Factors Predicting Maternal Participation in Caring for Preterm Infants in Neonatal Care Unit
Article Sidebar
Main Article Content
Abstract
This predictive relationship research aimed to study the predictive power of support from nurses; maternal preparation for taking care of preterm infants; and the attachment between mother and infant in terms of maternal participation in caring for preterm infants in a neonatal care unit. The sample group included mothers of premature infants with a gestational age of less than 37 weeks who were admitted to neonatal care units at tertiary hospitals in the southern region, with a total of 77 cases. Data were collected from July 2022 to April 2023. The research instruments included the Maternal Participation Scale in Caring for Preterm Infants in a neonatal care unit, the Support from Nurses’ Questionnaire, the Maternal Preparation for Taking Care of Preterm Infants’ Questionnaire, and the Attachment between Mother and Infant Questionnaire. Data were analyzed using descriptive statistics and logistic regression analysis.
Results revealed that the attachment between mother and infant could predict maternal participation in caring for preterm infants in the neonatal care unit at 30.2% with statistical significance (Nagelkerke R2=.302, p<.01) and was effective in predicting the accuracy of the prediction power at 66.2%.
This research suggests that nurses should promote mother-infant attachment in order to promote maternal participation in caring for preterm infants in neonatal care units.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
American Academy of Pediatrics. (2012). Levels of neonatal care. Pediatrics, 130, 587-597.
Armanian, A. - M., Barekatain, B., Sohrabi, F., Salehimehr, N. & Mansourian, M. (2019). The prevalence of complication of prematurity among 1000 newborns in Isfahan, Iran. Advanced Biomedical Research, 8(1), 1-4.
Bowlby, J. (1982). Attachment and loss: Volume 1 attachment. (2nd ed.). Basic Books.
Bruns, D. A. & McCollum, J. A. (2002). Partnerships between mothers and professionals in the NICU: caregiving, information exchange, and relationships. Neonatal Network, 21(7), 15-23.
Chivanon, N., Wacharasin, C. & Kampang, P. (2019). Suffering of the mothers with low birth weight infants hospitalized in sick newborn care unit. Nursing Journal of the Ministry of Public Health, 29(2), 102-115. (in Thai).
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates.
Froes, G. F., Mendes, E. N. W., Pedroza, G. A. & Cunha, M. L. C. (2020). Stress experienced by mothers of preterm newborns in a neonatal intensive care unit. Revista Gaucha de Enfermagem, 41, 1-9.
Health Administration Division, Ministry of Public Health. (2023). Low birth weight rate. Retrieved (2023, December 28). fromhttps://dashboard.anamai.moph.go.th/dashboard/lbwr/index?year=2023 (in Thai).
Hinsilp, C. (2006). Maternal participation in caring for high-risk neonates. (Master's thesis). Chiang Mai University. (in Thai).
House, J. S. (1981). Work stress and social support. Addison-Wesley.
Joaquim, R. M., Oliveira, F. C. S., Fajardo, R. S. & Caramaschi, S. (2018). Psychobiology of sadness: functional aspects in human evolution. EC Psychology and Psychiatry, 7(12), 1015-1022.
Jongpranee, P. (1997). Selected factors, social support and maternal newborn attachment in adolescent mothers. (Master’s thesis). Mahidol University. (in Thai).
Kantahong, K., Niyomkar, S. & Lamchang, S. (2015). Factors predicting parent participation in caring for hospitalized children with acute illness. Nursing Journal, 42(3), 1-12. (in Thai).
Kenner, C. Altimier, L. B. & Boykova, M. V. (2020). Comprehensive neonatal nursing care. (6th ed.). New York: Springer Publishing Company.
Ketsuwan, S., Ongjaturawit, Y. & Chaimongkol, N. (2018). Predictors of mother’s participation in caring for neonates with jaundice receiving phototherapy. Thai Red Cross Nursing Journal, 11(2), 100-116. (in Thai).
Korahroudi, F. A., Shakibifard, M., Nickfarid, L., Nasiri, M., Nouriyan, M. & Farahani, A. S. (2018). The effect of empowering mothers of infants hospitalized at the neonatal intensive care unit on their participation in neonatal care. Advances in Nursing and Midwifery, 27(3), 26-31.
Lee, S. Y., Chau, J. P. C., Choi, K. C. & Lo, S. H. S. (2019). Feasibility of a guided participation discharge program for very preterm infants in a neonatal intensive care unit: a randomized controlled trial. BMC Pediatrics, 19(402), 1-9.
Liu, T. T., Lei, M. J., Li, Y. F., Liu, Y. Q., Meng, L. N. & Jin, C. D. (2018). Effects of parental involvement in infant care in neonatal intensive care units: a meta-analysis. Frontiers of Nursing, 5(3), 207-215.
Lomotey, A. Y., Bam, V., Diji, A. K., Asante, E., Asante, H. B. & Osei, J. (2020). Experiences of mothers with preterm babies at a mother and baby unit of a tertiary hospital: a descriptive phenomenological study. Nursing Open, 7(1), 150–159.
Mabhandi, T., Ramdin, T. R. & Ballot, D. E. (2019). Growth of extremely low birth weight infants at a tertiary hospital in a middle-income country. BMC Pediatrics, 19(231), 1-9.
Muller, M. E. (1994). A questionnaire to measure mother to infant attachment. Journal of Nursing Measurement, 2(2), 129-141.
Namprom, N., Picheansathian, W. Jintrawet, U. & Chotibang, J. (2018). The effect of maternal participation in preterm's care and improved short-term growth and neurodevelopment outcomes. Journal of Neonatal Nursing, 24, 196-202.
Namprom, N., Woragidpoonpol, P., Altimier, L., Jintrawet, U., Chotibang, J. & Klunklin, P. (2020). Maternal participation on preterm infants care reduces the cost of delivery of preterm neonatal healthcare services. Journal of Neonatal Nursing, 26, 91–296.
Ohuma, E. O., Moller, A. – B., Bradley, E., Chakwera, S., Hussain-Alkhateeb, L., Lewin, A., … & Moran, A. C. (2023). National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis. Lancet, 402, 1261-1271.
Pholanun, P., Kantawang, S. & Klunklin, P. (2013). Maternal participation in caring for preterm infants in neonatal intensive care unit and related factors. Nursing Journal, 40(1), 89-101. (in Thai).
Polit, D. F. (2010). Statistics and data analysis for nursing research. (2nd ed.). Pearson.
Pronlerttaveekun, S., Prasopkittikun, T. & Sangperm, P. (2013). Factors associated with mothers’ participation in care for hospitalized newborns. Journal of Nursing Science, 31(1), 59-69. (in Thai).
Sarapat, P., Fongkaew, W., Jintrawet, U., Mesukko, J. & Ray, L. (2017). Practices of parents in caring for their hospitalized preterm Infants. Pacific Rim International Journal of Nursing Research, 21(3), 220-233.
Schepp, K. (1995). Psychometric assessment of the preferred participation scale for parent of hospitalized children. Unpublished manuscript, University of Washington, School of Nursing, Seattle, WA.
Sriautharawong, V. (2019). Factors related to complications during pregnancy of mothers who delivered at Hua Hin hospital. Region 4-5 Medical Journal, 38(2), 126-139. (in Thai).
Unsiam, P. (2017). Maternal participation in caring for critically ill newborns, Phatthalung hospital. The Southern College Network Journal of Nursing and Public Health, 4, 61-73. (in Thai).
World Health Organization. (2023). Preterm birth. Retrieved (2023, May 10). from
https:// www. who. int/ news-room/ factsheets/detail/preterm-birth.
