Effects of Solution-Focused Approach on Mothers Anxiety About Preterm Infants Care
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- State Anxiety Score
Study Overview
Brief Summary
It has been reported that mothers of preterm infants who experience anxiety face challenges in participating in infant care. However, the effect of solution-focused approach on reducing the anxiety of mothers of premature infants is unknown. This study was conducted to assess the effects of Solution-Focused Approach on the anxiety levels of mothers who are anxious about preterm infants care. A randomized controlled trial design. The present study was carried out in the Neonatal Intensive Care Units of three hospitals in a city center. In the study, the sample group was determined as 40 mothers, 20 of whom were interventions and 20 were control. In this study, eight 30-40minute solution-focused interviews were held with the participants in the intervention group subjected to the Solution Focused Approach. Of the mothers in the intervention group, 5% had triplet pregnancy, 75% gave birth by cesarean section, 80% had health problems during pregnancy and 95% did not receive training on infant care during pregnancy. The differences in scale scores obtained during follow-ups were greater in the intervention group than in the control group. It was determined that the intervention undergone by the mothers of the preterm infants in the intervention group decreased the mothers' anxiety levels about infant care and increased their solution-focused coping skills. Following the intervention, moms in the intervention group showed improvement in all of their self-perception skills about their care needs. The Solution-Focused Approach decreased state-trait anxiety levels of mothers who were anxious about preterm infant care, and improved their solution-focused coping skills. The Individual Solution-Focused Approach decreased state and trait anxiety levels of primiparous mothers who were anxious about preterm infant care, and improved their solution-focused coping skills. Nurses' application of this approach can reduce the anxiety levels of mothers who are worried about preterm infant care. It can contribute to mothers to develop a solution-focused perspective.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Masking Description
Single-blind: Participants did not know their group assignment.
Eligibility Criteria
- Ages
- 18 Years to 45 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Primiparous mothers
- •Having a preterm infant hospitalized in the NICU
- •Being in the discharge or mother-infant harmony process
- •Scoring ≥20 on at least one anxiety inventory
- •Ability to communicate in Turkish
- •Voluntary participation and written informed consent
Exclusion Criteria
- •Having a serious medical or psychiatric condition preventing participation
- •Mother reporting she cannot continue the interviews
- •Mother being out of the province during the intervention dates
Arms & Interventions
Solution-Focused Approach (SFA)
Mothers in this arm received an Individual Solution-Focused Approach (SFA) intervention consisting of eight 30-45-minute sessions. Three sessions were conducted in the mother-infant harmony room during the NICU discharge process and five sessions were conducted at home during scheduled home visits. SFA techniques included goal setting, identifying exceptions, miracle questions, scaling, reframing, and letter writing. The intervention aimed to reduce maternal anxiety related to caring for a preterm infant and to improve solution-focused thinking skills.
Intervention: Solution-Focused Approach (SFA) (Behavioral)
Standard Care Control
Mothers in this arm received routine NICU discharge education and standard postpartum care as provided by the hospitals. No additional psychological or behavioral intervention was given between the pre-test and follow-up assessments. After the study was completed, SFA sessions were offered to mothers in the control group.
Outcomes
Primary Outcomes
State Anxiety Score
Time Frame: At baseline; one week after completion of the intervention; 2-month after completion of the intervention
Change in mothers' state anxiety levels measured using the State Anxiety Inventory (20-80 points; higher scores indicate greater anxiety). The scale was administered at baseline; one week after completion of the intervention; 2-month after completion of the intervention.
Trait Anxiety Score
Time Frame: At baseline; one week after completion of the intervention; 2-month after completion of the intervention
Change in mothers' trait anxiety levels measured with the Trait Anxiety Inventory (20-80 points). Higher scores indicate higher trait anxiety. Measurements were taken at baseline; one week after completion of the intervention; 2-month after completion of the intervention.
Secondary Outcomes
- Solution-Focused Thinking Skills Score(At baseline; one week after completion of the intervention; 2-month after completion of the intervention)
- Home Care Needs Competence(At baseline; one week after completion of the intervention)
Investigators
Nurcan Akgül Gündoğdu
Associate Professor
Bandırma Onyedi Eylül University