Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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The Effects of the Systemic Follow up Health Care Program on the Health Promotion and the Risk Reduction in Premature Infants and Their Mothers

체계적 건강관리프로그램이 모성과 미숙아의 건강증진 및 질병예방에 미치는 영향에 관한 연구

  • 안영미 (인하대학교 의과대학 간호학과)
  • Published : 2004.10.01
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Abstract

Purpose: This research was conducted to evaluate the effects of asystemic follow-up care program on health promotion and risk reduction in 64 high-risk infants(HRI) including premature infants and their mothers. Method: The intervention consisted of systemic NICU education, tele-counseling and 3 home visits in 6 months. The subjects were divided into either the intervention group or the control group receiving the conventional NICU education without the tele-counseling and home visiting. Infant health promotion was measured using physical assessment, types of health problems, reflexes, OPD visiting history, DDST, immunization, feeding assessment, Infant death rate, etc. Maternal self-esteem, postpartum depression and family function were measured using the maternal self-report inventory(MRI), EPDS, and family apgar score(Fapgar), retrospectively. Result: All premature infants in the intervention group were in the normal range of growth and development, and the regular vaccination schedule. The health problems in the intervention group were addressed early so not to develop into adverse effects. The follow-up program for 6 months showed beneficial effects on MRI, EPDS, and Fapgar. Conclusion: A systemic follow-up health care program is beneficial on health promotion and risk reduction in 64 HRI including premature infants and their mothers.

Keywords

References

  1. Ahn, Y. M. (2002). Development of the model for community-based health care program for premature infants and family. J Korean Acad Child Health Nurs, 8(2), 121-130
  2. Ahn, Y. M. (2004). Follow-up health care management for the congenital anomaly and low birth weight infants. The project report. Incheon: Yonsu-ku
  3. Ahn, Y. M., & Kim, J. H. (2003). Comparison of maternal self-esteem, postpartal depression, and family function in mothers of normal and of low birth-weight infants. J Korean Acad Nurs, 33(5), 579-589
  4. Ahn, Y. M., & Lee, S. M. (2004). The Effects of the Integrated NICU Hospitalization Education on Maternal Attachment, Maternal Self-Esteem, and Postpartum Depression in the Mothers of High-Risk Infants. J Korean Acad Child Health Nurs, 10(3), 341-350
  5. Armstrong, K. L., Fraser, J. A., Dadds. M. R., & Morris, J. (2000). Promoting secure attachment, maternal mood and child health in a vulnerable population: a randomized controlled trial. J Pediatr Child Health, 36(6), 555-562
  6. Blair, C. (2002). Early intervention for low birth weight, premature infants: the role of negative emotionality in the specification of effects. Dev Psychopathol, 14(2), 311-332
  7. Cartlidge, P. (2000). The epidermal barrier. Semin Neonatol. 5, 273-280 https://doi.org/10.1053/siny.2000.0013
  8. Chae, Sunmee. (2001). Development and evaluation of the follow-up program for low-birth weight infants(Doctoral dissertation). Seoul: Yonsei University
  9. Cho, K. J., Jung, Y., & Lee, K. J. (1997). The educational needs of the mothers of LBW and normal neonates. J Korean Acad Child Health Nurs,. 3(1), 5-18
  10. Choi, S. J., & Kwon, M. K. (2000). A comparative study on education needs in low birth weight infant's mother at discharge and after one month at home. Korean Parent-Child Health Journal, 3(1), 73-94
  11. Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry. 150. 782-786
  12. Finello, K. M., Litto, K. M., Delemos, R., & Chan, L. S. (1998). Very low birth weight infants and their families during the first year of like: comparisons of medical outcomes based on after care services. J Perinatol, 18(5), 365-371
  13. Han, K. J., & Bang, K. S. (1999). Confirmatory analysis of maternal self-report inventory(Maternal Self-Esteem). Korean Parent-Child Health Journal, 2, 64-82
  14. Kim, M. R. The relationship between the early neo-maternal exposure and the maternal attachment, the maternal self-esteem of NICU infants(Master dissertation). Incheon: Inha University
  15. Kim, M. S., Kim, J. U., Ahn, Y. M., Bae, S. M., & Kim, M. J. (2003). The research on the breast feeding and its related factors of premature infants. J Korean Acad Child Health Nurs, 9(3). 272-284
  16. Kim, T. I. (2000). A study on the perceived stress level of mothers in the neonatal intensive care unit patient. J Korean Acad Child Health Nurs, 6(2), 224-239
  17. Lee, E. O., Lim, N. Y., & Park, H. A. (1998). Nursing Research and Statistical Analysis. Seoul:Soomoonsa
  18. Lundblad, B., Byrne, N. W., & Hellstrom, A. L. (2001). Continuing nursing care needs of children at time of discharge from one regional medical center in Sweden. J Pediatr Nurs, 16(1), 73-78
  19. Melnyk, B. M., Alpert-Gillis, L., Feinstein, N. F., Fairbanks, E., Schultz-Czarnick, Hust, D., Sherman, L., LeMoine, C., Moldenhauer,' Z., Small, L., Bender, N. & Sinkin, R. A. (2001). Improving cognitive development of low-birthweight premature infants with the COPE program: A pilot study of benefit of early NICU intervention with mothers. Research in Nursing & health. 24. 373-389
  20. McGrath, M. M., & Meyer, E. C. (1992). Maternal self-esteem: from theory to clinical practice in a special care nursery. CHC, 21(4). 199-205
  21. Ministry of Health and Welfare: www.mohw.go.krlhtml/kor/l 2_statistics. 2004
  22. Ortenstrand, A., Windbladh, B., Nordstrom, G., & Waldenstrom, U. (2001). Early discharge of preterm infants followed by domicilliary nursing care: parents anxiety, assessment of infant health and breastfeeding. Acta Paediatr, 90(10), 1190-1195
  23. Park, S. K., Song, C. H., & Park, K. (2000). Currency and Perspectives in Health Management for Premature Infants, Seoul: Jipnoondang
  24. Shea, E., & Tronick, E. Z. (1988). The Maternal self-report inventory: A research and clinical instrument for assessing maternal self-esteem. in H. E. Fitzgerald. B. Lester & M. W. Yogman (eds). Theory and research in behavioral pediatrics(vol. 4)
  25. Shin, H. S. Korean DDST n. Hyunmoonsa. 2002
  26. Smilkstein, G., Ashworth, C., & Montano, D. (1982). Validity and reliability of family APGAR as a test of family function. J Fam Pract, 15(2), 303-311
  27. Taylor, H. G, Klein, N., Minich, N. M., & Hack, M. (2001). Long-term family outcomes for children with very low birrth weights. Arch Pediatr Adolesc Med, 155(2). 155-61
  28. The Korean Society of Neonatology. Neonatal Intensive Care Manual. 2004
  29. Tin, W., Wariyar, U., & Hey, E. (1997). Changing prognosis for babies of less than 28 weeks' gestation in the north of England between 1983 and 1994. British Medical Journal, 314. 107-111
  30. Westrup, B., Kleberg, A., Eichwald, K., Stjernqvist, K., & Lagercrantz, H. (2000). A randomized controlled trial to evaluate the effects of the newborn individualized developmental care and assessment program in a Swedish setting. Pediatrics, 105(1), 66-72