Fathers Involvement with Developmental care of their Preterm Newborns and its Impact on the Bonding and Self-Efficacy: a nonrandomized clinical trial

Q3 Medicine

Evidence Based Care Journal Pub Date : 2021-10-31 DOI:10.22038/EBCJ.2021.60271.2567

J. Mirlashari, L. Holsti, H. Ranjbar, M. Sanjari, Fatemeh Morovati, Z. Ameri

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引用次数: 1

Abstract

Background: Premature birth and postpartum hospitalization can hurt the father-newborn bonding and self-efficacy.Aim: To investigate the effect of fathers' involvement with premature newborns on paternal-infant bonding and self-efficacy.Methods: his was a nonrandomized clinical trial. Eighty fathers of hospitalized newborns in the neonatal intensive care unit were selected by convenience sampling method and divided into two groups. Fathers were trained on the developmental care of their newborn babies. The training was started through simulations and then at the bedside of the newborn. Newborns who were admitted to one of the Neonatal Intensive Care Unit (NICU) at Arash hospital (Tehran University of Medical Sciences). The study was conducted in 2017. Pre-and post-intervention outcomes were collected using the Parent to Infant Bonding Scale (Originally: Mother to Infant Bonding Scale) and the Perceived Maternal Parenting Self-Efficacy tool. The scale scores range from 0 to 27. A high score indicates worse bonding. Data were analyzed using independent t-test, paired t-test, repeated measures ANOVA.Result: The mean ± SD of the scores of the bonding score was reduced by 2.3±2.17 in the control group and 5.27±2. 57 in the intervention group. A lower score represents a better bonding. The self-efficacy score increased in both groups; however, it was significantly higher in the intervention group. In the intervention group increased by 8.85±5.046, and in the control group, it increased by 1.27±3.31.Implications for Practice: Developmental care by fathers can improve the father-infant bonding and increase the paternal self-efficacy for the care of the high-risk newborn.

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父亲参与早产儿发育照顾及其对亲子关系和自我效能的影响:一项非随机临床试验

背景:早产和产后住院治疗会影响新生儿的亲子关系和自我效能感。目的:探讨父亲参与早产儿对亲子关系和自我效能感的影响。方法:采用非随机临床试验。采用方便抽样方法，选取新生儿重症监护病房住院新生儿父亲80例，分为两组。父亲们接受了关于如何照顾新生儿的培训。训练从模拟开始，然后在新生儿的床边进行。入住Arash医院(德黑兰医科大学)新生儿重症监护病房(NICU)的新生儿。该研究于2017年进行。干预前和干预后的结果收集使用父母对婴儿的联系量表(原:母亲对婴儿的联系量表)和感知母亲养育自我效能工具。量表得分范围从0到27。分数越高，表示连接越差。数据分析采用独立t检验、配对t检验、重复测量方差分析。结果:对照组与对照组的粘接评分平均±SD分别减少2.3±2.17分和5.27±2分。干预组57例。分数越低代表关系越好。两组患者自我效能评分均有所提高;然而，干预组明显更高。干预组增加8.85±5.046，对照组增加1.27±3.31。实践启示:父亲的发展性照顾可以改善父亲与婴儿的关系，提高父亲对高危新生儿照顾的自我效能感。

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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.