بررسي تاثير برنامه توانمندسازي مادران نخست‌زا بر دلبستگي مادر به نوزاد

The effects of an empowerment program on the mother infant attachment in prim gravidity women

مقدمه و هدف: برقراري ارتباط عاطفي بين مادر و نوزاد از زمان تولد ضروري مي‌باشد. اغلب مادران نخست‌زا بيان مي‌كنند، نياز به دانش، درك و حمايت ديگران براي مراقبت از نوزادشان دارند. بنابراين مطالعه حاضر با هدف بررسي تاثير برنامه توانمندسازي بر دلبستگي مادر به نوزاد در مادران نخست‌زا انجام شد. مواد و روش‌ها: اين مطالعه كارآزمايي باليني در سال 1395، در بخش زنان بيمارستان امام سجاد و مركز بهداشت سهراب علي-بخشي شهرستان شهريار انجام شد. در اين مطالعه 80 مادرشركت داشتند. روش نمونه‌گيري به روش در دسترس بود و مادران به صورت تصادفي به دو گروه كنترل و مداخله تقسيم شدند. براي گروه مداخله برنامه آموزشي توانمندسازي انجام شد، در حالي كه گروه كنترل مراقبت‌هاي رايج در دوران بارداري را دريافت نمودند. سپس روز اول تولد نوزادان در بيمارستان با استفاده از پرسش‌نامه دلبستگي مادر به نوزاد اوانت رفتارهاي دلبستگي مادران حين شيردهي مشاهده و ثبت شد. تجزيه و تحليل داده‌ها با استفاده از آزمون‌‌هاي آماري تي‌تست، آزمون دقيق فيشر و كاي دو و همچنين نرم افزار16 SPSS صورت گرفت.

Background and Objectives Emotional communication between mother and infant is necessary from birth. Most prim gravidity women say that they need to know, understand, and support to care of their infants. So, the current study aimed to evaluate the effects of an empowerment program on the mother infant attachment in prim gravidity women. Materials & Methods . This clinical trial was conducted in the women ward of Imam Sajjad Hospital and Sohrab Alibackshi center in Shahriar city in 2016, in total, 80 mothers participated. The mothers were selected through convenience method and randomly divided into two groups control and intervention. An empowerment educational program was implemented for the mothers in the experimental group, while the mothers in the control group only received the routine care of the study setting. Then, the first day of birth of the infants in the hospital, using maternal attachment questionnaire to the infant, observed and recorded the mother's attachment behaviors during lactation. Data analysis was performed through conducting the t-test, Fishers exact test, Chi-square, SPSS version 16. The rate (P<0.05) was considered significant. Results The results of the study showed that the mean of attachment of the mothers in the experimental groups 115.35±4.46 and control groups (73.38±19.96) was statistically significant (P<0.001), and the attachment of the mothers to their infants in the experimental groups larger than control group. Conclusion The implementation of the empowerment program in the infant care increased the attachment of prim gravidity women to their infants. Therefore, it is recommended that the implementation of this empowerment program be considered for mothers. It is also suggested that further studies be conducted on the effect of this empowerment program on the attachment of fathers to infants.