The Effects of Providing Concrete Objective Information Prior to the Premature Infants’ First Visit in a Neonatal Intensive Care Unit on Mothers’ Knowledge and Stress
Keywords:
Concrete objective information, Knowledge of mother, Stress, Premature infants, Neonatal intensive care unitAbstract
Premature labor has a direct impact on mothers and infants as the infant is immediately separated from the mother and admitted to the neonatal intensive care unit. Sudden changes in circumstances can be stressful for mothers while also requiring knowledge. This quasi-experimental research aimed to study the effects of providing concrete objective information prior to premature infants’ first visit to a Neonatal Intensive Care Unit (NICU) on mothers’ knowledge and stress. The sample consisted of 47 mothers, divided into 23 in the control group and 24 in the experimental group. The instruments consisted of a questionnaire on the demographic information of mothers and their infants, a questionnaire on maternal knowledge and stress levels, and a video on concrete objective information. Instrument quality was tested based on the recommendations of five experts. The questionnaires had a content validity index (CVI) of .91. The reliability of mothers’ knowledge yielded a Kuder-Richardson 20 (KR-20) value of .79 while that of stress level, tested by Cronbach's alpha coefficient, was .95. The data were analyzed by using descriptive statistics and t-test.
The results revealed that mothers who were provided with the concrete objective information prior to their infant’s visit had significantly higher mean knowledge scores (M = 29.58, SD = 3.35) than before receiving the information (M = 25.29, SD = 4.45), and significantly lower mean stress scores (M = 52.33, SD = 19.81) than before receiving the information (M = 64.46, SD = 20.65) (t = 5.682, p < 0.001 and t = 3.593, p < 0.001, respectively). The experimental group had a mean score for knowledge (M = 29.58, SD = 3.35) statistically significantly higher than that of the control group (M = 26.35, SD = 2.62, t = 3.678, p < .001). Also, the experimental group had a mean score of stress (M = 52.33, SD = 19.81) which was statistically significantly lower than that of the control group (M = 74.30, SD = 9.11, t = 4.848, p < .001).
The results of this study show that providing concrete objective information to mothers prior to their premature infant’s first visit will improve knowledge and reduce stress, allowing them to care for their child more effectively.
References
Ahmad, N. S. (2019). Crisis intervention: Issues and challenges. In 4th ASEAN Conference on Psychology, Counselling, and Humanities (ACPCH 2018) (pp. 452-455). Atlantis Press.
Aldirawi, A., El-Khateeb, A., Mustafa, A. A., & Abuzerr, S. (2019). Mothers’ knowledge of health caring for premature infants after discharge from neonatal intensive care units in the Gaza strip, Palestine. Open Journal of Pediatrics, 9(3), 239-252.
Amsri, P., Deoisres, W., & Suppaseemanont, W. (2019). Factors influencing stress among mothers of preterm infants hospitalized in neonatal intensive care unit. The Journal of Faculty of Nursing Burapha University, 27(3), 54-62.
Bystritsky, A., & Kronemyer, D. (2014). Stress and anxiety: Counterpart elements of the stress/anxiety complex. Psychiatric Clinics of North America, 37(4), 489-518.
Chivanon, N., Wacharasin, C., & Kampang, P. (2019). Suffering of the mothers with low birth weight infants hospitalized in sick newborn care unit. Nursing Journal of the Ministry of Public Health, 29(2), 102-115. (in Thai)
Chupinijrobkob, P. (2022). Effects of supportive-educative nursing system program on knowledge and caring behaviors among mothers of premature infants. Thammasat University Hospital Journal Online, 7(1), 18-32. (in Thai)
Faculty of Psychology, Chulalongkorn University. (2022). Emotional crisis. https://www.psy.chula.ac.th/en/feature-articles/emotional-crisis/
Faul, F., Erdfelder, E., Buchne,r A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
Japakeeya, N., Somkird, J., & Keawpimon, P. (2024). Mental distress, associated factors, and mental distress management among muslim mothers of infants hospitalized in a neonatal intensive care unit. Nursing Journal CMU, 51(3), 27-39. (in Thai)
Johnson, J. E. (1999). Self-regulation theory and coping with physical illness. Research in Nursing & Health, 22(6), 435-448.
Karuna, P. (2018). Stress and coping mechanisms of mothers separated from their sick babies during postpartum period in Maharaj Nakhon Si Thammarat Hospital. Maharaj Nakhon Si Thammarat Medical Journal, 1(2), 67-77. https://he01.tci-thaijo.org/index.php/MNSTMedJ/article/view/248211/168069 (in Thai)
Kluabwang, P. (2023). Early anemia and neonatal morbidity in very low birth-weight preterm infants in Maesot, Tak Province, Thailand. Journal of Health Science of Thailand, 32(Suppl 2), S216-S227.
