Promotion of Family-Centered Care in Neonates Hospitalized in the NICU based on Health Belief Model

Document Type: Original Article

Authors

1 Bs in Nursing, Quaem Medical Center, NICU ward

2 MSc in Community Health Nursing, Faculty member, School of Nursing and Midwifery, Mashhad University of medicine, Mashhad, Iran.

Abstract

Introduction
The family is in a crisis and a stressful experience when neonate is admitted in NICU ward. In recent decades, role of family in the care of neonates has completely changed. Now, empowerment of families in the care of neonates hospitalized is an important approach in the field of neonatal nursing . Therefore, it is necessary for parents, especially mothers with neonates in NICU ward that be done nursing professional supports.

Materials and Methods
This quasi-experimental study was conducted in Mashhad, Qaem Medical Center, in 2011, using before and after design. In this study, 34 women aged 19-41 years were participated voluntarily who had hospitalized neonate in the NICU ward, from June to October 2011. In order to find subjects, we interviewed 46 mothers, in a period of 5 months. Mothers were include if they could do the routine care of the newborn, their scores were less than 25 in participation checklist, the ability to read and write, not affected a physical or mental illness. Among the mothers who were interviewed 12 people were excluded from the study because: neonate mortality, discharge from the NICU unit and lack of personal interest. Finally the study was performed with 34 subjects

Results
paired t-test showed significant difference in the participation score of mothers in the care of neonates after the intervention than before (P= 0.000). Also, there is a significant difference among all the health belief model constructs, after the intervention than before. (P <0.05).

Conclusion
Based on the results of this study, it is suggested; health education models can be used in clinical research nursing and empowerment programs related to individuals, families and other groups.

Keywords


Introduction

The family is in a crisis and a stressful experience when neonate is admitted in NICU ward (1). Consequences of the crisis are fear, anxiety, anger, fatigue, loss of decision-making power, loss of individual and social relationships (2). In recent decades, role of family in the care of neonates has completely changed. Now, empowerment of families in the care of neonates hospitalized is an important approach in the field of neonatal nursing (3). A study in Tabriz, results showed mothers want more nursing support in

*Corresponding author,Email: zendehtalabhr@mums.ac.ir / Tel: 09155712577

comparison with care they receive (1). Therefore, it is necessary for parents, especially mothers with neonates in NICU ward that be done nursing professional supports (1). One way of reducing morbidity and neonatal mortality is enabling mothers to care of neonates hospitalized in the NICU ward (3). Won says that empowerment is: engaging clients and families in decision making for health and welfare. For this, should be able to make a decision (4). Empowerment helps the clients to know their needs and resolve them. Also, it helps to family the ability to change (5). Empowerment, can resolve personal disabilities and lead