J Korean Acad Nurs.  2016 Feb;46(1):79-89. 10.4040/jkan.2016.46.1.79.

Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants

• Kim MH
• Ji ES

• KMID: 2373165
• DOI: http://doi.org/10.4040/jkan.2016.46.1.79

Abstract

PURPOSE
This paper reports the results of a hospital centered follow-up program on parenting stress, parenting efficacy and coping for mothers with very low birth weight (VLBW) infants.
METHODS
The follow-up program consisted of home visiting by an expert group and self-help program for 1 year. A non-equivalent control group pre-post quasi-experimental design was used. Participants were 70 mothers with low birth weight infants and were assigned to one of two groups, an experimental groups (n=28), which received the family support program; and a control group (n=27), which received the usual discharge education. Data were analyzed using chi2-test, t-test, and ANCOVA with IBM SPSS statistics 20.0.
RESULTS
Mothers' parenting stress (F=5.66, p=.004) was significantly decreased in the experimental group. There were also significant increases in parenting efficacy (F=13.05, p<.001) and coping (F=8.91, p=.002) in the experimental group.
CONCLUSION
The study findings suggest that a follow-up program for mothers with VLBW infants is an effective intervention to decrease mothers' parenting stress and to enhance parenting efficacy and coping.

Keyword

Very low birth weight infants; Follow-up studies; Parenting; Coping behavior

MeSH Terms

Adaptation, Psychological
Adult
Female
Follow-Up Studies
Hospitals
House Calls
Humans
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Male
Mothers/*psychology
*Parenting
*Program Evaluation
Self-Help Groups
Surveys and Questionnaires

Reference

1. Statistics Korea. Final results of birth statistics in 2014 [Internet]. Daejeon: Author;2014. cited 2015 July 1. Available from: http://kostat.go.kr/portal/eng/pressReleases/8/10/index.board?bmode=read&aSeq=348278.

2. Bae CW. Neonatal epidemiology in Korea: Statistics and clinical data. Seoul: Shinheung MedScience Inc.;2012.

3. Marlow N, Hennessy EM, Bracewell MA, Wolke D. Motor and executive function at 6 years of age after extremely preterm birth. Pediatrics. 2007; 120(4):793–804. DOI: 10.1542/peds.2007-0440.

4. Hwang HS, Kim HS, Yoo IY, Shin HS. Parenting stress in mothers of premature infants. Child Health Nurs Res. 2013; 19(1):39–48. DOI: 10.4094/chnr.2013.19.1.39.

5. Im M, Oh J. Integrative review on caring education papers for parents with a premature infant. Child Health Nurs Res. 2013; 19(2):120–129. DOI: 10.4094/chnr.2013.19.2.120.

6. Chon MY, Ji ES, Lee SH. Mothers' parenting experience of premature infants: Q methodological approach. J Korean Acad Nurs. 2013; 43(6):704–713. DOI: 10.4040/jkan.2013.43.6.704.

7. Park JY, Bang KS. Knowledge and needs of premature infant development and rearing for mothers with premature infants. Korean Parent Child Health J. 2013; 16(1):17–26.

8. Choi HS, Shin YH. Effects on maternal attachment, parenting stress, and maternal confidence of systematic information for mothers of premature infants. Child Health Nurs Res. 2013; 19(3):207–215. DOI: 10.4094/chnr.2013.19.3.207.

9. McCubbin HI, McCubbin MA, Patterson JM, Cauble AE, Wilson LR, Warwick W. CHIP-Coping health inventory for parents: An assessment of parental coping patterns in the care of the chronically ill child. J Marriage Fam. 1983; 45(2):359–370.

10. McCubbin HI, McCubbin MA, Thompson AI, Han SY, Allen CT. Families under stress: What makes them resilient. J Fam Consum Sci. 1997; 89(3):2–11.

11. Dunst CJ, Boyd K, Trivette CM, Hamby DW. Family-oriented program models and professional helpgiving practices. Fam Relat. 2002; 51(3):221–229. DOI: 10.1111/j.1741-3729.2002.00221.x.

