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Preterm Yenidoğan Annelerine Verilen Planlı Eğitimin Annelerin Özgüvenine Etkisi

Year 2025, Volume: 11 Issue: 3, 263 - 278, 23.10.2025

Abstract

Preterm yenidoğanlar, yaşamlarının ilk günlerini anneleriyle değil, Yenidoğan Yoğun Bakım Ünitesi’nde yaşamı tehdit eden hastalıklarla mücadele ederek geçirmektedir. Anne ve preterm yenidoğanların ayrılığı, annelerin özgüvenini azaltmaktadır. Bu çalışma, yenidoğan yoğun bakım ünitesinde preterm yenidoğanların annelerine verilen planlı eğitimin annelerin özgüveni üzerindeki etkisini belirlemek amacıyla yapılmıştır. Yarı deneysel, ön test-son test kontrol deseninde gerçekleştirilen çalışmaya pretermbebek annelerinden 104 kişi (50 kontrol, 54 müdahale) dahil edilmiştir. Kontrol grubuna rutin eğitim verilirken, müdahale grubuna planlı eğitim programı uygulanmıştır. Veriler anket formu aracılığıyla toplanmış; tanımlayıcı istatistikler, t-testi ve eşleştirilmiş t-testi kullanılarak eğitim öncesi ve sonrası özgüven düzeyleri analiz edilmiştir. Müdahale ve kontrol grubundaki annelerin eğitim öncesi Pharis Özgüven Ölçeği puan ortalamaları karşılaştırıldığında, aradaki farkın istatistiksel olarak anlamlı olmadığı görülmüştür (t=1,174; p=,243). Ancak eğitim sonrasında, müdahale grubundaki annelerin ölçek puan ortalamalarının kontrol grubuna kıyasla daha yüksek olduğu ve bu farkın istatistiksel açıdan anlamlı olduğu belirlenmiştir (t=-8,74; p=,000). Bu sonuçlar, planlı eğitimin annelerin preterm bebek bakımına ilişkin özgüven düzeylerini artırmada daha etkili olduğunu ortaya koymaktadır.
Anahtar Kelimeler: Anne, Planlı Eğitim, PretermYenidoğan, Yenidoğan Yoğun Bakım Ünitesi, Özgüven.

Ethical Statement

Bu çalışma protokolü, 2008 yılında revize edilen 1975 Helsinki Deklarasyonu'na uygun olarak gerçekleştirilmiştir. Çalışma için etik onayı Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu'ndan alınmıştır (onay tarihi: 28.03.2014, onay sayısı:19). Çalışma öncesinde izni alınan klinik araştırma etik Genel Sekreterliği'nden (88919140-663-08-08-E.293) ve araştırmanın yürütüldüğü Kanuni Sultan Süleyman Eğitim Araştırma Hastanesi'nden (75231446/604.01.06/2018). Pharis Özgüven ölçeğinin çalışmada kullanılabilmesi için yazardan yazılı izin alınmıştır. Katılımcılara, her türlü bilginin gizli tutulacağı, sadece bilimsel amaçlarla kullanılacağı ve çalışma sonuçları hakkında bilgilendirilecekleri açıklanmıştır. Katılımcılara, çalışmayı istedikleri aşamada bırakabilecekleri bildirilmiştir. Mevcut çalışmaya gönüllü olarak katılan katılımcılardan yazılı ve sözlü onay alınmıştır.

Supporting Institution

Bu araştırma için finansal destek alınmamıştır.

Thanks

İş birliği için tüm hemşirelik personeline, çalışmaya katılan tüm yenidoğanlara ve değerli annelere teşekkür ederiz.

