Effects of Home Nursing Care-Assisted Neonate Video Instruction on Stress Care Ability for Neonates in Primipara Women

I. Introduction The Purpose of this study was to compare the effects on the ability of primipara women to deal with stress by home nursing care=assisted neonate video instruction. The proposed main hypothesis was that 'the score of stress care ability could be lower in the group of primipara women which received home nursing care-assisted neonate video instruction that in the group which did not receive video instruction.' The sub hypothesis was that 'the score of neonate knowledge would be lower in the group which received home nursing care assisted neonate video instruction that in the group which did not.' II. Methodology The study design was nonequivalent control group non-synchronized post test only design to verify the effect on the stress care ability for neonates of primipara women provided with home nursing care-assisted neonate video instruction. The subjects included 28 primipara women who gave birth after 36 week intra uterine pregnancy, who did not have any pregnancy or delivery related complication, and who gave birth to a child over 2.5Kg. Subjects were recruited with informed consent: 15 primipara women were in the control group and 13 primipara women were in the experimental group. The experimental treatment involved 20 minutes of neonate care demonstration including an oral explanation, and a 19 minute video presentation. The experimental treatment was given by an expert home care nurse who had 6 years of home care experience, including education with clinical training. The contents of the video material consisted of the sleep-awakening process, elimination process, feeding process and some sensory capability of neonates. The study was measured with two structured questionnaires. The tool of knowledge relating to neonate ability consisted of 42 items, and the tool of stress care ability for neonates (Attachment Indicators During Stress: AIDS) consisted of six domains including visual contact, verbal contact, physical contact, pasture, facial expression an proximity. Each domain was measured by a five-point scale. Data collection was done by direct observation and interview during the period from October, 1998 to August, 1999 by on expert home care nurse. Data analysis was done by descriptive statistics, chi-square test, and Mann-Whitney test. III. Results 1. The hypothesis that 'the score of stress care ability for neonate of primipara women could be higher in the group which received home nursing care-assisted neonate video instruction that in the group which did not.' was supported with a confidence level of p<.05. 2. The hypothesis that 'the score of knowledge for neonate ability of primipara women could be higher in the group which received home nursing care-assisted neonate video instruction that in the group which did not.' Was not supported with a confidence level of p<.05. It could be concluded that home nursing care assisted neonate video instruction for neonate care is effective in relation to stress care ability of primipara women, but not the level of knowledge for neonate ability. Therefore it is suggested that further study is needed to compare the effects between the hospital education and home education through the neonate videoope