An Internet-Based Developmental Home Care Support Program Improved Maternal Psychological Symptoms and Infant Growth: A Randomized Controlled Trial.

IF 1.5 4区医学 Q3 NURSING

Journal of Perinatal & Neonatal Nursing Pub Date : 2024-09-24 DOI:10.1097/JPN.0000000000000823

Jun Zhang, Bowen Chen, Xinyi Yang, Mi Cao, Ashley Darcy Mahoney, Luyang Zhu, Nancy Xiaonan Yu

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引用次数: 0

Abstract

Objective: To examine the effects of an internet-based Developmental Home Care Support program (DHCSP) to reduce maternal psychological symptoms and improve preterm infants' physical growth outcomes.

Methods: A randomized controlled trial was conducted. The mother-infant dyads (nm = 34, np = 40) were randomly assigned to either the DHCSP intervention group or the control group. Data were collected at discharge (T0), 1-month corrected age (T1), and 2-month follow-up (T2), including mothers' postpartum depressive and posttraumatic stress disorder (PTSD) symptoms and mother-proxy infants' body length, weight, and head circumference.

Results: There were no significant differences in sociodemographic characteristics between the 2 groups at T0, except for mothers' age and monthly household income (both P = .01). Mothers in the DHCSP group reported significantly higher decreases in depression symptoms (β = -2.24; 95% confidence interval [CI], -4.31 to -0.16, P = .03), and their preterm infants showed significantly more increases in body length (β = 2.09; 95% CI, 0.30-3.87, P = .02) than the control participants at T2. The 2 groups did not show significant differences in mothers' PTSD symptoms or infants' body weight and head circumference.

Conclusion: The internet-based DHCSP intervention was effective in improving mothers' depressive symptoms and infants' body length.

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基于互联网的家庭护理发展支持计划改善了母亲的心理症状和婴儿的成长：随机对照试验

目的研究基于互联网的家庭发育护理支持项目（DHCSP）对减轻产妇心理症状和改善早产儿身体发育结果的影响：方法：我们进行了一项随机对照试验。母婴二人组（nm = 34，np = 40）被随机分配到 DHCSP 干预组或对照组。在出院（T0）、1 个月校正年龄（T1）和 2 个月随访（T2）时收集数据，包括母亲的产后抑郁和创伤后应激障碍（PTSD）症状以及母亲代理婴儿的身长、体重和头围：除了母亲的年龄和家庭月收入（均为 P = 0.01）外，两组母亲在 T0 阶段的社会人口特征无明显差异。与对照组相比，DHCSP 组母亲抑郁症状的减少率明显更高（β = -2.24；95% 置信区间 [CI]，-4.31 至 -0.16，P = .03），其早产儿的身长增加率也明显更高（β = 2.09；95% CI，0.30 至 3.87，P = .02）。两组在母亲的创伤后应激障碍症状、婴儿体重和头围方面没有明显差异：结论：基于互联网的 DHCSP 干预能有效改善母亲的抑郁症状和婴儿的身长。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatal & Neonatal Nursing 医学-妇产科学

CiteScore

1.60

自引率

7.70%

发文量

147

审稿时长

>12 weeks

期刊介绍： The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses. The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.