Effects of Self-efficacy Promoting Program on Maternal Behaviors in Preventing Recurrent Neonatal Jaundice and Serum Bilirubin Level of Infants Receiving Phototherapy
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Abstract
This quasi-experimental study, utilizing a two-group posttest-only design, aimed to compare maternal behaviors in preventing recurrent neonatal jaundice and serum bilirubin levels in infants receiving phototherapy between an experimental group and a control group. The experimental group received a self-efficacy promoting program, while the control group received routine nursing care. The sample consisted of mothers and their full-term newborns admitted to the obstetrics and gynecology ward and the pediatric ward at Ratchaphiphat Hospital, Medical Department, Bangkok. Participants were selected using convenience sampling. They were matched in pairs based on educational level and then randomly assigned to either group by drawing lots, resulting in 15 pairs per group. The research instruments consisted of the program to promote maternal competence and a questionnaire of maternal behaviors in preventing recurrent neonatal jaundice, with Cronbach’s alpha reliability at .95. Data were analyzed using an independent t-test.
The results showed that the mean score for maternal behaviors in preventing recurrent neonatal jaundice in the experimental group was significantly higher than that of the control group (t = 5.53, p < .001). Additionally, the mean bilirubin level in infants at follow-up was significantly lower in the experimental group compared to the control group (t = -4.04, p < .001).
These findings indicate that the self-efficacy promoting program is effective in enhancing maternal behaviors and reducing bilirubin levels in newborns. Nursing personnel involved in neonatal jaundice care are encouraged to implement this program to support mothers in preventing recurrence and improving neonatal outcomes.
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References
Aggarwal, B., Agrawal, A., Chaudhary, P., Gupta, G., Rana, S., & Gupta, S. (2017). Neonatal jaundice: Knowledge, attitude beliefs, and practices of postnatal mothers in a tertiary care hospital in Uttarakhand, India. Indian Journal of Child Health, 4(4), 603-608. https://doi.org/10.32677/ijch.2017.v04.i04.033
Bandura, A. (1997). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037//0033-295x.84.2.191
Begum, N. A., & Afroze, S. (2018). An overview of neonatal unconjugated hyperbilirubinemia and it’s management. Bangladesh Journal of Child Health, 42(1), 30-37. https://doi.org/10.3329/bjch.v42i1.37048
Booranavanich, K., & Chakthranont, N. (2022). Incidence and risks of readmission due to neonatal jaundice. Vajira Medical Journal: Journal of Urban Medicine, 66(4), 237–244. (in Thai)
Burns, N., & Grove, S. K. (2001). The practice of nursing research: Conduct, critique, and utilization (4th ed.). W. B. Saunders.
Dogan, E., Kaya, H. D., & Günaydin, S. (2022). The effect of massage on the bilirubin level in term infants receiving phototherapy. Explore, 19(2), 209-213. https://doi.org/10.1016/j.explore.2022.05.001
Hayeese, W., Sap-In, N., Pichaisongkram, S., & Chaimongkol, N. (2016). Effects of the perceived self-efficacy promotion program of caregivers on quality of life of Muslim preterm infants in Naradhiwas Province. The Journal of Faculty of Nursing Burapha University, 24(2), 51-60. (in Thai)
Hensman, A. M. (2018). Neonatal readmission in term: Maternal, infant, provider and institutional factors [Unpublished doctoral dissertation]. University of Rhode Island.
Jazayeri, Z., Sajadi, M., Dalvand, H., & Zolfaghari, M. (2021). Comparison of the effect of foot reflexology and body massage on physiological indicators and bilirubin levels in neonates under phototherapy. Complementary Therapies in Medicine, 59, 102684. https://doi.org/10.1016/j.ctim.2021.102684
Kaewprapai, K., Kitcharoen, S., & Sithithaworn, J. (2016). Evaluation of guideline for assessment of jaundice in newborns at Khlong Luang Hospital, Pathum Thani Province. Thai Science and Technology Journal, 24(1), 139-153. (in Thai)
Kalasin, J., Siripul, P., & Thannadee, S. K. (2020). Effect of a maternal perceived self-efficacy enhancement program on perceived self-efficacy, caring behavior for preterm infants with hyperbilirubinemia, receiving phototherapy and infants’ serum bilirubin levels. Journal of Nursing and Therapeutic Care, 38(3), 129–138. (in Thai)
Kemper, A. R., Newman, T. B., Slaughter, J. L., Maisels, M. J., Watchko, J. F., Downs, S. M., Grout, R. W., Bundy, D. G., Stark, A. R., Bogen, D. L., Holmes, A. V., Feldman-Winter, L. B., Bhutani, V. K., Brown, S. R., Panayotti, G. M. M., Okechukwu, K., Rappo, P. D. & Russell, T. L. (2022). Clinical practice guideline revision: Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics, 150(3), e2022058859. https://doi.org/10.1542/peds.2022-058859
Maneenil, G. (2016). Neonatal jaundice. In P. Vejvanichsanong & W. Anantasayree (Eds.), Pediatrics 3 (pp. 103-104). Sahamitpathana Printing. (in Thai)
Ministry of Public Health, Office of Policy and Strategy. (2017). Strategies, indicators, and data collection guidelines of the Ministry of Public Health in fiscal year 2017. Ministry of Public Health. (in Thai)
Mojtahedi, S. Y., Izadi, A., Seirafi, G., Khedmat, L., & Tavakolizadeh, R. (2018). Risk factors associated with neonatal jaundice: A cross-sectional study from Iran. Open Access Macedonian Journal of Medical Sciences, 6(8), 1387. https://doi.org/10.3889/oamjms.2018.319
Mornthawee, S., & Thato, R. (2011). The effect of coaching program on maternal behavior to prevent breast feeding jaundice in full term neonate. Journal of Nursing Science Chulalongkorn University, 27(1), 22-34. (in Thai)
Narong, T., Suppasri, P., & Siriarunrat, S. (2016). Effect of the maternal roles enhancing program on perception of family support and success in maternal role attainment among postpartum adolescents. The Journal of Faculty of Nursing Burapha University, 22(1), 15-26. (in Thai)
Paprom, W. (2018). Effects of the supportive program and application towards care behavior of caregivers of newborns with neonatal hyperbilirubinemia undergoing phototherapy. Songklanagarind Journal of Nursing, 38(3), 167-178. (in Thai)
Ratchaphiphat Hospital. (2023). In-patient statistics. Ratchaphiphat Hospital.
Sungkasrisombut, K., Machara, S., Promsri, M., & Panit, N. (2022). Development of health education and health counseling model using LINE official account application for mothers in caring for infants with premature births. Regional Health Promotion Center 9 Journal, 16(2), 623–641. (in Thai)
