The Effect of a Supportive Health Promotion Program on the Quality of Life of Mothers of Premature Newborns

Document Type : Original Quantitative and Qualitative Research Paper


1 MS in Medical-Surgical Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran

2 Assistant Professor of Nursing, Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran


Background: Studies have shown that mothers of premature newborns have lower physical and psychological quality of life compared to mothers of healthy neonates. Therefore, applying a health promotion program for supporting them is necessary.
Aim: To determine the effectiveness of a health promotion program on the quality of the life of mothers of premature newborns.
Methods: In this quasi- experimental study, mothers of premature infants in the neonatal intensive care unit of Milad hospital in 2014 were non-randomly divided into case (45 patients) and control groups (45 patients). Demographic information and Short Form Health Survey (SF36) quality of life questionnaire were collected. The supportive program of the case group was performed in four phases of assessment and recognition, support and the evaluation. Data were collected in three steps: pre-intervention, one and three months after intervention in both groups. Data analysis was conducted by SPSS version 14 using chi-square, independent t and ANOVA statistical tests.
Results: Demographic data were similar in both groups (P>0.05). The mean and SD of overall score of quality of life before the intervention was 46.3±9.5 and 48.9±9.5 in the control and case groups, respectively (p=0.1). One month after the intervention, this score was 47.5±6.3 in the control and 57.9±7.05 in the case group (p<0.001). The score of quality of life one and three months, after the intervention, in all aspects, were significantly different between two groups (p<0.05), excluding physical limitations aspect (p=0.4).
Conclusion: Thehealth promotion programs are supportive on improving the quality of life of mothers of premature newborns. Therefore, it is recommended that these programs be considered as effective methods for promoting quality life of mothers of premature neonates.


