The Effects of Self- Efficacy and Anxiety Levels of Mothers With Children Receiving Nebulized Inhalation Treatment on the Application of Nebulized Inhalation Practices

Year 2022, Volume: 5 Issue: 3, 327 - 341, 31.12.2022

Ayşe Şahin , Duygu Arıkan

https://doi.org/10.54803/sauhsd.1192864

Abstract

Purpose: This study aimed to determine the application skills, self-efficacy, and anxiety levels of the mothers whose children receive nebulized inhalation treatment and to examine the relationship between them.
Method: This research was a descriptive clinical study. The study was conducted with 300 mothers. Data were evaluated by Pearson correlation and nonparametric tests.
Results: Of the mothers, 78.3% were determined to get a moderate score on “The Nebulized Inhalation Application Checklist”. The total Situational Anxiety score of the mothers was calculated to be 37.07±4.95 and the total mean Self-Efficacy score 79.60±15.23. No correlation was found between Self-Efficacy and Situational Anxiety levels of mothers (p>0.05).
Conclusion: Nurses can contribute to treatment by supporting them to develop training programs to increase self-efficacy and reduce the anxiety of mothers whose children receive inhalation treatment.

Keywords

anxiety, mother, nebulized inhalation, nurse, self-efficacy

Çocuğu Buhar İnhalasyon Tedavisi Alan Annelerin Öz Yeterlik ve Kaygı Durumlarının Buhar İnhalasyon Uygulamalarına Etkisi

Abstract

Amaç: Çocukları buhar inhalasyon tedavisi alan annelerin uygulama becerileri, öz-yeterlik ve kaygı düzeylerini belirlemek ve aralarındaki ilişkiyi incelemektir.
Yöntem: Bu araştırma tanımlayıcı bir klinik çalışmadır. Araştırma 300 anne ile yapılmıştır. Veriler Pearson korelasyon ve parametrik olmayan testler ile değerlendirildi.
Bulgular: Annelerin %78,3'ünün “Nebulize İnhalasyon Uygulama Kontrol Listesi”nden orta düzeyde puan aldığı belirlendi. Annelerin Durumluk Kaygı Ölçeği puanı 37,07±4,95, Öz-Yeterlilik Ölçeği toplam puan ortalaması 79,60±15,23 olarak hesaplandı. Annelerin Öz-Yeterlilik ile Durumluk Kaygı düzeyleri arasında ilişki olmadığı saptanmıştır (p>0.05).
Sonuç: Hemşireler, çocukları buhar inhalasyon tedavisi alan annelerin öz yeterliklerini artıracak ve kaygılarını azaltacak eğitim programları geliştirmelerini destekleyerek tedaviye katkı sağlayabilirler.

Keywords

kaygı, anne, buhar inhalasyonu, hemşire, öz-yeterlik., anxiety, mother, nebulized inhalation, nurse, self-efficacy

