以家访为基础的婴儿定制支持计划。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-11-11 DOI:10.1016/j.pedn.2024.11.002

Hyeji Shin , Yoonjung Kim , Jeonghyun Choi

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引用次数: 0

摘要

目的：根据韩国每年进行的发育筛查测试，越来越多的婴儿需要进一步评估，以便及早发现和治疗发育障碍。我们开发了基于家访的婴儿定制支持计划（H-BTS），并探讨了该计划对婴儿的认知、语言和运动发育，以及母亲对婴儿发育的了解、养育焦虑和养育效能的潜在效果：我们在韩国首尔对 49 名婴儿和母亲进行了非等效对照组前测-后测设计。实验组（n = 25）在家中接受 24H-BTS 课程，每两周一次，为期三个月，同时为母亲提供每日护理日记。对照组（24 人）只接受发育评估。两组均进行了前后测试：结果：我们发现实验组和对照组在运动和认知发展指数方面存在明显差异，但在语言发展指数方面没有差异。实验组在母亲对婴儿发育的了解程度和养育效能评分方面有明显改善：我们的研究结果可作为社区护理的基础数据，将婴儿护理从疾病护理扩展到筛查和预防方法，从而支持心理发展并增强母亲的护理信心：这项研究为护士提供了一个在医院外和社区内提供婴儿发育护理的机会。实践应用：本研究为护士在医院外和社区内提供婴儿发育护理提供了机会，因此，护士可以向初级护理人员传授有效的发育游戏方法，从而培养更牢固的关系，增强产妇的护理信心。

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Home visit-based baby tailored support program for infants

Purpose

According to the annual developmental screening tests in South Korea, an increasing number of infants require further evaluation for the early assessment and treatment of developmental disabilities. We developed the Home Visit-Based Baby Tailored Support Program (H-BTS) and explored its potential effectiveness on infants' cognitive, language, and motor development, as well as their mothers' knowledge of infant development, parenting anxiety, and parenting efficacy.

Methods

We employed a non-equivalent control group pretest-posttest design with 49 infants and mothers in Seoul, Korea. The experimental group (n = 25) received 24H-BTS sessions at home, biweekly for three months, with a daily care diary for mothers. The control group (n = 24) underwent developmental assessments only. Both the groups underwent pre- and post-tests.

Results

We found significant differences in the motor and cognitive development indices between the experimental and control groups, but not in the language development index. The experimental group demonstrated significant improvements in mothers' knowledge of infants' development and parenting efficacy scores.

Conclusion

Our results can serve as foundational data in community care, expanding infant care beyond disease nursing to include screening and preventive approaches, thereby supporting psychological development and enhancement of maternal confidence in caregiving.

Practice applications

This study provides an opportunity to nurses to deliver care for infant development outside the hospital and within the community. Therefore, nurses can educate primary caregivers on effective developmental play methods, thereby fostering stronger relationships and enhancing maternal confidence in caregiving.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.