References

  • Adama, E. A., Adua, E., Bayes, S., & Mörelius, E. (2021). Support needs of parents in neonatal intensive care unit: An integrative review. Journal of Clinical Nursing, 31(3–4), 532–547. https://doi.org/10.1111/jocn.15972
  • Batman, D., & Şeker, S. (2019). The effect of web-based education on the level of self-confidence and anxiety in care of parents of premature infants. DEU Electronic Journal of Nursing Faculty, 12(2), 107–115.
  • Bernardo, J., Rent, S., Arias-Shah, A., Hoge, M. K., & Shaw, R. J. (2021). Parental stress and mental health symptoms in the NICU: Recognition and interventions. NeoReviews, 22(8), e496–e505. https://doi.org/10.1542/ neo.22-8- e496
  • Bhal, R. (2022). WHO recommendations on maternal and newborn care for a positive postnatal experience. World Health Organization. https://www. who.int/publications/i/item/9789240045989
  • Breivold, K., Hjaelmhult, E., Sjöström-Strand, A., & Hallström, I. K. (2019). Mothers’ experiences after coming home from the hospital with a moderately to late preterm infant: A qualitative study. Scandinavian Journal of Caring Sciences, 33(3), 632–640. https://doi.org/10.1111/scs.12656
  • Cheng, Y. C., Chen, L. L., Chang, Y. S., Li, T. C., Chen, C. J., & Huang, L. C. (2018). The effectiveness of learning portfolios in learning participation and learners’ perceptions of skills and confidence in the mother of preterm infant. Midwifery, 62, 86–91. https://doi.org/10.1016/j.midw.2018.03.007
  • Çalışır, H. (2003). İlk kez anne olan kadınların annelik rolü başarımlarını etkileyen etmenlerin incelenmesi [Unpublished doctoral dissertation]. Ege Üniversitesi, Sağlık Bilimleri Enstitüsü.
  • Ding, X., Zhu, L., Zhang, R., Wang, L., Wang, T. T., Yin, H., & others. (2019). Effects of family-centered care interventions on preterm infants and parents in neonatal intensive care units: A systematic review and metaanalysis of randomized controlled trials. Australian Critical Care, 32(2), 63–75. https://doi.org/10.1016/j.aucc.2018.10.007
  • Doğru, S., & Topan, A. (2021). The effect of hospitalization education given to parents of premature infants hospitalized in neonatal intensive care unit on their stress levels. Journal of Pediatric Emergency and Intensive Care Medicine, 8(1), 26–36. https://doi.org/10.4274/cayd.galenos.2020.07769
  • Dos Anjos, F. R., Nakato, A. M., Hembecker, P. K., Nohama, P., & Sarquis, A. L. F. (2022). Effects of hydrotherapy and tactile-kinesthetic stimulation on weight gain of preterm infants admitted in the neonatal intensive care unit. Journal of Pediatrics (Rio J.), 98(2), 155–160. https://doi.org/10.1016/j. jped.2021.07.003
  • Gavine, A., Shinwell, S. C., Buchanan, P., & others. (2022). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 2022(10), CD013309. https://doi. org/10.1002/14651858.CD013309.pub2
  • Hunt, H., Abbott, R., Boddy, K., & others. (2019). “They’ve walked the walk”: A systematic review of quantitative and qualitative evidence for parent-toparent support for parents of babies in neonatal care. Journal of Neonatal Nursing, 25(4), 166–176. https://doi.org/10.1016/j.jnn.2019.03.011
  • Kara, F., Uçan, S., & Güzel, A. (2017). Self-confidence about the baby care of fathers and affecting factors. Acıbadem University Health Sciences Journal, 2(2), 92–96.
  • Kerkez, M., & Kaplan, M. (2025). Evaluation of discharge training given by nurses to postpartum mothers with artificial intelligence: An alternative approach to health care. BMC Nursing, 24(1), 296. https://doi.org/10.1186/ s12912-025- 00940-8
  • Küçükoğlu, S., Aytekin, A., & Gülhaş, N. F. (2015). Determination of needs of mothers with babies hospitalized in neonatal intensive care unit. Journal of Nursing Education and Research, 12(3), 182–188.
  • Larsson, C., Wågström, U., Normann, E., & Blomqvist, Y. T. (2017). Parents’ experiences of discharge readiness from a Swedish neonatal intensive care unit. Nursing Open, 4(2), 90–95. https://doi.org/10.1002/nop2.71
