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Shamsi A, Ehteshami A, Zandi Esfahani H, Namnabati M. Effects of Telenursing on Breastfeeding Self-efficacy, Infant Weight and Readmission to Neonatal Intensive Care Units in Mothers of Premature Infants. IJN 2025; 38 (S1 )
URL: http://ijn.iums.ac.ir/article-1-3832-en.html
URL: http://ijn.iums.ac.ir/article-1-3832-en.html
1- Nursing and Midwifery Care Research Center, Nurrsing Faculty, Isfahan University of Medical Sciences, Isfahan, Iran. & Nursing Care Research Center, Nurrsing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran. , noor13500@yahoo.com
2- Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
3- Department of Pediatrics, Emam Hossein Hospital Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
4- Nursing and Midwifery Care Research Center, Nurrsing Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
2- Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
3- Department of Pediatrics, Emam Hossein Hospital Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
4- Nursing and Midwifery Care Research Center, Nurrsing Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract: (430 Views)
Background & Aims Telenursing is a strategy for supporting and empowering mothers of premature infants. This study aimed to determine the impact of telenursing on breastfeeding self-efficacy, infant weight, and frequency of readmission to neonatal intensive care units (NICUs) in these mothers.
Materials & Methods In this quasi-experimental study, 60 mothers of preterm infants discharged from the NICUs of three hospitals affiliated to Isfahan University of Medical Sciences, Iran in 2022 were selected using a convenience sampling method. They were divided into two groups of 30, including intervention and control. The intervention group received a telenursing program that included breastfeeding consultation, nutritional consultation, and emotional support for eight weeks after discharge, while the control group received the routine post-discharge follow-up program. After the study, infant weight gain, NICU readmission, and breastfeeding self-efficacy (using Dennis’s breastfeeding self-efficacy scale) were assessed. For statistical analysis, descriptive statistics, chi-square test, and independent t-test were used.
Results The mean breastfeeding self-efficacy score differed significantly between the two groups after intervention, with a mean score of 154.4±4.3 in the intervention group and 124.8±5.30 in the control group. In terms of infant weight, significant differences were reported between pre-test and post-test weights in each group (P<0.05), but no significant difference in weight gain was observed between the two groups (P=0.45). The NICU readmission rate in the control group was 3.33%, while no readmission was reported in the intervention group.
Conclusion Telenursing interventions focused on education, consultation, and addressing infant care challenges via online messaging platforms can significantly enhance breastfeeding self-efficacy of mothers and reduce the need for readmission of their infants to NICUs.
Materials & Methods In this quasi-experimental study, 60 mothers of preterm infants discharged from the NICUs of three hospitals affiliated to Isfahan University of Medical Sciences, Iran in 2022 were selected using a convenience sampling method. They were divided into two groups of 30, including intervention and control. The intervention group received a telenursing program that included breastfeeding consultation, nutritional consultation, and emotional support for eight weeks after discharge, while the control group received the routine post-discharge follow-up program. After the study, infant weight gain, NICU readmission, and breastfeeding self-efficacy (using Dennis’s breastfeeding self-efficacy scale) were assessed. For statistical analysis, descriptive statistics, chi-square test, and independent t-test were used.
Results The mean breastfeeding self-efficacy score differed significantly between the two groups after intervention, with a mean score of 154.4±4.3 in the intervention group and 124.8±5.30 in the control group. In terms of infant weight, significant differences were reported between pre-test and post-test weights in each group (P<0.05), but no significant difference in weight gain was observed between the two groups (P=0.45). The NICU readmission rate in the control group was 3.33%, while no readmission was reported in the intervention group.
Conclusion Telenursing interventions focused on education, consultation, and addressing infant care challenges via online messaging platforms can significantly enhance breastfeeding self-efficacy of mothers and reduce the need for readmission of their infants to NICUs.
Type of Study: Research |
Subject:
nursing
Received: 2024/08/9 | Accepted: 2025/03/21 | Published: 2025/03/21
Received: 2024/08/9 | Accepted: 2025/03/21 | Published: 2025/03/21
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