The Effect of Individualized Developmental Care Education Given to Mothers of Premature Infants on Maternal Self-Efficacy and Attachment Levels
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Self-Efficacy
研究概览
简要总结
This study aims to evaluate the effect of individualized developmental care education provided to mothers of premature infants on maternal self-efficacy and maternal-infant attachment. Premature birth can be a stressful and anxiety-inducing experience for mothers, which may negatively impact their self-confidence and ability to establish an emotional bond with their baby.
Structured and individualized developmental care education provided in the neonatal intensive care unit (NICU) enhances mothers' knowledge and promotes their active participation in the care process, thereby strengthening their maternal roles. Increased self-efficacy helps mothers to take a more active and conscious role in their infant's care, while stronger maternal attachment plays a critical role in the infant's emotional and neurodevelopmental health.
Therefore, the integration and dissemination of such supportive educational interventions within the healthcare system are essential steps that can positively influence both maternal and infant health outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •The mother must have a premature baby born between 22 and 32 weeks gestation, admitted to a level 3 NICU.
- •The baby's stay in the level 3 NICU must be at least one month.
- •The mother must not have any diagnosed psychiatric disorders.
- •The baby must not have severe congenital anomalies incompatible with life.
- •The mother must be literate and open to communication.
- •The mother must be willing and volunteer to participate in the research.
排除标准
- •The baby's stay in the NICU must be at least one month.
研究组 & 干预措施
Individualized Developmental Care Education Group
Before the mother is discharged from the hospital after delivery (within 24 hours for a vaginal birth and within 72 hours for a cesarean section), a brochure titled "Your Premature Baby" prepared by the researcher will be provided. The content of the "Infant Care and Nutrition" booklet to be given to mothers will include information on breastfeeding, infant care, home environment, screening tests, immunization, common problems, and other related topics.
In the second and third weeks, individualized developmental care training tailored to the needs of the newborn will be provided. This training will cover topics such as environmental adjustments (light, noise, temperature), kangaroo care, infant massage, non-nutritive sucking, and parent-infant bonding.
In the fourth week, the mothers' application of the training and their knowledge levels regarding premature infant care will be assessed.
干预措施: Individualized Developmental Care Education Group (Behavioral)
Control group
During the hospitalization of the premature infant, routine nursing education provided in the clinic will be delivered to the mother by the unit nurse. These routine trainings and information sessions include the following:
A brief information session of approximately 5 minutes, usually given to all mothers within the first 24 hours after birth, covering topics such as breast milk expression, breastfeeding positions, and the benefits of breast milk. Mothers selected for kangaroo care are given information regarding hand hygiene and personal cleanliness.
On weekdays, between 1:00 p.m. and 2:00 p.m., the neonatologist provides information to parents about the general condition of their baby in the NICU.
To prevent ethical concerns arising from the implementation of the study in terms of the control group, after the posttest is completed, the researcher will provide the control group families with the information they need.
结局指标
主要结局
Self-Efficacy
时间窗: The first three days of hospitalization and one month after hospitalization
Pretests will be administered within the first three days of the mother's admission to the hospital with her premature infant, and posttests will be conducted at the end of the first month. The General Self-Efficacy Scale consists of 17 items. The total score can range from 17 to 85; higher scores indicate a greater belief in self-efficacy.
Maternal Attachment Levels
时间窗: The first three days of hospitalization and one month after hospitalization
Pretests will be administered within the first three days of the mother's admission to the hospital with her premature infant, and posttests will be conducted at the end of the first month. The Maternal Attachment Scale consists of 26 items. The total score can range from 26 to 104; higher scores indicate a stronger level of maternal attachment.
次要结局
未报告次要终点
研究者
Emel AVÇİN
Lecturer Dr
University of Yalova