{"title":"通过远程医疗项目提高产妇使用呼吸机护理早产儿的自我效能:随机对照试验","authors":"Kritsana Kongsaenkaew, Somsiri Rungamornarat, Sudaporn Payakkaraung","doi":"10.60099/prijnr.2024.264464","DOIUrl":null,"url":null,"abstract":"Telehealth is increasingly important in nursing, encouraging mothers of preterm infants with ventilators to have confidence in their infant care. This study investigated the impact of a telehealth program on maternal self-efficacy in caring for preterm infants with ventilators in the early postpartum period. We employed a randomized controlled trial using the block allocation method, enrolled 42 mothers of preterm infants receiving ventilators and randomly assigned 21 in the experiment group and 21 in the control group. The experimental group received asynchronous and synchronous telehealth programs for six days to enhance their self-efficacy. Data were obtained using the demographic data questionnaire and the maternal self-efficacy questionnaire. Data were analyzed using the Chi-square test, Fisher’s Exact test, Mann–Whitney U test, independent t-test, and paired t-test. After completing the program, the experimental group had a significantly higher mean score of maternal perceived self-efficacy than the control group, and this was significantly higher than before the trial. A telehealth program is effective for mothers with preterm infants with ventilators. Nurses should allow the mothers to practice care activities with infants at least once before discharge and when they arrive home and provide health information via telehealth. These can enhance maternal self-efficacy in caring for premature infants with ventilators in the first week of life. However, further testing of the program in other settings is needed before widespread implementation.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Enhancing Maternal Self-efficacy in Caring for Preterm Infants with Ventilator through a Telehealth Program: A Randomized Controlled Trial\",\"authors\":\"Kritsana Kongsaenkaew, Somsiri Rungamornarat, Sudaporn Payakkaraung\",\"doi\":\"10.60099/prijnr.2024.264464\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Telehealth is increasingly important in nursing, encouraging mothers of preterm infants with ventilators to have confidence in their infant care. This study investigated the impact of a telehealth program on maternal self-efficacy in caring for preterm infants with ventilators in the early postpartum period. We employed a randomized controlled trial using the block allocation method, enrolled 42 mothers of preterm infants receiving ventilators and randomly assigned 21 in the experiment group and 21 in the control group. The experimental group received asynchronous and synchronous telehealth programs for six days to enhance their self-efficacy. Data were obtained using the demographic data questionnaire and the maternal self-efficacy questionnaire. Data were analyzed using the Chi-square test, Fisher’s Exact test, Mann–Whitney U test, independent t-test, and paired t-test. After completing the program, the experimental group had a significantly higher mean score of maternal perceived self-efficacy than the control group, and this was significantly higher than before the trial. A telehealth program is effective for mothers with preterm infants with ventilators. Nurses should allow the mothers to practice care activities with infants at least once before discharge and when they arrive home and provide health information via telehealth. These can enhance maternal self-efficacy in caring for premature infants with ventilators in the first week of life. However, further testing of the program in other settings is needed before widespread implementation.\",\"PeriodicalId\":44649,\"journal\":{\"name\":\"Pacific Rim International Journal of Nursing Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2023-11-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pacific Rim International Journal of Nursing Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.60099/prijnr.2024.264464\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pacific Rim International Journal of Nursing Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.60099/prijnr.2024.264464","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
远程医疗在护理工作中的重要性与日俱增,它鼓励使用呼吸机的早产儿母亲对婴儿护理充满信心。本研究调查了远程医疗项目对产妇在产后早期护理使用呼吸机的早产儿的自我效能的影响。我们采用整群分配法进行了随机对照试验,招募了 42 名使用呼吸机的早产儿母亲,并随机分配 21 名母亲为实验组,21 名母亲为对照组。实验组接受为期六天的异步和同步远程保健项目,以提高她们的自我效能。数据通过人口统计学数据问卷和产妇自我效能问卷获得。数据分析采用了卡方检验(Chi-square test)、费雪精确检验(Fisher's Exact test)、曼-惠特尼U检验(Mann-Whitney U test)、独立t检验(independent t test)和配对t检验(paired t test)。完成项目后,实验组产妇感知自我效能的平均得分明显高于对照组,且明显高于试验前。远程医疗项目对使用呼吸机的早产儿母亲很有效。护士应让母亲在出院前和回家后至少与婴儿练习一次护理活动,并通过远程医疗提供健康信息。这些都能增强母亲在婴儿出生后第一周护理使用呼吸机的早产儿的自我效能感。不过,在广泛实施之前,还需要在其他环境中对该计划进行进一步测试。
Enhancing Maternal Self-efficacy in Caring for Preterm Infants with Ventilator through a Telehealth Program: A Randomized Controlled Trial
Telehealth is increasingly important in nursing, encouraging mothers of preterm infants with ventilators to have confidence in their infant care. This study investigated the impact of a telehealth program on maternal self-efficacy in caring for preterm infants with ventilators in the early postpartum period. We employed a randomized controlled trial using the block allocation method, enrolled 42 mothers of preterm infants receiving ventilators and randomly assigned 21 in the experiment group and 21 in the control group. The experimental group received asynchronous and synchronous telehealth programs for six days to enhance their self-efficacy. Data were obtained using the demographic data questionnaire and the maternal self-efficacy questionnaire. Data were analyzed using the Chi-square test, Fisher’s Exact test, Mann–Whitney U test, independent t-test, and paired t-test. After completing the program, the experimental group had a significantly higher mean score of maternal perceived self-efficacy than the control group, and this was significantly higher than before the trial. A telehealth program is effective for mothers with preterm infants with ventilators. Nurses should allow the mothers to practice care activities with infants at least once before discharge and when they arrive home and provide health information via telehealth. These can enhance maternal self-efficacy in caring for premature infants with ventilators in the first week of life. However, further testing of the program in other settings is needed before widespread implementation.