References

• Gardenhire DS, Burnett D, Strickland S, Myers TR. A Guide to Aerosol Delivery Devices for Respiratory Therapists. 4th ed. American Association for Respiratory Care 2017.
• World Health Organization (WHO). Children: Improving survival and well-being, undefined-undefined. 2019. https://www.who.int/news-room/fact-sheets/detail/children-reducing-mortality (Date of Access: April 01, 2020).
• Turkey Statistical Institute (TSI). (2018). TÜİK Kurumsal. Mortality. https://data.tuik.gov.tr/Bulten/Index?p=Olum-Nedeni-Istatistikleri-2018-30626 (Date of Access: December 02, 2019).
• Antunes D, Diogo P. Perioperative family centered care: Nursing ınterventions that support child and family’s emotional management. Rev Port Cir Cardiotorac Vasc. 2017;24(3-4):196.
• Park M, Giap TTT, Lee M, Jeong H, Jeong M, Go Y. Patient- and family-centered care interventions for improving the quality of health care: A review of systematic reviews. Int J Nurs Stud. 2018;87:69-83 doi:10.1016/j.ijnurstu.2018.07.006
• Kardaş Özdemir F, Küçük Alemdar D. Supporting of the fathers to visit their ınfants in neonatal ıntensive care unit decreases their stress level: A pretest-posttest quasi-experimental study. Community Ment Health J. 2017;53(4):490-495. doi:10.1007/s10597-016-0066-7
• Bandura A. Regulation of cognitive processes through perceived self-efficacy. Developmental Psychology 1989;25(5):729-735. doi:10.1037/0012-1649.25.5.729
• Bandura A. Health promotion from the perspective of social cognitive theory. Psychology and Health 1998;13(4):623-649. doi:10.1080/08870449808407422
• Bandura A. Self-efficacy mechanism in human agency. American Psychologist 1982;37(2):122-147. doi:10.1037/0003-066X.37.2.122
• Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Asghari Jafarabadi M, Fathi F. Psychometric properties of Maternal Self-Efficacy Questionnaire in a population of Iranian mothers. J Child Fam Stud. 2016;25(10):2966-2971. doi:10.1007/s10826-016-0470-1
• Serçekuş P, Başkale H. Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery 2016;34:166-172. doi:10.1016/j.midw.2015.11.016
• Dean E. Anxiety. Nurs Stand. 2016;30(46):15. doi:10.7748/ns.30.46.15.s17
• Sarman A, Sarman E. Gözden kaçırılan bir konu: Çocuğun hastanede tedavisinin aile üzerindeki olumsuz etkileri ve önleyici hemşirelik yaklaşımları. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi. 2020;2(2):113-120.
• Söyünmez S, Koç ET. Family centered care in pediatric nursing (in Turkish). Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2020;1(3):141-148.
• Davidson JE, Aslakson RA, Long AC, Puntillo KA, Kross EK, Hart J, et al. Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med. 2017;45(1):103-128. doi:10.1097/CCM.0000000000002169
• Foster M, Whitehead L, Maybee P. The parents’, hospitalized child’s, and health care providers’ perceptions and experiences of family-centered care within a pediatric critical care setting: A synthesis of quantitative research. J Fam Nurs. 2016;22(1):6-73. doi:10.1177/1074840715618193
• Çatalca N. The factors that effect the information level of mothers about the inhaler medicine applications. Unpublished Master’s Thesis, Harran Universitesi, Sanlıurfa, 2014.
• Karagöz Y. SPSS ve AMOS 23 Uygulamalı İstatistiksel Analizler. 1st ed. Turkey: Nobel Akademik Yayıncılık; 2016.
• Spielberger CD, Gorsuch RL, Lushene RE. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press; 1970.
• Öner N, Le Compte, A. Durumluk-Sürekli Kaygı Envanteri El Kitabı 1st ed. Turkey: Boğaziçi Üniversitesi Yayınevi; 1983.
• Sherer M, Maddux JE, Mercandante B, Prentice-Dun S, Jacobs B, Rogers RW. The Self-Efficacy Scale: Construction and validation. Psychologial Reports. 1982;51(2):663-671. doi:10.2466/pr0.1982.51.2.663
• Gözüm S, Aksayan S. the reliability and validity of Turkish Form of The Self-Effıcacy (in Turkish). J Anatolia Nurs Health Sci.1999;2(1):21-34.
• Hye-Yul H, Shin-Jeong K, Wayne EK, Kyung-Ah K. Factors influencing the caregiving performance of mothers of hospitalized toddlers with acute respiratory diseases: A path analysis. J Child Health Care. 2018;22(4):591-605. doi:10.1177/1367493518767064