Main Subjects

  1.  Shi SW,  Men G , Smith Q,  Yang M. Epidemiology of Preterm Birth and Neonatal  Outcom . See comment in PubMed Commons belowSemin Fetal Neonatal Med 2004; 9(6):429-35.
  2. Valizadeh L, Akbarbegloo M, Asadollahi M. Supports Provided by Nurses for Mothers of Premature Newborns Hospitalized in NICU. Iran Journal of Nursing (IJN) 2009; 22(58):89-98.(Persian)
  3. Delaram M. The Incidence and Related Factors of Low Birth Weight. Iran Journal of Nursing (IJN) 2010;23(64):29-36.(Persian)
  4.  Akhavan Karbasi S,  Golestan M,  Fallah R,  Golshan M,  Dehghan Z. Effect of body massage on increase of low birth weight neonate's growth parameters: A randomized clinical trial. Iranian Journal of Reproductive Medicine 2013; 11(7):583-8
  5. Ali Abade T, Bastani F. Assess the Effects of Mother's Participation in the Care of Preterm Infants in the NICU on Readmission .Journal of Nursing - Midwifery Tehran University of Medical Sciences (Hayat) 2011;17(2) :71-7.(Persian
  6. ACOG Committee Opinion No. 404 April 2008. Late-preterm infants. See comment in PubMed Commons belowObstet Gynecol 2008; 111(4):1029-32
  7. Wong  D,Hockenberry M,Wilson D.Nursing Care of Infants and Childern .Translated by Sami Poran.Tehran.Boshra Publication ;2009
  8. Arzani A, kermanshahi S, Mohamadzadeh I .Impact of Education before Discharged on Mothers of Preterm Infants on the Brain, Vision, Audition Follow-up Examinations. J Hormozgan Univ Med Sci 2009;13(2):115-21.(Persian
  9. Arzani  A, Zahedpasha Y, Ahmadpour KM, Khafri  S, Khairkhah F, Aziznejad P. Kangaroo Care Effect on Self-Esteem in the Mothers of  Low Birth Weight Infants . J Babol Univ Med Sci2012; 14(3): 52-8. (Persian)
  10. Sarajärvi A, Haapamäki ML,Paavilainen E. Emotional and informational Support for Families During Their Child’s Illness. Int Nurs Rev  2006 ;53(3):205-1
  11. Kohan  M,  Borhani  F,  Abbaszadeh  A,  Soltanahmadi  J,  Khajehpoor  M.  Experience  of Mothers with Premature Infants in Neonatal Intensive Care Unit. Journal of Qualitative Research in Health Sciences 2012; 1(1): 41-51.(Persian)
  12. Aeen F,Alhani F , Mohammadi I, Kazemnejad A.Mother’s Needs of Sick in-Patient Children: A Basic Concept for Nursing Education. ijme 2010; 3(0): 70-81.(Persian)
  13. Hill PD, Aldag JC.Maternal Perceived Quality of Life Following Childbirth. J Obstet Gynecol Neonatal Nurs 2007 ;36(4):328-34.
  14. Leigh D .Helen E.Heather M.Judy W. The Impact of Very Premature Birth on the  Psychological Health of Mothers. Early Hum Dev 2003  ;13(1):61-70.
  15. Witt WP, Litzelman K, Spear HA, Wisk LE, Levin N, McManus BM, Palta M. Health-Related Quality of life of Mothers of Very Low Birth Weight Children at the Age of Five: Results from the Newborn Lung Project Statewide Cohort Study.Qual Life Res 2012;21(9):1565-76.
  16. Lee SY, Lee K, Rankin SH, Weiss SJ, Alkon A. Sleep Disturbance, Fatigue  and Stress among Chinese-American Parents with ICU Hospitalized Infants. Issues Ment Health Nurs 2007 ;28(6):593-605.
  17. Linda C, Amankwaa  R, Pickle RH,Boonmee J.Maternal Responsiveness in Mothers of Preterm Infants. Newborn Infant Nurs Rev 2007;(7)1:25-30.
  18. Rice MC,Wicks MN . The Importance of Nursing Advocacy for the Health Promotion of Female Welfare Recipients.Nursing Outlook 2007 ;55(5):220-3.
  19. Bahadoran P, Abassi F, Yousefi A. The Effect of Exercise on the Quality of life of Mothers at Postpartum Period. Iran J Nurs Midwifery Res2007; 12(1): 17-20.(Persian)
  20. Show E, Lovit C, Wong S, Kaczorowsk J .MC Master University Post Partum Research Group .Systematic Review of the Literature on Post Partum Care: Effectiveness of Post Partum Support to Improve Maternal Parenting Mental Health, Quality of Life and Physical Health .Birth 2006; 33(3):210-20.
  21. Webster J, Nichola C, Velacott C.Quality of life and Depression Following Childbirth: Impact of Social Support.Midwifery 2011  ;27 (5):  745–9.
  22. Karami K. Rostami SH.Ghadirian F. Impact of Educational Interventions-Support for Premature Infants on Maternal Stress and Length of Stay.J Lorestan Univ Med Sci 2009; 11(2):71-7.(Persian)
  23. Ballantyne M. An Educational-Behavioral Intervention for Parents of Preterm Infants Reduced Parental Stress in the NICU and Infant Length of Stay. Evid Based Nurs 2007; 10 (2): 41.
  24. Mirzalinjmabadi K, Anderson D, Barnes M. The Relationship between Exercise, Body Mass Index and Menopausal Symptom in Midlife Australian Women. Int J Nurs Pract 2006; 12(1):28-34.
  25. Owley G, Horwatch C, Gray A, Brad Shawa A, Katze L, Joyce J, Obrien S .Sustain Ability of Health and Lifestyle Improvement Following among Dieting Randomized   Trial in Overweight Woman. Prev Med 2008; 47(6):593-9.
  26. ChungYL, Molassiotis A, Anne M. The Effect of Progressive Muscle Relaxation Training on Anxiety and QoL after Stoma Surgery in Colorectal Cancer Patient. Psycho-oncology 2003;12(3):254-66
  27. Amin Shokravi F,Alhani F,Kasemnejad A,Vadanynia M .Relationship Regular Physical Activity and Women Quality of Life. Payesh 2009; 8(4):407-13. (Persian)
  28. Hillemeier MM, Downs DS, Feinberg ME, Weisman CS, Chuang CH, Parrott R.  Improving  Women’s  Preconception  Health: Findings  from  a  Randomized  Trial  of  the  Strong  Healthy  Women Intervention  in  the  Central  Pennsylvania  Women’s  Health  Study. J Womens Health Issues2008; 18(6):S87–S96.
  29. Bahrami N, Bahrami S .The Survey of Quality of Life in First-time Women in Postpartum Period. Nurs Res 2011; 6(23): 58-64. (Persian)
  30. Nikpor M,Abedian Z,Mokhber N, Ebrahimzadeh N, Saidkhani K.Comparison of Quality of Life in Women after Vaginal Delivery and Cesarean  Section . J Babol Univ Med Sci 2009;13(1):44-50.(Persian)
  31. Parviniannasab AM. The Effect of Health-Centered Supportive Program on the Quality of Life of Mothers of Children with Cerebral Palsy. (Thesis MSc Nursing), Tarbiat Modares University, 2011.
  32. Heidari F. The Effect of Health Promotion Supportive Program on Premenopausal Teacher’s Lifestyle. (Thesis MSc Nursing), Tarbiat Modares University, 2009.
  33. Bastani F, Aliabadi T, Haghani, H. The Effectiveness of Participatory Care Program in Neonatal Intensive Care Unit on State Anxiety of Mothers of Preterm Newborns.  J Babol Univ Med Sci 2012; 14(3): 59-65. (Persian)