Early-stage nursing intervention establishing a childcare support model for mothers and their premature infants

本研究的目的是阐明早期护理干预对早产儿母亲的影响。护理干预的基础是评估早产儿的发育水平、母亲及其子女的健康状况、母婴互动以及母亲与育儿相关的焦虑和压力。本研究的最终目标是为母亲及其早产儿建立一个育儿支持模式。受试者是24对母亲和她们的早产儿，她们可以口服喂养，没有先天性心脏病或中枢神经系统损伤。对照组由7对符合相同标准的母亲和她们的早产儿组成。从婴儿出院前到他们40周大的时候，护士都会进行干预。早期干预的内容包括向母亲传授状态调节、哺乳期线索的含义以及根据母亲的关切进行育儿咨询。母婴互动、婴儿发育和母亲与育儿相关的焦虑和压力被作为干预效果的指标。干预组和对照组在46周龄和60周龄的家访中测量了这些指标。干预组与对照组在所有指标上均无显著差异。为了建立有效的托儿支持模式，有必要通过增加受试者数量来积累更多的数据，除了基于客观指标的评估外，还需要包括母亲对干预措施的主观评估。

The purpose of the present study was to clarify the effects of early nursing intervention for mothers of premature infants. A nursing intervention was conducted based on assessments of premature infants' developmental level, the health conditions of mothers and their children, mother-infant interaction, and mothers' childcare-associated anxiety and stress. The final goal of the present study was to establish a childcare support model for mothers and their premature infants. Subjects were 24 pairs of mothers and their premature infants, who could be fed orally and had no congenital heart diseases or central nervous system impairments. A control group consisted of 7 pairs of mothers and their premature infants who met the same criteria. From immediately before the infants were discharged from hospital to the time they reached 40 weeks of age, nurses conducted the intervention. The contents of the early-stage intervention included teaching mothers about state modulation, the meaning of cues during lactation, and childcare consultation based on mothers' concerns. Mother-infant interaction, infant development, and mothers' childcare-related anxiety and stress were adopted as indicators of the effects of the intervention. These indicators were measured during home visitations at 46 and 60 weeks of age in both the intervention and control groups. No significant differences in any indicator were observed between intervention and control groups. In order to establish an effective childcare support model, it is necessary to accumulate further data by increasing the number of subjects, and including mothers' subjective evaluations of the intervention in addition to the evaluation based on objective indicators.