• Kim SJ, Kim HY, Park YA, Kim SH, Yoo SY, Lee JE, et al. Factors influencing fatigue among mothers with hospitalized children: A structural equation model. J Spec Pediatr Nurs. 2017;22(1):1-9. doi:10.1111/jspn.12171
• Stremler R, Haddad S, Pullenayegum E, Parshuram C. Psychological outcomes in parents of critically ıll hospitalized children. J Pediatr Nurs. 2017;34:36-43. doi:10.1016/j.pedn.2017.01.012
• Mangelsdorf SN, Mehl MR., Qiu J, Alisic E. How do mothers and fathers interact with their children after an injury? Exploring the role of parental acute stress, optimism, and self-efficacy. J Pediatr Psychol. 2019;44(3):311-322. doi:10.1093/jpepsy/jsy107
• Ekim A. The effect of parents’ self-efficacy perception on healthy eating and physical activity behaviors of Turkish preschool children. Issues Compr Pediatr Nurs. 2015;39(1):1-13. doi:10.3109/01460862.2015.1090500
• Zhang R, Huang RW, Gao XR., Peng XM, Zhu LH, Rangasamy R, et al. Involvement of parents in the care of preterm infants: A pilot study evaluating a family-centered care intervention in a Chinese neonatal ICU. Pediatr Crit Care Med. 2018;19(8):741-747. doi:10.1097/PCC.0000000000001586
• Gülçek E. The effect of planned education given to the mothers whose babies stay in the neonatal intensive care service on the anxiety level of the mothers. Unpublished Master’s Thesis, Inönü Universitesi, Malatya, 2015.
• Günay O, Sevinç N, Aslantaş EE. State and trait anxiety levels among mothers of inpatient children and related factors (in Turkish). Turk J Public Health 2017;15(3):176-186.
• Tabrizi JS, Seyedhejazi M, Fakhari A, Ghadimi FC, Hamidi M, Taghizadieh N. Preoperative education and decreasing preoperative anxiety among children aged 8-10 years old and their mothers. Anesth Pain Med. 2015;25(4):e25036. doi:10.5812/aapm.25036
• Aydemir Gedük E. Developing roles of the nursing profession (in Turkish). Sağlık Bilimleri ve Meslekleri Dergisi. 2018;5(2):253-258. doi:10.17681/hsp.358458
• Potter PA, Perry AG, Stockert PA, Hall AM, Ostendorf WR. Fundamentals of Nursing. 9th ed. St Louis: Elsevier; 2019.
• Köroğlu N. Efficiency and physical significance as a prevention of depression in psychology students. Unpublished Master’s Thesis, Beykent Universitesi, İstanbul, 2018.
• DiBlasi RM. Clinical controversies in aerosol therapy for infants and children. Respir Care 2015;60(6):894-914. doi:10.4187/respcare.04137
• Kılıç R, Tolu Kendir Ö, Sarı Gökay S, Çelik T, Özkaya AK, Yılmaz HL. Knowledge and attitudes of parents regarding fever in children. J Pediatr Emerg Intensive Care Med. 2016;3(2):76-85. doi:10.4274/cayd.59144
• Türe E, Kılıç AO, Uzun N, Yazar A, Akın F. Parental anxiety levels of patients admitted to pediatric emergency clinic due to febrile convulsion. Journal of Contemporary Medicine. 2020;10(2):220-223. doi:10.16899/jcm.732809
• Chen X, Zhang Y, Xu X, Wang W, Yan H, Li S, et al. Mediating roles of anxiety, self-efficacy, and sleep quality on the relationship between patient-reported physician empathy and inflammatory markers in ulcerative colitis patients. Med Sci Monit. 2019;25:7889-7897. doi:10.12659/MSM.917552
• Ding SA, Liang SY, Wu WW, Liu CY, Cheng SF. Opioid-taking self-efficacy as influencing emotional status in patients with cancer pain. Eur J Oncol Nurs. 2016;25:77-82. doi:10.1016/j.ejon.2016.10.002
• Köseoğlu Örnek Ö, Kürklü A. Healthy lifestyle behaviours, levels of self efficacy among university students and affected factors. Turkiye Klinikleri J Nurs Sci. 2017;9(3):207-217. doi:10.5336/nurses.2016-54198
• Sheeran P, Maki A, Montanaro E, Avishai-Yitshak A, Bryan A, Klein WMP, et al. The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: A meta-analysis. Health Psychol. 2016;35(11):1178-1188. doi:10.1037/hea0000387
• Stacey FG, James EL, Chapman K, Lubans DR. Social cognitive theory mediators of physical activity in a lifestyle program for cancer survivors and carers: Findings from the ENRICH randomized controlled trial. Int J Behav Nutr Phys Act. 2016;13(1):49. doi:10.1186/s12966-016-0372-z
• Wu F, Sheng Y. Social support network, social support, self-efficacy, health-promoting behavior and healthy aging among older adults: A pathway analysis. Arch Gerontol Geriatr. 2019;85:103934. doi:10.1016/j.archger.2019.103934