Effect of systematic discharge nursing plan on mothers' knowledge and confidence in caring for infants with congenital heart disease at home
Journal
Journal of the Formosan Medical Association
Journal Volume
103
Journal Issue
1
Pages
47-52
Date Issued
2004
Author(s)
Abstract
Background and Purpose: Mothers who are separated from their infants due to the necessity of surgical treatment for congenital heart disease (CHD) may develop lack of confidence in their ability to care for their infant. This research developed a systematic discharge nursing plan (SDNP) for mothers to care for their infants with CHD and evaluated the effects of this plan on maternal knowledge and confidence in caring for their infant with CHD at home. Methods: A quasi-experimental design was adopted for the study. Subjects were recruited by purposive sampling from mothers who had a hospitalized infant with CHD aged from 0 to 6 months. There were 20 mothers in the control group and 15 mothers in the intervention group. Control group subjects received current nursing instruction and were followed at the outpatient department after discharge of the infant from the hospital whereas the intervention group completed the SDNP in addition to current nursing instruction. Evaluations of these 2 groups based on the mother's knowledge of infant care and confidence to provide adequate care were conducted twice, at 1 week and 1 month after the infant's discharge from the hospital. Results: The intervention group had better confidence than the control at 1 week and 1 month after the infant's discharge (p<0.05). There was no significant difference of improvement in knowledge of infant care score between the 2 groups. No significant relation was found between knowledge of infant care and maternal confidence. Conclusions: This research showed that an SDNP improved maternal confidence in caring for an infant with CHD. Thus, an SDNP may be a valuable part of standard clinical practice in caring for infants with CHD.
Subjects
Heart defects, congenital; Infant care; Maternal-child nursing; Mothers/education; Patient discharge
SDGs
Other Subjects
article; child care; child hospitalization; clinical article; clinical practice; congenital heart disease; controlled study; experimental design; heart surgery; home care; hospital discharge; human; infant; maternal behavior; nursing; parent counseling; parental behavior; scoring system; treatment planning; adult; attitude to health; case control study; congenital heart malformation; education; female; methodology; mother; patient care planning; prospective study; psychological aspect; Taiwan; Adult; Case-Control Studies; Female; Health Knowledge, Attitudes, Practice; Heart Defects, Congenital; Humans; Infant; Infant Care; Mothers; Patient Care Planning; Patient Discharge; Prospective Studies; Taiwan
Type
journal article