Kuttasing, S., Deoisres, W., & Siriarunrut, S. (2019). Factors related to perceived childbirth self- efficacy in primiparous pregnant women. The Journal of Faculty of Nursing Burapha University, 27(2), 104-114. (in Thai)
Mesa, S. M., García, A. G., Pérez, L. F. N., Montoya, L. T., Saldarriaga, M. V. O., Tirado, J. D. V., González, G. A. C., Ramírez, C. R., Ramírez, Y. F. G., & Vásquez, J. G. F. (2021). Psychological stress in mothers of neonates admitted to an intensive care unit. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, 44(5), 241-248. https://doi.org/10.17711/SM.0185-3325.2021.031
Miles, M. S., Carter, M. C., Riddl, I., Hennessey, J., & Eberly, T. W. (1989). The pediatric intensive care unit environment as a soure of stress for parents. Maternal Child Nursing Journal, 18(3), 199-206.
Ministry of Public Health. (2022). Service plan low birth weight rate. https://dashboard.anamai.moph.go.th/dashboard/lbwr/index?year=2022 (in Thai)
Peasakul, C., Konanont, K., & Phitukwanich, N. (2021). The effects of providing a concrete-objective information program before the first visit on the anxiety of mothers of premature infants in the newborn intensive care unit. Journal of Health and Nursing Education, 27(2), 81-95. https://he02.tci-thaijo.org/index.php/Jolbcnm/article/view/251749/173885 (in Thai)
Pengpan, K., & Siriboonpipattana, P. (2021). Caring for premature infants with enteral feeding. Regional Health Promotion Center 9 Journal, 15(36), 15-30. (in Thai)
Safai, Y. (2022). Stress vs anxiety. https://psychcentral.com/stress/stress-vs-anxiety
Sanongyard, J., Siratirakul, L., Jaemtim, N., Maungchang, Y., & Hemtanon, P. (2023). Effects of supportive and educative nursing system program on growth and development knowledge and caring behaviors among mothers of premature infants. The Journal of Boromarjonani College of Nursing, Suphanburi, 6(1), 42-57. (in Thai)
Sittipa, K., Baosoung, C., & Sansiriphun, N. (2017). Anxiety, social support, and postpartum functional status among first-time mothers. Nursing Journal, 44(3), 30-40. https://he02.tci-thaijo.org/index.php/cmunursing/article/view/115311/89121 (in Thai)
Ueki, S., Takao, K., Komai, K., Fujiwara, C., & Ohashi, K. (2017). Maternal uncertainty about Infants’ hospitalization for acute childhood illness: A qualitative study. Open Journal of Nursing, 7(6), 645-656.
Umasankar, N., & Sathiadas, M. G. (2016). Maternal stress level when a baby is admitted to the neonatal intensive care unit at Teaching Hospital Jaffna and the influence of maternal and infant characteristics on this level. Sri Lanka Journal of Child Health, 45(2), 90–94. https://doi.org/10.4038/sljch.v45i2.8003
Unsiam, P. (2017). Maternal participation in caring for critically ill newborns, Phatthalung Hospital. The Southern College Network Journal of Nursing and Public Health, 4(Suppl.), S61-S74. (in Thai)
Upamairat, T., Kongsuwan, V., & Suttharangsee, W. (2018). The effect of a self-regulation program on attitude toward violence and self-behaviors of adolescent students. The Journal of Psychiatric Nursing and Mental Helth, 33(2), 13-28. (in Thai)
Varma, J. R., Nimbalkar, S. M., Patel, D., & Phatak, A. G. (2019). The level and sources of stress in mothers of infants admitted in neonatal intensive care unit. Indian Journal of Psychological Medicine, 41(4), 338–342.
Watthanasereewetch, T., & Chaiyawat, W. (2017). The effect of providing concrete-objective information before the first visit to pediatric patients in intensive care unit on maternal anxiety. Journal of The Royal Thai Army Nurses, 18(3). 91-99. (in Thai)
Wonginchan, A., Tangpukdee, .J, Wonginchan, S., Kearttiwongkru, S., & Khonggungong, S. (2022). Association of online media use and holistic health problems of school-aged children in Thailand 4.0 era. Songklanagarind Journal of Nursing, 42(1), 61-72. (in Thai)
Wonginchan, A., Tangpukdee, J., Wonginchan, S., Kearttiwongkru, S., & Khonggungong, S. (2022). Development of an instrument for measuring health problem levels of school-aged children who have access to online media in the Thailand 4.0: MHP-SaC. Journal of Nursing Science & Health, 45(1), 99-111. https://he01.tci-thaijo.org/index.php/nah/article/view/252016/172586 (in Thai)
World Health Organization. (2019). Survive and thrive: Transforming care for every small and sick newborn. https://www.who.int/publications/i/item/9789241515887
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nursing Journal CMU

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว