Evidence Based Care

Evidence Based Care

The Effect of Family Participation on Mother's General Health and Length of Hospitalization of Premature Neonate

Document Type : Original Quantitative and Qualitative Research Paper

Authors
Hamidreza Behnam Vashani 1
Zahra Askari Hoseini 2
Hasan Boskabadi 3
Akram Rezaeian 1
1 Instructor of Nursing, Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 MS in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3 Associate professor of Neonatology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/ebcj.2014.2420
Abstract
Background: Pressures arising from premature infant care specially hospitalized infant can affect infant's quality of life and health by causing long term destructive effects on family's psychological and physical health.
Aim:To investigate the effect of family participation on mother's general health and length of hospitalization of premature neonate.
Methods: In this clinical trial 60 primiparous women and their premature infants hospitalized in neonatal intensive care units, were randomly allocated to family participation and control groups. In the experimental group, empowering family in order to particiapte in the infant fundamental care was implemented in the "teaching" and "indepededant practice"phases. Control group received routin care. Mother's general health was measured using Goldberg General Health questionnaire. Data were analyzed by independent t-test and Mann Whitney test using SPSS version 11/5 was done.
Results: There was a significant difference between experimental group (21/18±8/95) and control group (35/38±12/99) in terms of Mother's General Health (p<0/01). There was no significant difference in average length of stay between two groups.
Conclusion: Family participation in caring of premature infants may increase mothers' general health and can be suggested as a practical method for increasing mother's general health.
Keywords
family participation
Length of stay
General Health
premature neonate
Subjects
  1. Department of Mother and Child Health. Neonatal Medicine Subspecialty Training Period and on the Terms and Birth. Tehran: Ministry of Health Pub. 2009. (Persian)
  2. Johnson S, Ring W, Anderson P, Marlow N. Randomized Trial of Parental Support for Families with Very Preterm Children: Outcome at 5 Years. Arch dis child. 2005 Sep;90(9):909-15.
  3. Zelkowitz P, Papageorgiou A, Bardin C, Wang T. Persistent Maternal Anxiety Affects the Interaction between Mothers and their Very Low Birthweight Children at 24 Months. Early hum dev. 2009 Jan;85(1):51-8.
  4. Nystrom K, Axelsson K. Mothers' Experience of Being Separated from their Newborns. J Obstet Gynecol Neonatal Nurs: JOGNN / NAACOG. 2002 May-Jun;31(3):275-82.
  5. Dadsetan P, Ahmadi Azghandi A, Hasanabadi H. Parenting Stress and Public Health: Research on the Relationship of Parenting Stress the Public Health Nurse and Homemaker Mothers with Young Children. Journal of psychology developmental psychology 2006;7:171-84. (Persian)
  6. Griffin T. Family-Centered Care in The NICU. J Perinat Neonatal Nurs. 2006 Jan-Mar;20(1):98-102.
  7. Mok E, Leung SF. Nurses as Providers of Support for Mothers of Premature Infants. J Clin Nurs. 2006 Jun;15(6):726-34.
  8. Gooding JS, Cooper LG, Blaine AI, Franck LS, Howse JL, Berns SD. Family Support and Family-Centered Care in the Neonatal Intensive Care Unit: Origins, Advances, Impact. Semin Perinatol. 2011 Feb;35(1):20-8.
  9. Behnam Vashani HR, Abolfazli M, Boskabadi H. Effect of Non-Nutritive Sucking on Access Time to Independent Oral Feeding and Weight Gain in Preterm Infants. Evidence Based Care 2013;3(3):43-50. (Persian)
  10. Noruzi A m, Fallah R. Infancy. 1st ed. Tehran: Andishe; 2011. (Persian)
  11. Kligeman R. The Fetus and the Neonatal Infant. Tehran: Ghazijahani; 2011. (Persian)
  12. Sheikh Bahaedinzadeh E. NICU Nursing. 1st ed. Tehran: Boshra; 1385. (Persian)
  13. O'Brien K, Bracht M, Macdonell K, McBride T, Robson K, O'Leary L, et al. A Pilot Cohort Analytic Study of Family Integrated Care in a Canadian Neonatal Intensive Care Unit. BMC Pregnancy Childbirth. 2013 Jan 31;13 Suppl 1:S12.
  14. Smith VC, Steelfisher GK, Salhi C, Shen LY. Coping with the Neonatal Intensive Care Unit experience: Parents' Strategies and Views of Staff Support. J Perinat Neonatal Nurs. 2012 Oct-Dec;26(4):343-52.
  15. Bailey JJ, Sabbagh M, Loiselle CG, Boileau J, McVey L. Supporting Families in the ICU: A Descriptive Correlational Study of Informational Support, Anxiety, and Satisfaction with Care. Intensive Crit Care Nurs. 2010 Apr;26(2):114-22.
  16. Ortenstrand A, Westrup B, Brostrom EB, Sarman I, Akerstrom S, Brune T, et al. The Stockholm Neonatal Family Centered Care Study: Effects on Length of Stay and Infant Morbidity. Pediatrics. 2010 Feb;125(2):e278-85.
  17. Preyde M, Ardal F. Effectiveness of a Parent Buddy Program for Mothers of Very Preterm Infants in a Neonatal Intensive Care Unit. CMAJ. 2003 Apr 15;168(8):969-73.
  18. Erdeve O, Arsan S, Yigit S, Armangil D, Atasay B, Korkmaz A. The Impact of Individual Room on Rehospitalization and Health Service Utilization in Preterms after Discharge. Acta Paediatr. 2008 Oct;97(10):1351-7.
  19. Fathi Ashtiani A. Psychological Tests - Personality and Mental Health Evaluation. Tehran: Publication of Besat; 2010. (Persian)
  20. Saatchi M, Kamrani K, AskarianM. Psychological Tests. Tehran: Publication Viraish; 2010 . (Persian)
  21. Bhutta ZA, Khan I, Salat S, Raza F, Ara H. Reducing Length of Stay in Hospital for Very Low Birthweight Infants by Involving Mothers in a Stepdown Unit: An Experience from Karachi (Pakistan). BMJ (Clinical research ed). 2004 Nov 13;329(7475):1151-5.
  22. Carvalho AE, Linhares MB, Padovani FH, Martinez FE. Anxiety and Depression in Mothers of Preterm Infants and Psychological Intervention during Hospitalization in Neonatal ICU. Span j psychol. 2009 May;12(1):161-70.
  23. Meijssen D JM, Koldewijn K, VanBaar A, Kok J. Maternal Psychological Distress in the First Two Years after Very Preterm Birth and Early Intervention. Early Child Dev Care. 2011;181(1):1-11.
  24. Zarbakhsh Bahari MR, Hoseinian S, Afrooz G, Hooman H. The Comparison of Many Biological Characteristics, Economical Conditions, General Health of Mothers with Low and Normal Birth Weight at Gilan Province. Journal of Faculty of Tehran University of Medical Sciences. 2012;5(5):67-78. (Persian)
  25. Jafari S, Alaei F, Rasoli M. Zaeri F. The Effect of Growth Opportunities for Parents Program on the Anxiety and Stress of Mothers with Premature Infants Hospitalized in the Neonatal Intensive Care Unit. Journal of Institute of Health Sciences of Jehad Daneshgahi 2011;17(5):253-8.