Preterm Yenidoğan Annelerine Verilen Planlı Eğitimin Annelerin Özgüvenine Etkisi
Yıl 2025,
Cilt: 11 Sayı: 3, 263 - 278, 23.10.2025
Eylül Emre Durmuş
,
Ayşe Karakoç
Öz
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.
Etik Beyan
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.
Destekleyen Kurum
Bu araştırma için finansal destek alınmamıştır.
Teşekkür
İş birliği için tüm hemşirelik personeline, çalışmaya katılan tüm yenidoğanlara ve değerli annelere teşekkür ederiz.
Kaynakça
-
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
Yıl 2025,
Cilt: 11 Sayı: 3, 263 - 278, 23.10.2025
Eylül Emre Durmuş
,
Ayşe Karakoç
Öz
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.
Etik Beyan
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.
Destekleyen Kurum
No financial support was received for this research.
Teşekkür
We express our gratitude to the respected women who took part in the study, all newborns, and the nursing staff for their participation.
Kaynakça
-
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.