Child Health Nurs Res.  2018 Apr;24(2):252-261. 10.4094/chnr.2018.24.2.252.

Effects of Maternal Empowerment Program on Stress, Anxiety, Depression and Parenting Confidence in Mothers of Preterm Infants in the Neonatal Intensive Care Unit

Affiliations
  • 1College of Nursing, Keimyung University, Daegu, Korea. yshin@kmu.ac.kr
  • 2Department of Nursing, Hosan University, Gyeongsan, Korea.

Abstract

PURPOSE
This study aimed to evaluate the effects of an empowerment program on maternal stress, anxiety, depression and parenting confidence.
METHODS
A total of 44 mothers of preterm infants were assigned into an experimental or a control group (n=22 each). The experimental group received the usual nursing care and 7 sessions of an empowerment program. The control group only received the usual care. The program was implemented from June to December, 2016 in the neonatal intensive care unit of K university-affiliated hospital in Daegu, Korea. The outcome variables measured were parental stress (PSS: NICU), anxiety (STAI), depression (CES-D) and parenting confidence. Data were analyzed using t-test or repeated measures ANOVA.
RESULTS
Scores for both parental stress (t=3.07 p=.004) and depression (F=3.76, p=.26) were significantly lower in the experimental group than in the control group. However, there were no significant differences in anxiety between the groups (F=0.79, p=.505). Parenting confidence scores (F=9.05, p=.001) were significantly higher in the experimental group than in the control group.
CONCLUSION
A maternal empowerment program can be an effective means of reducing parental stress and depression as well as enhancing parenting confidence, for mothers of preterm infants.

Keyword

Anxiety; Intensive care units; Mothers; Preterm infant; Emotional stress

MeSH Terms

Anxiety*
Daegu
Depression*
Humans
Infant, Newborn
Infant, Premature*
Intensive Care Units
Intensive Care, Neonatal*
Korea
Mothers*
Nursing Care
Parenting*
Parents*
Power (Psychology)*
Stress, Psychological
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