  • Mu, P. F., Lee, M. Y., Chen, Y. C., Yang, H. C., & Yang, S. H. (2020). Experiences of parents providing kangaroo care to a premature infant: A qualitative systematic review. Nursing & Health Sciences, 22(2), 149–161. https://doi.org/10.1111/nhs.12661
  • Osorio-Galeano, S. P., Ochoa-Marín, S. C., & Semenic, S. (2017). Preparing for post-discharge care of premature infants: Experiences of parents. Investigación y Educación en Enfermería, 35(1), 100–106. https://doi. org/10.17533/udea.iee.v35n1a12
  • Öztürk, S., & Erci, B. (2016). The effect of education given to primiparous mothers in postpartum period on maternal self-confidence about puerperium and neonatal care. Gümüşhane University Journal of Health Sciences, 5(2), 25–31.
  • Petty, J., Whiting, L., Green, J., & Fowler, C. (2018). Parents’ views on preparation to care for extremely premature infants at home. Nursing Children and Young People, 30(6), 22–27. https://doi.org/10.7748/ncyp.2018.e1080
  • Pharis, M. E. (1978). Age and sex differences in expectations for infants and parenting among couples in a first pregnancy and among university students (Doctoral dissertation). University of Texas at Austin.
  • Premji, S. S., Pana, G., Currie, G., Dosani, A., Reilly, S., Young, M., & others. (2018). Mother’s level of confidence in caring for her late preterm infant: A mixed methods study. Journal of Clinical Nursing, 27(5–6), 120–133. https://doi.org/10.1111/jocn.13929
  • Raffray, M., Semenic, S., Osorio Galeano, S., & Ochoa Marín, S. C. (2014). Barriers and facilitators to preparing families with premature infants for discharge home from the neonatal unit: Perceptions of health care providers. Investigación y Educación en Enfermería, 32(3), 379–392. https://doi. org/10.17533/udea.iee.v32n3a07
  • Razurel, C., Schweitzer, M. B., Dupanloup, A., Irion, O., & Epiney, M. (2011). Stressful events, social support and coping strategies of primiparous women during the postpartum period: A qualitative study. Midwifery, 27(2), 237–242. https://doi.org/10.1016/j.midw.2009.06.005
  • Reihani, T., Sekhavat Poor, Z., Heidarzadeh, M., Mosavi, S. M., & Mazlom, S. R. (2014). The effect of spiritual self-care training on feeling of comfort in mothers of hospitalized preterm infants. Journal of Midwifery and Reproductive Health, 2(2), 112–119.
  • Şayık, D., & Örsal, Ö. (2019). Parents’ self-confidence in infant care and influencing factors: A systematic review in Turkey. Osmangazi Medical Journal, 41(4), 434–447. https://doi.org/10.20515/otd.475583
  • Steyn, E., Poggenpoel, M., & Myburgh, C. (2017). Lived experiences of parents of premature babies in the intensive care unit in a private hospital in Johannesburg, South Africa. Curationis, 40(1), e1–e8. https://doi.org/10.4102/curationis.v40i1.1695
  • Taylor, B., & Hambridge, K. (2025). The transition home with a premature baby: How prepared are parents for discharge from NICU: A narrative review. Journal of Neonatal Nursing, 31(2), 101601. https://doi.org/10.1016/j. jnn.2024.101601
  • Tiryaki, Ö., Zengin, H., Çınar, N., Umaroğlu, M. M., & Latour, J. M. (2020). Turkish adaptation and validation of the EMpowerment of PArents in THe Intensive Care (EMPATHIC-30) questionnaire to measure parent satisfaction in neonatal intensive care units. Frontiers in Pediatrics, 8, 421. https://doi.org/10.3389/fped.2020.00421
  • Umberger, E., Canvasser, J., & Hall, S. L. (2018). Enhancing NICU parent engagement and empowerment. Seminars in Pediatric Surgery, 27(1), 19– 24. https://doi.org/10.1053/j.sempedsurg.2017.11.002
  • Walker, L. O., Crain, H., & Thompson, E. (1986). Mothering behavior and maternal role attainment during the postpartum period. Nursing Research, 35(2), 68–71. https://doi.org/10.1097/00006199-198603000-00005
  • Yıldız, D., & Akbayrak, N. (2014). The effect of education and counseling services given to primiparous mothers after birth on infant care, anxiety levels and maternal role. Gülhane Medical Journal, 56(1), 36–41. https:// doi.org/10.5455/gulhane.15185
  • Yılmaz, A., Bayar, A., & Esenay, F. İ. (2018). Determination of mothers’ needs for infant care in the postpartum period. Mersin University Journal of Health Sciences, 11(2), 147–156.

