Fathers’parenting role and influencing factors in fathers of preterm infants during hospitalization

• Main Authors: CHEN,YI-PEI, 陳誼珮
• Other Authors: WU,WEI-WEN
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/36822560833075507920

碩士 === 國立臺北護理健康大學 === 護理研究所 === 105 === Background and Purposes: It is greatly joyful to see the birth of their babies. However, not every infant can be born at full term .Having premature infants , some fathers in NICU think himself not only like a outsider, but also feel sense of loss about what to do in fatherhood. At the same time, fathers need to care their wives which following the traditional Chinese culture“doing the month”.Therefore, fathers may play multiple roles among family, work and hospital. The purpose of this study is to explore the relationship among fathers’ stress coping strategies, support of relatives, friends and medical professionals and parenting ability as their preterm infants living in neonatal intensive care unit , Methods: This study was a cross-sectional design with convenience sampling. Fathers of their preterm infants admitted to neonatal intensive care unit were recruited in three north Taiwan medical centers from October 2016 to January 2017. The data were collected by a structured- questionnaires. Sixty potential participants were approached. Of these, 51 were willing to participate, yielding to a response rate of 85%. Measurement: Via referrals and the statement of preterm infants’ fathers, the data were collected by structured questionnaires. The questionnaires include: (1) the demographic information of fathers and infants and social support of relatives, friends and medical professionals, (2) the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU), (3) Jalowiec Coping Scale (JCS), (4) Fathering Ability in the NICU (FA: NICU). SPSS 22.0 were used for data analysis. Results: Fathers have more than medium need in social support system; During the hospitalization of infants, paternal stress between infant behavior and appearance were scored more than others. When the mother had maternal history or disease history, the father of preterm infant used more coping strategies than others. Although “emotion-focused” coping strategy is still a predictor, the longer hospitalization of preterm infants had a significantly negative relationship with R-square value of fathering ability by stepwise regression analysis. As a new dad, fathering ability and “emotion-focused” coping strategy scoring were significantly worse than others. For men over 30, the more “emotion-focused” coping strategies they used, the better fathering ability scoring they get. Conclusions and applications in nursing: In view of the low father's ability of fatherhood during their infants’ hospitalization, hoping that nurses can find the stress of premature fathers. Taking more care, and teaching them gradually to learn how to observe infants’ vital signs. By discussing with health care providers, fathers could relieve their concerns, help them understand how to touch, take care for preterm infants and increase fathering ability. For fatherhood during their infants’ imparity hospitalization, health care providers should teach the way of health education differently. For example, as their infants were admitted to NICU, fathers cannot obtain more information, thus increasing the relevant disease health education impotently by QR CODE program for fathers in the future. For managers, taking place on-the-job education regularly is also suggested so as to increase care ability of clinical health care providers.