Effects of the Mother-Infant Interaction Program on Parental Stress and Postpartum Depression in Mothers with Preterm Infants.

Autor: CHENG, LI-PING, 鄭麗萍
Rok vydání: 2018
Druh dokumentu: 學位論文 ; thesis
Popis: 106
Background: Preterm infants who stay at the neonatal intensive care unit (NICU) or intermittent neonatal care unit are separated from their mothers due to the immature physiological functions and disease. Mothers who have a preterm infant could not stay room-in care with their infants and learn how to take care for their infants. Therefore, it is important to develop a mother-infant interaction program to help parents learn how to recognize their infant cues, interact with their infants, and improve the mothers’ mental health. Purpose: The study was to examine the effects of the mother-infant interaction program on mothers’ depression and stress. Methods: This study employed a quasi-experiment with two groups pretest-posttest design. The study setting was targeted at the NICU of one medical center in Taipei City. Seventy-four mothers of preterm infants were recruited through convenience sampling. Mothers from control group (n=37) only received routine care while mothers from intervention group (n=29) received not only routine care but also the mother-infant interaction “program” developed by this study. All data were collected on the 3rd to 5th day after birth including infant and mother’s demographic data and the mothers’ stress and depression. Then the participant mothers received the mother-infant interaction training. After the intervention, we measured the mothers’ stress and depression again by using parent stress scale: NICU (PSS: NICU) and the Edinburgh Postnatal Depression Scale (EPDS), respectively. Results: The study findings suggest that the parent stress significantly decreased in mothers receiving the mother-infant interaction training, as compared with those receiving routine care (B=-17.289, p=.009). There was no significant differences in the change of the mothers’ depression scores between the two groups. Conclusions: The study built evidence to guide nurses how to help mothers enhance mother-infant interactions, and decreased their stress when their infants stay at the NICU. The mother-infant interaction training program also can help nurses in the NICU or the intermittent neonatal units learn how to teach parents to recognize the infant’s behavioural cues and to provide the high quality and individualized care.
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