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안영미,김미란 한국간호과학회 2004 Journal of Korean Academy of Nursing Vol.34 No.7
Purpose: A quasi-experimental study was performed to investigate the effects of a home visiting discharge education program on the maternal self-esteem, attachment, postpartum depression and family function in 35 mothers of neonatal intensive care unit (NICU) infants. Methods: Twenty-three mothers in the intervention group received the home visiting discharge education while 12 mothers in the control group received the routine, hospital discharge education. Baseline data was collected in both groups one day after delivery. The intervention group received the home visiting discharge education while the control group did the routine hospital-based discharge education. The questionnaire including the data on maternal self-esteem, attachment, postpartum depression and family function were collected within 1week after the discharge by mail. Results: The scores of maternal self-esteem, and attachment were significantly increased, and the postpartum depression and the family function score were decreased after the home visiting discharge education in intervention group. There were no changes in these variables before and after the routine hospital-based discharge education in control group. Conclusion: These results support the beneficial effects of home visiting discharge education on the maternal role adaptation and family function of the mothers of NICU infants
Parental Perception of Neonates, Parental Stress and Education for NICU Parents
안영미,김남희 한국간호과학회 2007 Asian Nursing Research Vol.1 No.3
Purpose The purpose of this study was to conduct a comparative analysis between the perception of parents with premature infants in the NICU and parents with full-term newborns, and in the process to evaluate the effects of NICU educational support on parents with regard to their perception of neonate and parental stress. Methods A mixed quantitative design was employed to compare parental perception of neonates using the Neonatal Perception Index (NPI) between the parents of 26 full-term infants (full-term group) and the parents of 22 premature infants in the NICU (NICU group), and also to evaluate the effect of NICU educational support on NPI and parental stress using the Parental Stress Scale (PSS) between the mothers and fathers in the NICU group. Results NICU mothers showed the lowest NPI score among full-term and NICU parents. However, no difference in direction of NPI scores was observed between parents in either the full-term or NICU group. NICU education improved NPI and decreased PSS in fathers but not in mothers. Conclusion Environmental modifications of the nursery setting, particularly its remote location to the NICU, could improve mothers’ perception of full-term neonates. NICU mothers, as the principal caregivers, may suffer from culturally-grounded, psychoemotional disturbances after giving birth to a sick infant, which may not be applicable to fathers. The quality of family-centered care in the NICU environment, parental role alteration, and the condition of infants need to be improved to decrease parental stress in the NICU. Fathers may have significant potential in caring for mothers and sick infants during the transition to parenthood. Education for NICU parents should be done for both mothers and fathers in the acute postpartum period.