| Summary: | 碩士 === 國立台北護理學院 === 護理研究所 === 95 === Most studies of children with congenital heart disease (CHD) have focused on the development of toddlers and preschoolers and the relationship between parenting and the infant’s characteristics. Studies on parenting of infants with CHD were sparse. In order to provide an early intervention to the mother with a CHD infant, the purpose of this study was to examine the extent to which infant’s characteristics (feeding difficulties, severity of illness), maternal depressive symptoms, parenting (maternal confidence) affected infant’s motor development at 2, 4, and 6 months old based on Belsky’s model. Furthermore, infant’s characteristics (feeding difficulties, severity of illness), maternal depressive symptoms affected parenting at 2, 4, and 6 months old was also studied.
The subjects of this study were recruited from Cardiac outpatient clinic of two medical centers at Taipei City and Taipei County. Thirty-two mothers who agreed to participate answered Feeding Difficulty Scale, Center for Epidemiological Studies Depression Scale and Mother Confidence Questionnaires. The investigator used the modified New York University Pediatric Heart Failure Index to assess the severity of illness and Alberta Infant Motor Scale to assess the infant’s motor development.
The results of this study showed that the more feeding difficulties and the more cardiac problems, the poor infant’s motor development. More feeding difficulties and more cardiac problems were associated with poor motor development of the infants with CHD over time. Furthermore, the older infants were associated with more maternal confidence and more feeding difficulties were associated with less maternal confidence.
Despite the maternal confidence is increased over time and affected by infant’s feeding difficulties, infant’s motor development is affected by infant’s feeding difficulties and their severity of illness but not maternal characteristics. Thus, nurses should educate and support mothers of children with congenital heart disease as early as possible in order to intervene appropriately.
|
|---|
