Effects of Perceived Self-Efficacy Enhancement Program via LINE Official Account on Perceived Self-Efficacy, Caring Behaviors of Mothers, and Serum Bilirubin of Newborns with Jaundice
DOI:
https://doi.org/10.60099/jtnmc.v38i01.260905Keywords:
Line official account, serum bilirubin, perceived self-efficacy enhancement program, caring behaviors of mothers, neonatal jaundiceAbstract
Introduction: Jaundice is a common health problem in newborns. It is important to enhance the self-efficacy of mothers in making decisions about correctly, appropriately, and continuously caring behaviors for their newborns with jaundice.
Objective: To examine the effects of a perceived self-efficacy enhancement program via LINE official account on perceived self-efficacy and caring behaviors of mothers for their newborns with jaundice, and the serum bilirubin levels of the newborns. The Bandura’s Self-efficacy Theory was used as a conceptual framework.
Design: Quasi-experimental design with two-group pre-test and post-test
Methodology: The participants consisted of 40 primiparous mothers and their newborns with jaundice receiving phototherapy in a tertiary hospital. They were selected through purposive sampling based on the following inclusion criteria: 1) no prior experience in caring for a newborn with jaundice receiving phototherapy, 2) choosing breastfeeding, 3) having family support, 4) being able to communicate in Thai language, 5) having a smartphone with an internet connection and basic skills in using the LINE application, 6) having no psychological or emotional disorders, and 7) no breastfeeding restrictions. Newborns had no restrictions on sucking, received no drugs, and had no pathology affecting jaundice. The participants were purposively assigned to either the experimental group (n = 20) or the control group (n = 20). The experimental group participated in a program enhancing perceived self-efficacy via LINE official account, conducted by the researcher. Activities in the program included enactive mastery experiences, vicarious experiences, verbal persuasions, and physiological and affective states. Instruments used in the study consisted of 1) a perceived self-efficacy enhancement program via a LINE official account, 2) a questionnaire on mothers’ knowledge towards caring for newborns with jaundice, 3) an evaluation form on mothers’ skills in caring for newborns with jaundice, 4) a questionnaire on the perceived self-efficacy of mothers with newborns with jaundice, and 5) a questionnaire on caring behaviors for newborns with jaundice. Data were analyzed using descriptive statistics, Chi-square, and t-tests, with the significant level set at .05.
Results: The results revealed that after the experiment, the mean score of perceived self-efficacy and caring behaviors for newborns with jaundice were significantly higher for mothers in the experimental group than those in the control group (t = -3.862, p < .001; t = -3.117, p = .002, respectively). Moreover, after the experiment, the mean serum bilirubin level of newborns in the experimental group (M = 9.66, SD = 1.37) was within the normal range and had no significant difference from that of the control group (t = 0.764, p > .05).
Recommendations: It is recommended that nurses use the perceived self-efficacy enhancement program via LINE official account to promote the perceived self-efficacy and caring behaviors of mothers having newborns with jaundice.
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