The Effect of Planned Education Provided to Mothers of Preterm Newborns on Mother’s Selfconfidence

Year 2025, Volume: 11 Issue: 3, 263 - 278, 23.10.2025

Abstract

Preterm newborns spend the first days of their lives struggling with life-threatening diseases in Neonatal Intensive Care Unit rather than with their mothers. The separation of mother and preterms decreased mother’s selfconfidence. This study was designed to determine the effect of planned education provided to mothers of preterm newborns in neonatal intensive care unit on selfconfidence of mother. This quasi-experimental pre/post-test study included 104 mothers of premature newborns (50 control, 54 intervention). The intervention group was given a planned education program, whereas the control group received routine education instead. Data were collected via a questionnaire, and descriptive statistics, t-test, and paired t-test were used to analyze selfconfidence levels before and after education. The mean scores of mothers in the intervention and control groups on the Pharis Selfconfidence Scale before to training did not change statistically significantly (t=1,174; p=,243). Mothers in the intervention group scored higher on average on the Pharis Selfconfidence Scale than mothers in the control group, and the difference was statistically significant (t=-8,74;p=,000). The conclusion drawn is that planned education was more effective in raising the mothers' selfconfidence when it came to caring for preterm newborns.
Keywords: Mother, Planned Education, Preterm Newborn, Neonatal İntensive Care Unit, Selfconfidence.

Ethical Statement

Ethics clearance The current study procedure was conducted in accordance with the 2008 revision of the 1975 Helsinki Declaration. The study received ethics approval from the Institute of Health Sciences, Marmara University's Non-Interventional Clinical Research Ethics Committee (approved date: 28.03.2014, permission number: 19). Permission was also received by the Kanuni Sultan Süleyman Education and Research Hospital, where the study was conducted (75231446/604.01.06/2018), and the General Secretariat of Clinical Research Ethics (88919140-663-08-08-E.293). The Pharis Selfconfidence Scale was used in the study with the author's written consent. Participants were informed that any information they provided would be kept private, used exclusively for scientific research, and that they would be informed of the study's findings.

Supporting Institution

No financial support was received for this research.

Thanks

We express our gratitude to the respected women who took part in the study, all newborns, and the nursing staff for their participation.

