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IRCT201604084613N19 IRCT 2016-10-31 Vice Chancellor of Resreach of Tabriz University of Medical Sciences The impact of mother education on Maternal Self Efficacy and Newborn Discharge Preparation The Effect of Designed Empowerment Program on Maternal Self Efficacy and Newborn Discharge Preparation from Neonatal Intensive Care Units 2016-10-29 anticipated 60 Complete https://irct.ir/trial/4939 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: There was not possibility of random allocation of mothers to groups, due to the possible exchange of educational content between mothers. Therefore, at first, we will choice one of the groups to the desired number by Non Parallel sampling, and then, was selected Group B. N/A Disorders related to short gestation and low birth weight. Intervention 1: In the control group, usual care (which includes Kangaroo mother care and breast feeding), through face-to-face training will be taught to mothers by department nurses. Intervention 2: In the intervention group, mothers in addition to usual care (including learning Kangaroo mother care and breast feeding), the intervention is designed (empowerment program) will be taught by the investigator as step by step by investigator. This program include frequent hand washing with disinfectant solution, touch and infant massage, kangaroo mother care (KMC), preparation and storage of milk, baby sucking practice with pacifier or finger and then with breast, education correct breast feeding and burping the baby, the number of infant feeding, bathing and changing diapers and according to the baby's prematurity or medical conditions; The first time mentioned practices is down by the investigator in the presence mother and along education about how it can be done and next time, if the mother skill for its approved by a colleague, care will be conducted by his mother and under the supervision of a researcher. In addition to face to face training, they are given a training manual booklet and a multimedia electronic files (CD), if it is possible, mothers study at the earliest opportunity before beginning any training.
public Shahla Moradi
Imam Reza (AS) Hospital, next to the Faculty of Medical Sciences, Street Sorkhe Lyzhh, University Square, Kermanshah
Kermanshah Iran (Islamic Republic of) 67157- 46143 +98 83 3441 1173 shahlamoradi58@yahoo.com School of Nursing and Midwifery, Tabriz scientific Sousan Valizadeh Dehkhargani
PhD in Nursing Education
Nursing & Midwifery Faculty, South Shriaty Street, Tabriz, IRAN. Iran (Islamic Republic of) 44199-51668 +98 41 3479 0364 valizades@tbzmed.ac.irvalizadehsousan13@gmail.com Tabriz University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria for mothers: having a minimum of guidance secondary school literacy and more; with Minimum age 20 and more; no history of preterm birth in a previous pregnancy; no history of hospitalization in previous children in neonatal intensive care unit; not having preeclampsia or other diseases that require needs for long term hospitalization and completed the informed consent. Inclusion criteria for Newborns: birth weight between 2500 to 1000 grams; gestational age between 28 -34 weeks; No anomaly major congenital and major physical illnesses; the absence of neurological defects including seizures; intraventricular hemorrhage with a higher degree of 2 and periventricular Leukomalacia. Exclusion criteria: In case of infant death; In case of infant referring to other centers for treatment continue; Mother withdrew from participation in the study; not mothers participating in the study; mother absence of company training sessions, in case of failure to respond to 20% of questions of the questionnaire. 20 years no limit Female P07.1, P07 Disorders related to short gestation and low birth weight, not elsewhere classified Other Treatment - Other In the control group, usual care (which includes Kangaroo mother care and breast feeding), through face-to-face training will be taught to mothers by department nurses. In the intervention group, mothers in addition to usual care (including learning Kangaroo mother care and breast feeding), the intervention is designed (empowerment program) will be taught by the investigator as step by step by investigator. This program include frequent hand washing with disinfectant solution, touch and infant massage, kangaroo mother care (KMC), preparation and storage of milk, baby sucking practice with pacifier or finger and then with breast, education correct breast feeding and burping the baby, the number of infant feeding, bathing and changing diapers and according to the baby's prematurity or medical conditions; The first time mentioned practices is down by the investigator in the presence mother and along education about how it can be done and next time, if the mother skill for its approved by a colleague, care will be conducted by his mother and under the supervision of a researcher. In addition to face to face training, they are given a training manual booklet and a multimedia electronic files (CD), if it is possible, mothers study at the earliest opportunity before beginning any training. Maternal Self Efficacy. Timepoint: Baseline (within 1-2 days after admission in NICU) and 1 to 2 days before infants hospital discharge (18 days). Method of measurement: Maternal Self-Efficacy will be measured by Preterm Parenting & Self-Efficacy Checklist That was developed by Pennel and colleagues in 2012. This checklist, will be measured maternal self-efficacy of premature infants in three dimensions the mother's confidence in performing tasks, understand the importance of tasks for mothers and mothers competence (the sense of achievement) with 36 questions. The total range of self-efficacy score will be between: 36-252 and between: 12-84 for each dimension. If score was less than 48, maternal self-efficacy reported as undesirable and if score was more than 48 will be reported as desirable. Preparation discharge. Timepoint: Baseline (within 1-2 days after admission in NICU) and 1 to 2 days before infants hospital discharge (18 days). Method of measurement: Preparation discharge checklist was measured, that was made by Dashti and colleagues, with review of the literature. This checklist include 28 items with a score of zero and one with 12 questions about the physical condition and general health of the infant at discharge and 16 questions about the training provided to mother. Maternal satisfaction. Timepoint: Baseline (within 1-2 days after admission in NICU) and 1 to 2 days before infants hospital discharge (18 days). Method of measurement: Mothers' satisfaction, with facilities, nursing care and medical care was measured through a modified pediatric family satisfaction questionnaire (PFSQ), which is modified by Saidi et al. This questionnaire include 13 questions on a Likert scale score (1-5). The rate of hospital readmission. Timepoint: 15 days after discharge from the hospital. Method of measurement: Through a phone call with her mother. The length of infant’ stay (day) at hospital. Timepoint: At the infant discharge from the hospital. Method of measurement: The length of infant’ stay in NICU (day) at discharge time will be recorded in the data collection form. Vice Chancellor of Resreach of Tabriz University of Medical Sciences Approved 2016-09-06 Ethics Committee of Tabriz University of Medical Sciences Vice Chancellor for Research and Vice Chancellor for Research and Technology of Tabriz University of Medical Sciences, Golgasht St, Tabriz Iran (Islamic Republic of)