Background The birth and hospitalisation of a premature infant in a neonatal intensive care unit (NICU) are stressful experiences for the mother and the family. The support of neonatal nurses is necessary to control and reduce the stress of mothers. And nurse–parent support may play a role in effective stress management and make a positive contribution to the health of mothers. Aim To determine the correlation of stress and nurse–parent support levels with mothers’ age and educational status, number of children, gestational week of the infant and the hospitalisation period of the infant among mothers of premature infants hospitalised in the NICU. Methods This descriptive and cross‐sectional study was conducted in the NICUs of two medical faculties. The study was conducted between March and June 2017 with the participation of 106 mothers with hospitalised premature infants. The data of the study were collected using a ‘mother information form’, Parental Stressor Scale: Neonatal Intensive Care Unit and Nurse‐Parent Support Tool. Number, percentage, mean, standard deviation, t‐test, analysis of variance test, Pearson's correlation and multiple regression analysis were used to analyse the data. Results It was determined that the stress levels were high in mothers regarding their PSS: NICU parental role subscale. The stress levels of mothers with infants connected to mechanical ventilation and fed parenterally were high (p < 0.05). The nurse support levels of mothers with middle‐ and low‐income status were high. Multiple regression analysis, mechanical ventilation was determined to be effective in the use of the PSS:NICU total score (p < 0.05). Conclusions As a result, it was determined that mechanical ventilation and parenteral nutrition of the infant increased the stress level of mothers. Furthermore, in the study, the Nurse‐Parent Support score of the mothers with middle‐ and low‐income status was higher.
ÖzABS TRACT Amaç: Bu çalışma bir kamu hastanesinin çocuk polikliniğe başvuran 0-6 ay arası bebeğe sahip annelerin emzirme öz-yeterlilik durumlarını belirlemek ve ilişkili faktörlerin emzirme öz-yeterlilik ile ilişkisini incelemek amacıyla yapıldı. Gereç ve Yöntemler: Tanımlayıcı bir çalışmadır. Çalışma, Konya'da bir kamu hastanesinin çocuk polikliniğe başvuran 0-6 ay arası bebeğe sahip olan 107 anneyle yapıldı. Veriler anket formu ve Emzirme Öz-Yeterlilik Ölçeği kullanılarak toplandı. Verilerin analizinde Kruskal Wallis varyans analizi, Mann Whitney U testi, tek yönlü varyans analizi, t testi ve Spearman kolerasyon analizleri kullanıldı. Bulgular: Araştırmaya katılan annelerin yaş ortalamaları 26,40±4,77; %45,8'i lise ve üzeri mezun, %40,2'si bir çocuğa sahip, %67'sinin çalışmadığı saptandı. Emzirme Öz-Yeterlilik Ölçeği puan ortalaması lise ve üzeri mezun (62,77±8,02), çalışan (62,7±7,53), üç çocuğa sahip (64,47±5,56) annelerde anlamlı sonuç olduğu görüldü (p<0,05). Emzirme Öz-Yeterlilik Ölçeği puan ortalaması ile annelerin yaşı, gebelik sayısı ve bebeğin yaşı (hafta) arasında zayıf ve pozitif yönlü, doğum sayısı ve yaşayan çocuk sayısı arasında orta düzey ve pozitif yönlü ilişki olduğu saptandı (p<0,05). Sonuç: Emzirme öz-yeterlilik düzeylerinin annenin yaşı, eğitim durumu, çalışma durumu, gebelik sayısı, doğum sayısı, çocuk sayısı, yaşayan çocuk sayısı ve bebeğin yaşından (hafta) etkilendiği belirlendi. Anahtar Kelimeler: Bebek, anne, emzirme, öz-yeterlilik Aim: The aim of this study was to determine the breastfeeding self-efficacy of mothers with 0-6 month-old babies, who applied to the children's polyclinic of a state hospital; and to examine the relation of breastfeeding self-efficacy with related factors. Materials and Methods: This is a defining study. It was done with 107 mothers who applied to the pediatric outpatient clinic of a public hospital in Konya with their babies 0-6 months of age. Data were collected via survey forms and Breastfeeding Self-Efficacy Scale. Kruskal-Wallis variance analysis, Mann Whitney test, one-sided variance analysis, t test and spearman correlation analyses were used in order to analyze the data. Results: It was established that the average age of the mothers participating in the research was 26.40±4.77 years, 45.8% of them were high school or university graduates, 40.19% had one child, and 67% didn't work. According to the Breastfeeding Self-Efficacy Scale marking average (p<0.05), the results were meaningful with regard to the mothers being graduates of high school or university (62.77±8.02), working mothers (62.7±7.53), with 3 children (64.47±5.56). The Breastfeeding Self-Efficacy Scale marking average also showed that there is a weak and positive relation between the age of the mother, the number of pregnancies, and the age of the baby (in weeks); and a mid-level and positive relation between the number of births and living children (p<0.05). Conclusion: It was determined that the level of breastfeeding self-efficacy can be affected by the age, and education of the mothe...
Yenidoğan Yoğun Bakım Üniteleri oldukça karmaşık ve yoğun birimlerdir. Çoğunlukla bu ünitelerde prematüre bebekler gibi yüksek riskli bebekler yatmakta olup, yatış süreleri de oldukça uzundur. Yatış süresi içinde birçok tıbbi tedaviye maruz kalmaktadırlar. Yenidoğanlarda çeşitli ilaçların kullanılması, ilaç hazırlama ve uygulama şekillerinin farklı olması, yenidoğan ünitelerinin oldukça yoğun olması gibi sebepler yenidoğan hemşirelerinin ilaç uygulama hatası yapmasına sebep olmaktadır. İlaç uygulama hatası, sağlık profesyoneli veya hastanın uygunsuz ilaç kullanımına veya hastanın zarar görmesine neden olabilecek herhangi bir önlenebilir olaydır. Yenidoğan hastalarda en fazla bildirilen ilaç uygulama hatası tipi yanlış doz uygulanmasıdır. Profesyonel hemşirelik rolleri doğrultusunda hekim tarafından istem edilen ilaç sorgulanmalı ve gerekli ise tekrar teyit edilmelidir. Hemşirelerin ilaç uygulama hatası ile ilgili yasa, yönetmelik ve sorumluluklarını bilmeleri gereklidir.
This study was carried out to reveal the experiences of nurses and physicians working in a neonatal intensive care unit (NICU) about developmental care practices. Material and Methods: In this study, the qualitative interpretative approach was adopted. The data were collected in May 2019 through a semi-structured interview form consisting of seven main questions. They were asked in questions including sociodemographic and professional characteristics of the participants. In-depth individual interviews were conducted with a three nurses and two physicians working in a neonatal intensive care unit. The qualitative data obtained were analyzed by the researchers using the content analysis method. Results: Three themes and five subthemes emerged from the data analysis. The three main themes achieved are: (1) working in the NICU (2) developmental care practices (3) establishing and maintaining developmental care in the NICU. Five subthemes are: (1) the known developmental care practices, (2) developmental care practices in the NICU, (3) the benefits of developmental care, (4) difficulties in providing developmental care, (5) different developmental care practices. The findings revealed general views on developmental care practices. Conclusion: Nurses and physicians working in NICU reported their thoughts about developmental care, knowledge and practices, benefits, difficulties in implementation, different practices for developmental care, and difficulties in placing and maintaining this care. As a result of the study, opinions can be made about increasing the awareness of developmental care practices, standardizing the practices, providing training and developing tools for evaluating the practices.
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