Effect of the Multimedia Supportive-Educative Nursing System Program on Maternal Care Behaviors for Newborns with Jaundice After Hospital Discharge

Authors

  • Nuntiporn Bussathip Faculty of Nursing, Chiang Mai University
  • Jutamas Chotibang Faculty of Nursing, Chiang Mai University
  • Nethong Namprom Faculty of Nursing, Chiang Mai University

Keywords:

Newborns, Neonatal jaundice, Supportive-educative nursing system, Maternal care behaviors

Abstract

Neonatal jaundice is a major cause of infants being readmitted to the hospital after discharge. The aims of this quasi-experimental study were to compare scores for maternal care behaviors of newborns with jaundice and readmission rates for these newborns between a control and an experimental group on Day 3 and Day 7 after hospital discharge. Purposive sampling resulted in 50 pairs of mothers and their newborn with jaundice who were then randomly divided into the control and experimental groups, with 25 pairs in each group, for a duration of 8 days. The experimental group received the multimedia supportive-educative nursing system program whereas the control group received routine nursing care. Data were collected using a personal data record form and a questionnaire on maternal care behaviors for newborns with jaundice. All instruments underwent content validity and reliability testing. Analysis of data used descriptive statistics and the Mann-Whitney U test.

The results showed that the experimental group had statistically significant higher mean scores for maternal care behaviors than those in the control group on Day 3 and Day 7 after hospital discharge (p < .05). There was no statistically significant difference between the newborns in the experimental and the control groups in hospital readmission rates on Day 3 after hospital discharge (p > .05). Newborns in the experimental group had no cases of hospital readmission. On Day 7 after hospital discharge, newborns in both groups had no cases of readmission.

Findings of this study showed that the multimedia supportive-educative nursing system program was able to enhance maternal care behaviors for newborns with jaundice after hospital discharge with no cases of readmission. Related healthcare settings may use the program during routine care for mothers of newborns with jaundice.

References

Blumovich, A., Mangel, L., Yochpaz, S., Mandel, D., & Marom, R. (2020). Risk factors for readmission for phototherapy due to jaundice in healthy newborns: A retrospective, observational study. BMC Pediatrics, 20, 248. https://doi.org/10.1186/s12887-020-02157-y

Booranavanich, K., & Chakthranont, N. (2022). Incidence and risks of readmission due to neonatal jaundice. Vajira Medical Journal: Journal of Urban Medicine, 66(4), 237-244. (in Thai)

Chirawatkul, A. (2015). Statistics for health science research (4th ed.). Witthayaphat. (in Thai)

Faijantuek, P., & Wiwatkamonchai, A. (2023). Effects of providing knowledge on caring for newborns with jaundice by using online teaching media to caregivers of newborns with jaundice receiving phototherapy at Nakornping Hospital. Journal of Nakornping Hospital, 14(2), 272-290. (in Thai)

Maharaj Nakorn Chiang Mai Hospital. (2020). Statistics on neonatal jaundice, year 2018-2020. Maharaj Nakorn Chiang Mai Hospital Press. (in Thai)

Mornthawee, S., & Thato, R. (2015). The effect of coaching program on maternal behavior to prevent breast feeding jaundice in full term neonate. Journal of Nursing Science Chulalongkorn University, 27(1), 22-34. https://digital.car.chula.ac.th/cgi/viewcontent.cgi?article=1132&context=cuns (in Thai)

Orem, D. E. (1995). Nursing: Concepts of practice (5th ed.). Mosby Year Book.

Paprom, W. (2018). Effects of the supportive program and application towards care behavior of caregivers of newborns with neonatal hyperbilirubinemia undergoing phototherapy. Songklanagarind Journal of Nursing, 38(3), 167-178. (in Thai)

Polit, D. F., & Beck, C. T. (2014). Essentials of nursing research: Appraising evidence for nursing practice (8th ed.). Lippincott Williams & Wilkins.

Prachukthum, S., Tanprasertkul, C., & Intarakhao, S. (2021). Predictive factors for term infants with neonatal hyperbilirubinemia requiring readmission for phototherapy. Asian Medical Journal and Alternative Medicine, 21(1), 14-20.

Sirisawat, M., Sakunsin, A., & Chomdee, P. (2023). The effect of using the newborn jaundice pocket book and the newborn jaundice application on knowledge and behaviors of caregivers of newborns who had jaundice upon discharged from the hospital. Journal of Sakon Nakhon Hospital, 26(1), 1-11. (in Thai)

Srisawat, N., & Chanthapreeda, N. (2020). The effects of empowerment program on breastfeeding behaviors among mothers and neonatal jaundice. Journal of Nursing Science & Health, 43(3), 34-44. (in Thai)

Thammawasi, T., & Jardngoen, G. (2021). Risk factors related to readmission due to jaundice in newborns, Bangpakong Hospital. Journal of Health and Environmental Eucation, 6(4), 134-142. https://so06.tci-thaijo.org/index.php/hej/article/view/253300/171208 (in Thai)

Xue, G. C., Ren, M. X., Shen, L. N., & Zhang, L. W. (2016). Parental infant jaundice colour card design successfully validated by comparing it with total serum bilirubin. Acta Paediatrica (oslo, Norway), 105(12), e561-e566.

Downloads

Published

2025-03-26

How to Cite

Bussathip, N., Chotibang, J., & Namprom, N. (2025). Effect of the Multimedia Supportive-Educative Nursing System Program on Maternal Care Behaviors for Newborns with Jaundice After Hospital Discharge. Nursing Journal CMU, 52(1), 56–68. retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268106

Issue

Section

RESEARCH  ARTICLES