KMID : 0606420200260020180
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Korean Journal of Women Health Nursing 2020 Volume.26 No. 2 p.180 ~ p.190
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Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy
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Kim Hyun-Jin
Chun Na-Mi
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Abstract
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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.
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KEYWORD
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Anxiety, Maternal-fetal relations, Pregnancy, High-risk, Program, Uncertainty
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