Exploring the relationships between the social support, perceived stress and maternal confidence in mothers with singleton and multiple birth preterm infant.
| Autor: | Yu-Shan Chang, 張瑜珊 |
|---|---|
| Rok vydání: | 2013 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 101 Background: The domestic of premature birth rate is about 8% -10.7%. With the social transformation, ratios of late marriage and infertility have been increased. The use of fertility medicine and advances in reproductive technology make an increased incidence of multiple births, which also increase the preterm infants. Literature indicates that preterm mother in the hospital after the pressure is greater than full-term mothers. Maternal confidence of being a premature mother was lower than full-term mothers’. The literature also confirms that the social support is very important for mothers with preterm infant. But the relationship between mothers with preterm infants’ social support, perceived stress and maternal confidence in mothers with singleton and multiple births preterm infant have not been explored yet. Purpose：The Purpose of study is to explore the relationships between the social support, perceived stress and maternal confidence in mothers with singleton and multiple births preterm infant at one month after discharge. Methods：The study is a cross-sectional designed. Data were collected by purposive sampling. A total of 90 parents (52 single birth of premature mothers, 38 multiple birth of premature mothers) were recruited. The measurement are self-developed questionnaire with 28questions including both mother and infant’s basic information, 21 items of revised Social Support Scale (Hays, 1995), 15 items of revised Perceived Stress Scale (Cohen, 1983), and 18 items of revised Maternal Confidence Scale (Parker and Zahr, 1985). After preterm infant discharge one month at home, participants will be informed, and fill out the questionnaire by email or present in outpatient unit. Results：1. Mothers’ social support at one month after discharge from hospital, average score is 76.6 in singleton birth and 76.5 in multiple birth (total score 104), which above 70% of social support. 2. Perceived stress, average score is 25.8 in singleton birth mothers, which is between occasional and sometimes stress levels; average score is 31.0 in multiple birth mothers, which is between equivalent levels of stress. That indicates that mother with multiple birth perceived pressure is higher than single births’. 3. Maternal Confidence (total score 90), average score is 65.67 in single birth mothers and 62.18 in multiple birth mothers. This indicates about 70% maternal confidence are showed in both group of mothers. 4. Related factors of singleton birth mothers’ perceived stress are: (1) education (2) mother-in-law is baby care assistant (3) self perceived health status (4) daily sleep time (5) perceived quality of sleep (6) infants’ birth age, and (7) social support. The predict factor of singleton births of mothers’ perceived stress factor is social support. 5. Related factors of multiple birth mothers’ perceived stress are: (1) have/ no helper to take care of the baby (2) daily sleep time (3) perceived sleep quality, and (4) tangible support and emotional / information support. The predict factor of multiple births of mothers’ perceived stress factor is daily sleep time. 6. The effect and predict factors of singleton birth mother''s maternal confidence are: (1) education (2) the average birth weight of preterm infant (3) mother (case’s mother) is baby care assistance. 7. The related factor of multiple birth mothers’ maternal confidence is premature infant’s weight at discharged. Conclusions：1. We recommend that multiple births and family-related information should be established in clinical path way. 2. In clinical continuing education, nurses should be strengthen on their capacity to assist mothers with preterm children. To sharpen mothers’ child care knowledge and solving problems, appropriate preparation for home care will be provided. 3. Father is an important support of mother with preterm infant; he should be included in infants’ discharged plan. 4. Twins or multiple births’ care should be included in school education and in-service education. 5. Nurses play a role of advocator, who can help mothers to involve in the self assistant group and information, to promote more social support for mother with preterm infants. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
| Externí odkaz: |
|