12. Meijssen DE, Wolf MJ, Koldewijn K, van Wassenaer AG, Kok JH, van Baar AL. Parenting stress in mothers after very preterm birth and the effect of the infant behavioural assessment and intervention program. Child Care Health Dev. 2011; 37(2):195–202. DOI: 10.1111/j.1365-2214.2010.01119.x.

13. Avellar SA, Supplee LH. Effectiveness of home visiting in improving child health and reducing child maltreatment. Pediatrics. 2013; 132:Suppl 2. S90–S99. DOI: 10.1542/peds.2013-1021G.

14. Liu CH, Chao YH, Huang CM, Wei FC, Chien LY. Effectiveness of applying empowerment strategies when establishing a support group for parents of preterm infants. J Clin Nurs. 2010; 19(11-12):1729–1737. DOI: 10.1111/j.1365-2702.2009.03082.x.

15. Ahn YM. The effects of the systemic follow up health care program on the health promotion and the risk reduction in premature infants and their mothers. J Korean Acad Nurs. 2004; 34(6):1129–1142.

16. Chung KM, Lee KS, Park JA, Kim HJ. Validation study for the Korean version of parenting stress index (K-PSI). In : Korean Psychologial Assocoaition Annual Conference; 2008 August 20-22; Korea Military Academy. Seoul: Korean Psychological Association;2008. p. 558–559.

17. Shin SJ. Effects of stress, social support and efficacy on mothers' parenting behaviors [dissertation]. Seoul: Yonsei University;1997.

18. Nara Prefecture Visiting Nursing Association. 2011 visiting nursing program [Internet]. Nara, JP: Author;2011. cited 2015 July 1. Available from: http://nara-houmonkango-st.com/.

19. Yoyo Follow-up Class for Low Birth Weight Infant. 2010 yoyo program [Internet]. Kobe, JP: Kobe Integrated Child Center;2010. cited 2015 July 1. Available from: http://www.edu.kobe-u.ac.jp/fhs-renkei/yoyo/yoyo.htm.

20. Blann LE. Early intervention for children and families: With special needs. MCN Am J Matern Child Nurs. 2005; 30(4):263–267. DOI: 10.1097/00005721-200507000-00011.

21. Kim JS, Shin HS. Effects of a discharge education program using on-line community for parents of premature infants. J Korean Acad Child Health Nurs. 2010; 16(4):344–351. DOI: 10.4094/jkachn.2010.16.4.344.

22. Boykova MV. Follow-up care of premature babies in Russia: Evaluating parental experiences and associated services. Infant. 2008; 4(4):126–130.

23. Matsuzaki N, Shimoyama K, Aoyagi C, Sakou K, Kanaizumi S, Akuzawa C. Research trend and issues of home nursing for children requiring medical homecare. J Jpn Soc Child Health Nurs. 2014; 23(2):48–56.

24. Bang KS, Park JS, Kim JY, Park JY, An HS, Yun BH. Literature review on nursing intervention for premature infants in Korea. J Korean Soc Matern Child Health. 2013; 17(1):49–61.

25. Lindberg B, Axelsson K, Öhrling K. Taking care of their baby at home but with nursing staff as support: The use of videoconferencing in providing neonatal support to parents of preterm infants. J Neonatal Nurs. 2009; 15(2):47–55. DOI: 10.1016/j.jnn.2009.01.004.

26. Rowe J, Jones L. Discharge and beyond. A longitudinal study comparing stress and coping in parents of preterm infants. J Neonatal Nurs. 2010; 16(6):258–266. DOI: 10.1016/j.jnn.2010.07.018.

27. Brisch KH, Bechinger D, Betzler S, Heinemann H. Early preventive attachment-oriented psychotherapeutic intervention program with parents of a very low birthweight premature infant: Results of attachment and neurological development. Attach Human Dev. 2003; 5(2):120–135. DOI: 10.1080/1461673031000108504.

28. Perricone G, Morales MR, De Luca F, Carollo A, Maniscalco F, Caldas Luzeiro J, et al. Coping and parental role competence of mothers of preterm infant. Minerva Pediatr. 2014; 66(3):177–186.