بررسي تاثير ماساژ نوزاد توسط مادر بر خودكارآمدي درك شده مادران و وزن گيري نوزاد نارس كم وزن بستري در بخش مراقبت هاي ويژه نوزادان

Effect of mother's infant massage on neonatal weight and perceived self-efficacy of mothers with low birth weight infants

ﻫﺪف: وزن، ﻣﻬﻢﺗﺮﯾﻦ ﻓﺎﮐﺘﻮر ر ﺷﺪ ﻧﻮزاد و ﺧﻮدﮐﺎرآﻣﺪي درك ﺷﺪه ﺑﻪﻋﻨﻮان ﻋﺎﻣﻞ ﻣﻮﺛﺮ ﺑﺮ اﯾﻦ ﻓﺮاﯾﻨﺪ ﺷﻨﺎﺧﺘﻪ ﺷﺪه ا ﺳﺖ. ﻟﺬا اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ ﺗﺎﺛﯿﺮ ﻣﺎ ﺳﺎژ ﻧﻮزاد ﺗﻮ ﺳﻂ ﻣﺎدر ﺑﺮ وزن ﻧﻮزادان و ﺧﻮدﮐﺎرآﻣﺪ ي درك ﺷ ﺪه ﻣﺎدران ﺑﺎ ﻧﻮزاد ﻧﺎرس ﮐﻢوزن ﺑﺴﺘﺮي اﻧﺠﺎم ﺷﺪ. ﻣﻮاد و روشﻫﺎ: در اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﻧﯿﻤﻪﺗﺠﺮﺑﯽ ﮐﻪ در ﺑﺨﺶ ﻣﺮاﻗﺒﺖﻫﺎي وﯾﮋه ﻧﻮزادان اﻧﺠﺎم ﺷﺪ، 80 ﻧﻮزاد ﺑﺮ ا ﺳﺎس ﻣﻌ ﯿﺎرﻫﺎي ورود ﻫﻤﮕﻦ ﺑﻪ دو ﮔﺮوه ﻣﺪاﺧﻠﻪ و ﮐﻨﺘﺮل ﺗﻘﺴــﯿﻢ ﺷــﺪﻧﺪ 40 ﻧﻮزاد ﺑﺎ وزن ﮐﻢ ﻃﯽ 60 روز، روزاﻧﻪ 15 دﻗﯿﻘﻪ ﺗﻮﺳــﻂ ﻣﺎدر ﺑﺎ روﻏﻦ زﯾﺘﻮن ﻣﺎ ﺳﺎژ داده ﺷﺪﻧﺪ و در ﮔﺮوه ﮐﻨﺘﺮ ل ﻓﻘﻂ ﻣﺮاﻗﺒﺖﻫﺎي ﻣﻌﻤﻮل اﻧﺠﺎم ﮔﺮدﯾﺪ. در اﻧﺘﻬﺎي ﻣﻄﺎﻟﻌﻪ ﻣﯿﺰان وزنﮔﯿﺮي و ﻧﻤﺮه ﺧﻮدﮐﺎرآﻣﺪي ﻣﺎدر ﺑﺎ اﺳﺘﻔﺎده از اﺑﺰار ﺧﻮدﮐﺎرآﻣﺪي درك ﺷﺪه ﻣﺎدر و آزﻣﻮنﻫﺎي آﻣﺎري اﺳﺘﺎﻧﺪارد ﻣﻮرد ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﻗﺮار ﮔﺮﻓﺖ. ﯾﺎﻓﺘﻪ ﻫﺎ: ﻧﺘﺎﯾﺞ ﻧ ﺸﺎن داد ﮐﻪ ﺑﯿﻦ ﻣﯿﺎﻧﮕﯿﻦ ﺗﻐﯿﯿﺮات وزن ﮔﺮوه ﻣﺪاﺧﻠﻪ )2120/88±385/26( و ﮐﻨﺘﺮل )1760/88±220/31( در روز دﻫﻢ ﺗﻮﻟﺪ و دو ﻣﺎﻫﮕﯽ اﺧﺘﻼف ﻣﻌﻨﯽدار آﻣﺎري وﺟﻮد داﺷﺖ ) 0/001=P(. ﻧﺘﺎﯾﺞ آزﻣﻮن ﺗﯽﻣﺴﺘﻘﻞ ﺑﯿﺎﻧﮕﺮ اﻓﺰاﯾﺶ ﻣﻌﻨﯽدار ﻧﻤﺮات ﺧﻮدﮐﺎرآﻣﺪي و اﺑﻌﺎد آن در دو ﮔﺮوه ﻣﺪاﺧﻠﻪ ﻧﺴﺒﺖ ﺑﻪ ﮐﻨﺘﺮل ﺑﻮد )0/001

Weight is the most important growth factor in newborns and perceived self-efficacy is known as an effective factor weigh gaining. The aim of this study was to determine the effect of mother's infant massage on neonatal weight and perceived self-efficacy of mothers with low birth weight infants. Materials and Methods 80 infants were divided into intervention and control groups in this qusiexperimental study in neonatal intensive care unit. 40 low-birth weight infants received massage by their mother for 60 days, 15 minutes a day, and only normal care was taken in the control group. At the end of the study, weight gain and self-efficacy scores were analyzed standard statisctical methods. Results The results showed that there was a significant difference between the mean weight changes in the intervention group (2120.88± 385.26) and control (1760.88 ± 220.31) at the tenth day of birth and two months (P = 0.001). The results of independent t-test showed a significant increase in self-efficacy scores and its dimensions in the two intervention groups compared to the control group (P<0.001). Conclusion Low-birth-weight infant massage improves weight gain and promotes perceived self-efficacy in mothers. Due to the low cost of this method, it is suggested to teach massage techniques as one of the essential training during discharge in newborns.