出院準備對早產兒母親照護知識、能力及母育信心之成效

林秀節; 邱慧洳; 林寬佳; 許翠華; 黃惠娟

doi:10.3966/102673012015092603002

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P259 - 272

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6386/CGN

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出院准备对早产儿母亲照护知识、能力及母育信心之成效

Effects of Discharge Planning on the Knowledge, Competence, and Maternal Confidence of the Mother with Preterm Infant

林秀节(Shiow-Chieh Lin) ；邱慧洳(Hui-Ju Chiu) ；林宽佳(Kuan-Chia Lin) ；许翠华(Tsui-Hua Hsu) ；黄惠娟(Hui-Chuan Huang)

长庚护理； 26 卷 3 期 (2015 / 09 / 01) ， P259 - 272

繁体中文 DOI： 10.3966/102673012015092603002

出院准备；早产儿；照护知识；照护能力；母育信心； discharge planning ； preterm infant ； care knowledge ； care ability ； maternal confidence

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摘要 │ 参考文献 (38) │ 被引用文献 (6) │ 国际计量

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Background: Compared to full-term infants, preterm infants are physiologically immature. Thus, the mothers of preterm infants must acquire more caring skills than the mothers of full-term infants do. Implementing nursing interventions may improve the interactions between mothers and preterm infants. However, few local studies had been conducted before. The aim of this study was to evaluate the effect of discharge planning intervention on the caring knowledge, caring ability, and maternal confidence of mothers of preterm infants, based on the Self-efficacy of Social Cognitive Theory. Methods: The study was conducted with a pre- and post-test quasi-experimental design. Sixty-three mothers and their preterm infants admitted to the neonatal intermediate-to-intensive care units of four regional hospitals were recruited. The participants were randomly assigned to the experimental group (n=32) and control group (n=31). The participants in the experimental group received general instructions and discharge planning, while the participants in the control group only received general instructions. The pre-test was conducted when the preterm infants were transferred to the neonatal intermediateto- intensive care units, the post-test 1 was conducted on the day of discharge, and the post-test 2 was conducted one week after discharge. The test results were analyzed by generalized estimating equations. Results: The results indicated that overall, the participants in both groups did not improve considerably in their caring knowledge, caring ability, and maternal confidence at post-test 1. However, the participants in the experimental group showed considerable improvements in their caring knowledge, caring ability, and maternal confidence compared with those in the control group at post-test 2. When potential difference were controlled for, the participants in the experimental group exhibited considerable improvements in their caring knowledge, caring ability, and maternal confidence compared with those in the control group at post-test 1 and 2. Conclusion: Discharge planning based on Social Cognitive Theory proposed by Bandura may improve the caring ability of mothers of preterm infants and may be used as a reference for hospitals' preterm infant care programs.

参考文献 ( 38 ) 〈TOP〉

Liaw, J.(2003).Use training program to enhance NICU nurses' cognitive abilities for assessing preterm infant behaviors and offering supportive interventions.Journal of Nursing Research,11(2),82-92.
连结：
郭淑芬、陈月枝、毛新春、邹国英(2000)。个别性护理指导对初产妇新生儿照顾认知及母亲自信度成效之探讨。护理研究，8(2)，152-164。
连结：
Ahmed, A. H.(2008).Breastfeeding preterm infants: An educational program to support mothers of preterm infants in Cairo, Egypt.Pediatric Nursing,34(2),125-138.
Aita, M.,Snider, L.(2003).The art of developmental care in the NICU: A concept analysis.Journal of Advanced Nursing,41(3),223-232.
Bandura, A.(1997).Self-efficacy: The efficacy of control.New York, NY:W. H. Freeman and Company.

被引用文献 ( 6 ) 〈TOP〉

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