 295.
17 Kim MJ. Readmission of late preterm infants after discharge from nursery. Korean Journal of Pediatrics. 2009;52(8):888-892. https://doi.org/10.3345/kjp.2009.52.8.888   DOI
18 Jang YS. Effects of a maternal role promotion program for mothers of premature infants on maternal role strain, maternal role confidence and maternal identity. Korean Journal of Child Health Nursing. 2005;11(4):472-480.
19 Jang GJ, Kim SH. Effects of breast-feeding education and support services on breast-feeding rates and infant's growth. Journal of Korean Academy of Nursing. 2010;40(2):277-286. https://doi.org/10.4040/jkan.2010.40.2.277   DOI
20 Moon JS, Lee SY, Nam CM, Choi JM, Choe BK, Seo JW, et al. 2007 Korean national growth charts: Review of developmental process and an outlook. Korean Journal of Pediatrics. 2008;51(1):1-25. https://doi.org/10.3345/kjp.2008.51.1.1   DOI
21 Forsythe ES, Allen PJ. Health risks associated with late-preterm infants: Implications for newborn primary care. Pediatric Nursing. 2013;39(4):197-201.
22 Engle WA. A recommendation for the definition of "late preterm" (near-term) and the birth weight: Gestational age classification system. Seminars in Perinatology. 2006;30(1):2-7. https://doi.org/10.1053/j.semperi.2006.01.007   DOI
23 Wagh AS, Jain N. Comparison of neonatal morbidities of late preterm with term born babies. Journal of Pharmaceutical and Biomedical Sciences. 2012;15(9):1-5.
24 Barros MCM, Mitsuhiro S, Chalem E, Laranjeira RR, Guinsburg R. Neurobehavior of late preterm infants of adolescent mothers. Neonatology. 2011;99(2):133-139. https://doi.org/10.1159/000313590   DOI
25 Lee SH, Oh HJ, Song ES, Choi YY. Neonatal and maternal clinical characteristics of late preterm births: Single center data. Journal of the Korean Society of Maternal and Child Health. 2018;22(1):45-52. https://doi.org/10.21896/jksmch.2018.22.1.45   DOI
26 Huff K, Rose RS, Engle WA. Late preterm infants: Morbidities, mortality, and management recommendations. Pediatric Clinics of North America. 2019;66(2):387-402. https://doi.org/10.1016/j.pcl.2018.12.008   DOI
27 Na JY, Park N, Kim ES, Lee HJ, Shim GH, Lee JA, et al. Short-term clinical outcomes of late preterm infants. Korean Journal of Pediatrics. 2009;52(3):303-309. https://doi.org/10.3345/kjp.2009.52.3.303   DOI
28 Asadi S, Bloomfield FH, Harding JE. Nutrition in late preterm infants. Seminars in Perinatology. 2019;43(7):151160. https://doi.org/10.1053/j.semperi.2019.06.008   DOI
29 Alexander T, Bloomfield FH. Nutritional management of moderate-late preterm infants: Survey of current practice. Journal of Paediatrics and Child Health. 2019;55(3):338-342. https://doi.org/10.1111/jpc.14201   DOI