References

  • Adama, E. A., Adua, E., Bayes, S., & Mörelius, E. (2021). Support needs of parents in neonatal intensive care unit: An integrative review. Journal of Clinical Nursing, 31(3–4), 532–547. https://doi.org/10.1111/jocn.15972
  • Batman, D., & Şeker, S. (2019). The effect of web-based education on the level of self-confidence and anxiety in care of parents of premature infants. DEU Electronic Journal of Nursing Faculty, 12(2), 107–115.
  • Bernardo, J., Rent, S., Arias-Shah, A., Hoge, M. K., & Shaw, R. J. (2021). Parental stress and mental health symptoms in the NICU: Recognition and interventions. NeoReviews, 22(8), e496–e505. https://doi.org/10.1542/ neo.22-8- e496
  • Bhal, R. (2022). WHO recommendations on maternal and newborn care for a positive postnatal experience. World Health Organization. https://www. who.int/publications/i/item/9789240045989
  • Breivold, K., Hjaelmhult, E., Sjöström-Strand, A., & Hallström, I. K. (2019). Mothers’ experiences after coming home from the hospital with a moderately to late preterm infant: A qualitative study. Scandinavian Journal of Caring Sciences, 33(3), 632–640. https://doi.org/10.1111/scs.12656
  • Cheng, Y. C., Chen, L. L., Chang, Y. S., Li, T. C., Chen, C. J., & Huang, L. C. (2018). The effectiveness of learning portfolios in learning participation and learners’ perceptions of skills and confidence in the mother of preterm infant. Midwifery, 62, 86–91. https://doi.org/10.1016/j.midw.2018.03.007
  • Çalışır, H. (2003). İlk kez anne olan kadınların annelik rolü başarımlarını etkileyen etmenlerin incelenmesi [Unpublished doctoral dissertation]. Ege Üniversitesi, Sağlık Bilimleri Enstitüsü.
  • Ding, X., Zhu, L., Zhang, R., Wang, L., Wang, T. T., Yin, H., & others. (2019). Effects of family-centered care interventions on preterm infants and parents in neonatal intensive care units: A systematic review and metaanalysis of randomized controlled trials. Australian Critical Care, 32(2), 63–75. https://doi.org/10.1016/j.aucc.2018.10.007
  • Doğru, S., & Topan, A. (2021). The effect of hospitalization education given to parents of premature infants hospitalized in neonatal intensive care unit on their stress levels. Journal of Pediatric Emergency and Intensive Care Medicine, 8(1), 26–36. https://doi.org/10.4274/cayd.galenos.2020.07769
  • Dos Anjos, F. R., Nakato, A. M., Hembecker, P. K., Nohama, P., & Sarquis, A. L. F. (2022). Effects of hydrotherapy and tactile-kinesthetic stimulation on weight gain of preterm infants admitted in the neonatal intensive care unit. Journal of Pediatrics (Rio J.), 98(2), 155–160. https://doi.org/10.1016/j. jped.2021.07.003
  • Gavine, A., Shinwell, S. C., Buchanan, P., & others. (2022). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 2022(10), CD013309. https://doi. org/10.1002/14651858.CD013309.pub2
  • Hunt, H., Abbott, R., Boddy, K., & others. (2019). “They’ve walked the walk”: A systematic review of quantitative and qualitative evidence for parent-toparent support for parents of babies in neonatal care. Journal of Neonatal Nursing, 25(4), 166–176. https://doi.org/10.1016/j.jnn.2019.03.011
  • Kara, F., Uçan, S., & Güzel, A. (2017). Self-confidence about the baby care of fathers and affecting factors. Acıbadem University Health Sciences Journal, 2(2), 92–96.
  • Kerkez, M., & Kaplan, M. (2025). Evaluation of discharge training given by nurses to postpartum mothers with artificial intelligence: An alternative approach to health care. BMC Nursing, 24(1), 296. https://doi.org/10.1186/ s12912-025- 00940-8
  • Küçükoğlu, S., Aytekin, A., & Gülhaş, N. F. (2015). Determination of needs of mothers with babies hospitalized in neonatal intensive care unit. Journal of Nursing Education and Research, 12(3), 182–188.
  • Larsson, C., Wågström, U., Normann, E., & Blomqvist, Y. T. (2017). Parents’ experiences of discharge readiness from a Swedish neonatal intensive care unit. Nursing Open, 4(2), 90–95. https://doi.org/10.1002/nop2.71
  • Mu, P. F., Lee, M. Y., Chen, Y. C., Yang, H. C., & Yang, S. H. (2020). Experiences of parents providing kangaroo care to a premature infant: A qualitative systematic review. Nursing & Health Sciences, 22(2), 149–161. https://doi.org/10.1111/nhs.12661
  • Osorio-Galeano, S. P., Ochoa-Marín, S. C., & Semenic, S. (2017). Preparing for post-discharge care of premature infants: Experiences of parents. Investigación y Educación en Enfermería, 35(1), 100–106. https://doi. org/10.17533/udea.iee.v35n1a12
