Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy
Purpose The purpose of this study was to identify the effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in high-risk pregnant women. Methods The participants were 59 high-risk pregnant women admitted to the maternal-fetal intensive care unit. The control group (n...
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Korean Society of Women Health Nursing
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doaj-f2b5680c3641461caf685fe0138847302021-07-02T21:46:32ZengKorean Society of Women Health NursingKorean Journal of Women Health Nursing2287-16402093-76952020-06-0126218019010.4069/kjwhn.2020.06.17879Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancyHyun Jin Kim0Nami Chun1Department of Nursing, Samsung Medical Center, Seoul, KoreaCollege of Nursing, Sungshin Women’s University, Seoul, KoreaPurpose The purpose of this study was to identify the effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in high-risk pregnant women. Methods The participants were 59 high-risk pregnant women admitted to the maternal-fetal intensive care unit. The control group (n=30) received usual treatment and antenatal care, while the experimental group (n=29) received an additional supportive program. Uncertainty, anxiety, and maternal-fetal attachment were measured in both groups prior to the intervention and at 3 days and 10 days after the intervention (or at discharge). Data were analyzed with the t-test, chi-square test, repeated-measures analysis of covariance, and the Greenhouse-Geisser correction in SPSS version 23.0. Results A supportive program including information provision, nutritional care, emotional care, and exercise care was developed from the literature. All variables except women’s length of stay were found to be homogeneous the between experimental and control groups in the pre-test. Length of stay was calculated as a covariate for testing hypotheses. There was a significant difference in state anxiety over time between the two groups, while there were no differences in uncertainty or maternal-fetal attachment. Conclusion This supportive program was identified as an effective nursing intervention on state anxiety in high-risk pregnant women during their stay in the maternal-fetal intensive care unit. It is suggested that nurses could apply this program to alleviate high-risk pregnant women’s state anxiety, and that this program could be modified to be more effective on uncertainty and maternal-fetal attachment in high-risk pregnant women.http://www.kjwhn.org/upload/pdf/kjwhn-2020-06-17.pdfanxietymaternal-fetal relationspregnancy, high-riskprogramuncertainty |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hyun Jin Kim Nami Chun |
spellingShingle |
Hyun Jin Kim Nami Chun Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy Korean Journal of Women Health Nursing anxiety maternal-fetal relations pregnancy, high-risk program uncertainty |
author_facet |
Hyun Jin Kim Nami Chun |
author_sort |
Hyun Jin Kim |
title |
Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy |
title_short |
Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy |
title_full |
Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy |
title_fullStr |
Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy |
title_full_unstemmed |
Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy |
title_sort |
effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy |
publisher |
Korean Society of Women Health Nursing |
series |
Korean Journal of Women Health Nursing |
issn |
2287-1640 2093-7695 |
publishDate |
2020-06-01 |
description |
Purpose The purpose of this study was to identify the effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in high-risk pregnant women. Methods The participants were 59 high-risk pregnant women admitted to the maternal-fetal intensive care unit. The control group (n=30) received usual treatment and antenatal care, while the experimental group (n=29) received an additional supportive program. Uncertainty, anxiety, and maternal-fetal attachment were measured in both groups prior to the intervention and at 3 days and 10 days after the intervention (or at discharge). Data were analyzed with the t-test, chi-square test, repeated-measures analysis of covariance, and the Greenhouse-Geisser correction in SPSS version 23.0. Results A supportive program including information provision, nutritional care, emotional care, and exercise care was developed from the literature. All variables except women’s length of stay were found to be homogeneous the between experimental and control groups in the pre-test. Length of stay was calculated as a covariate for testing hypotheses. There was a significant difference in state anxiety over time between the two groups, while there were no differences in uncertainty or maternal-fetal attachment. Conclusion This supportive program was identified as an effective nursing intervention on state anxiety in high-risk pregnant women during their stay in the maternal-fetal intensive care unit. It is suggested that nurses could apply this program to alleviate high-risk pregnant women’s state anxiety, and that this program could be modified to be more effective on uncertainty and maternal-fetal attachment in high-risk pregnant women. |
topic |
anxiety maternal-fetal relations pregnancy, high-risk program uncertainty |
url |
http://www.kjwhn.org/upload/pdf/kjwhn-2020-06-17.pdf |
work_keys_str_mv |
AT hyunjinkim effectsofasupportiveprogramonuncertaintyanxietyandmaternalfetalattachmentinwomenwithhighriskpregnancy AT namichun effectsofasupportiveprogramonuncertaintyanxietyandmaternalfetalattachmentinwomenwithhighriskpregnancy |
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