The Effect of Transition Model-Based Discharge Training for Mothers of Late Preterm Infants (TRAMPRE): A Randomized Controlled Study.

Abstract

The aim of the study was to evaluate the effect of Transition Model-Based Discharge Training for Mothers of Preterm Infants (TRAMPRE) on (1) Kenner's three components of the transition to home; (2) post-partum depression; (3) unplanned hospital/family health center visits; and (4) post-discharge complications. Our study was conducted with 133 mothers who received services in the NICU of a hospital providing tertiary health care in Türkiye. The content of the intervention protocol consists of "Discharge Training for Mothers on Infant Care," the "Preterm Infant Care Guide," and "Telephone Follow-up and Counseling." Data were analyzed using descriptive statistics, t-tests, repeated measure ANOVA and chi-square tests. The time 2 scores for the Transition Questionnaire (TQ) were 101.88 ± 11.04 and 67.03 ± 7.71 for the intervention and control groups, respectively (p < 0.05). The time 2 scores for the intervention group on postnatal depression levels (4.55 ± 4.51) were significantly lower than those of the control group (10.94 ± 4.69) (p < 0.05). Comparing the intervention and control groups revealed a significant difference between the rates of thrush (i: 1.5%, c: 12.1%), diaper rash (i: 4.5%, c: 30.3%), hospitalization after discharge (i: 3%, c: 13.6%), attending routine controls (i: 100%, c: 90.9%), and exclusive breastfeeding (i: 43.3%, c: 19.7%). It was concluded that transition model-based discharge training offered to mothers of LPT infants was effective in improving the mothers' transition to home care and reducing the incidence of post-partum depression. Trial Registration: Clinical Trials number: NCT05525624.