Parenting Clinical Trial
Official title:
Influence of Nursing Intervention on Mother and Infant, Materna Attachment, Parental Self-efficacy, Infant Development
The aim of this study was to determine the effects of Meleis 'Transition Theory based health improvement monitoring program on infants' development, maternal attachment and parental self-efficacy in 36-40 weeks of gestation and in the first and fourth months after birth. Sample was 64 (experimental group:32; control group: 32), alfa=0,05 and power=0.80 at the end of study. The experimental group received nursing interventions based on Meleis' Transition Theory, while the control group received routine primary health care. Data were collected 3 times: pretest, 3 and 7 months after intervention (for experimental group) and 3 and 7 months after pretest (for control group).
Motherhood is one of the most important milestones in a woman's life, and at the same time
the beginning of a process in which very important responsibilities are undertaken. The
mother needs knowledge, skills and energy to fulfill her new responsibilities. The
development of motherhood identity is the process of learning motherhood behaviors of women.
This process starts with the recognition of pregnancy, develops during pregnancy and
continues after birth. Transition Theory is a suitable tool for nurses to understand the
transition to parenting, a developmental type of transition. Appropriate nursing
interventions tailored to the needs of pregnant women and women who have just given birth are
needed. Targeted / predicted change in the large / large effect size of the mothers in the
experimental group (effect size 0.80, 80% of the standard deviation) with the Health
Promotion Monitoring Program, the sample calculation with 5% alpha error and 80% power was
the minimum for each group. It was determined that a total of 52 people (26 *) should be
recruited (G * Power 3.1.9.2). It was decided to include at least 32 people in each working
group with a 20% surplus, considering that they might be lost in data collection. Women's
experiences in transition to motherhood should be sought to propose, define, and explain
professional interventions. In this study, a Health Promotion Program starting from 36-40
weeks of gestation until the sixth month of birth was administered to the mothers registered
at the primary health care center in Karatay, Konya. In this study, the investigator planned
to increase maternal infant attachment, to increase parental self-efficacy, to keep infant
development at the best level, thus ensuring a healthy transition for the mother.
Duration of intervention and collecting data for the study was 11 months. Data was collected
using information form (21 item; information about participant, parents and infant), three
scales (Turkish Version of Maternal Attachment Inventory; parental self-efficacy scale,
Denver II development screening test). Scales validation and reliability studies were made
for Turkish population.
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