  • Öztürk, S., & Erci, B. (2016). The effect of education given to primiparous mothers in postpartum period on maternal self-confidence about puerperium and neonatal care. Gümüşhane University Journal of Health Sciences, 5(2), 25–31.
  • Petty, J., Whiting, L., Green, J., & Fowler, C. (2018). Parents’ views on preparation to care for extremely premature infants at home. Nursing Children and Young People, 30(6), 22–27. https://doi.org/10.7748/ncyp.2018.e1080
  • Pharis, M. E. (1978). Age and sex differences in expectations for infants and parenting among couples in a first pregnancy and among university students (Doctoral dissertation). University of Texas at Austin.
  • Premji, S. S., Pana, G., Currie, G., Dosani, A., Reilly, S., Young, M., & others. (2018). Mother’s level of confidence in caring for her late preterm infant: A mixed methods study. Journal of Clinical Nursing, 27(5–6), 120–133. https://doi.org/10.1111/jocn.13929
  • Raffray, M., Semenic, S., Osorio Galeano, S., & Ochoa Marín, S. C. (2014). Barriers and facilitators to preparing families with premature infants for discharge home from the neonatal unit: Perceptions of health care providers. Investigación y Educación en Enfermería, 32(3), 379–392. https://doi. org/10.17533/udea.iee.v32n3a07
  • Razurel, C., Schweitzer, M. B., Dupanloup, A., Irion, O., & Epiney, M. (2011). Stressful events, social support and coping strategies of primiparous women during the postpartum period: A qualitative study. Midwifery, 27(2), 237–242. https://doi.org/10.1016/j.midw.2009.06.005
  • Reihani, T., Sekhavat Poor, Z., Heidarzadeh, M., Mosavi, S. M., & Mazlom, S. R. (2014). The effect of spiritual self-care training on feeling of comfort in mothers of hospitalized preterm infants. Journal of Midwifery and Reproductive Health, 2(2), 112–119.
  • Şayık, D., & Örsal, Ö. (2019). Parents’ self-confidence in infant care and influencing factors: A systematic review in Turkey. Osmangazi Medical Journal, 41(4), 434–447. https://doi.org/10.20515/otd.475583
  • Steyn, E., Poggenpoel, M., & Myburgh, C. (2017). Lived experiences of parents of premature babies in the intensive care unit in a private hospital in Johannesburg, South Africa. Curationis, 40(1), e1–e8. https://doi.org/10.4102/curationis.v40i1.1695
  • Taylor, B., & Hambridge, K. (2025). The transition home with a premature baby: How prepared are parents for discharge from NICU: A narrative review. Journal of Neonatal Nursing, 31(2), 101601. https://doi.org/10.1016/j. jnn.2024.101601
  • Tiryaki, Ö., Zengin, H., Çınar, N., Umaroğlu, M. M., & Latour, J. M. (2020). Turkish adaptation and validation of the EMpowerment of PArents in THe Intensive Care (EMPATHIC-30) questionnaire to measure parent satisfaction in neonatal intensive care units. Frontiers in Pediatrics, 8, 421. https://doi.org/10.3389/fped.2020.00421
  • Umberger, E., Canvasser, J., & Hall, S. L. (2018). Enhancing NICU parent engagement and empowerment. Seminars in Pediatric Surgery, 27(1), 19– 24. https://doi.org/10.1053/j.sempedsurg.2017.11.002
  • Walker, L. O., Crain, H., & Thompson, E. (1986). Mothering behavior and maternal role attainment during the postpartum period. Nursing Research, 35(2), 68–71. https://doi.org/10.1097/00006199-198603000-00005
  • Yıldız, D., & Akbayrak, N. (2014). The effect of education and counseling services given to primiparous mothers after birth on infant care, anxiety levels and maternal role. Gülhane Medical Journal, 56(1), 36–41. https:// doi.org/10.5455/gulhane.15185
  • Yılmaz, A., Bayar, A., & Esenay, F. İ. (2018). Determination of mothers’ needs for infant care in the postpartum period. Mersin University Journal of Health Sciences, 11(2), 147–156.
There are 33 citations in total.

Details

Primary Language English
Subjects Family Care
Journal Section Articles
Authors

Eylül Emre Durmuş 0000-0002-1441-4701

Ayşe Karakoç 0000-0003-2919-2504

Publication Date October 23, 2025
Submission Date October 3, 2025
Acceptance Date October 9, 2025
Published in Issue Year 2025 Volume: 11 Issue: 3

Cite

APA Durmuş, E. E., & Karakoç, A. (2025). The Effect of Planned Education Provided to Mothers of Preterm Newborns on Mother’s Selfconfidence. Aydın Sağlık Dergisi, 11(3), 263-278.

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