The Effect of the Resilience on Babies and Mothers with Very Low Birth Weight Infants

Autor: Li-Chiu Chen, 陳利秋
Rok vydání: 2012
Druh dokumentu: 學位論文 ; thesis
Popis: 100
The purpose of the study was to expore the effect of the resilience on babies and mothers with very-low-birth-weight infants. The study was a cross-sectional, correlational research design in which purposive sampling were used. This data was collected from 2011/5/20 to 2011/8/31 with structural instrument. After obtaining permission from mothers, we shipped instruments to collect data. The instruments including : Personal Information Scale, Parenting Stress Index/Short Form, Social support Questionnaire, Parenting resilience Scale, Coping Scale, WHOQOL-BREF. We derive those very-low-birth-weight Premature’ s basic medical information and the Mental Development Index(MDI)and Psychomotor Development Index (PDI)of Bayley Scales of Infant Development 2nd, were performed at 12 months of age from corrected age (CA) of prematurity from the Premature Baby Foundation of Taiwan. Study participants were 91 very-low-birth-weight premature and 102 mothers of very-low-birth-weight Premature. The data was analyzed through SPSS Windows 15.0 statistical software. The results indicate that: (1)Firstly to analyze the parenting stress, the results show that the parental distress domain got the highest score, secondly the parenting resilience, the results show that the positive thinking domain got the highest score, thirdly the social support, the results show that the emotion social support domain got the highest score, fourth the coping strategy, the results show that the emotional-focused coping strategies got the highest score, finally the quality of life, the results show that the physiology health domain got the highest score. (2)The Psychomotor Development Index (PDI) of very-low-birth-weight premature had significantly negative relations with parent-child dysfunctional interaction, had significantly positive relations with emotion social support, facing frankly, self-encourage, positive thinking and the whole of parenting resilience; after that the Mental Development Index(MDI) of very-low-birth-weight premature had significantly negative relations with parent-child dysfunctional interaction, had significantly positive relations with problem- focused coping strategies, self-encourage, positive thinking, facing frankly and the whole of parenting resilience. Parenting stress had significantly negative relations with quality of life, and problem-focused coping strategies had significantly positive relations with quality of life. Emotional-focused coping strategies had significantly negative relations with quality of life, social support and the whole of parenting resilience had significantly positive relations with quality of life. (3)According to Multiple Regression analysis Parenting resilience affect Included of Psychomotor Development Index (PDI), Mental Development Index(MDI) of very-low-birth-weight premature, and quality of life of mother. Pregnancy type, number of children, family income, birth weight, gender, Respiratory Distress Syndrome(RDS), Periventricular Echodenisit(PVE), parenting stress, emotional-focused coping strategies are risk factors of parenting resilience. Problem- focused coping strategies, social support and mother education level are protective factors of parenting resilience. This study shows that resilience can promote very-low-birth-weight premature and mother’s health. Mothers who have positive thinking and facing frankly can make premature get higher scale in PDI, MDI and mothers’ quality of life. Based on this study, researchers might design a set of enhanced intervention measures parenting resilience in order to benefit more families in premature infants.
Databáze: Networked Digital Library of Theses & Dissertations