Objective To explore the effects of a family support program for hospitalized preterm infants based on Actor-Partner Interdependence Model on postnatal depression, breastfeeding, and Family Intimacy and Adaptability of preterm infants' parents. Methods A convenience sampling method was used to select 97 cases of preterm infants and their families who were hospitalized in the neonatal care unit of a tertiary general hospital in Hunan Province from March to September 2024, and divided into the experimental group and the control group according to the method of randomized numerical tables. The control group implemented routine nursing measures such as health education and early activity guidance; the experimental group implemented a family intervention program based on Actor-Partner Interdependence Model. Breastfeeding was collected at 1 month after discharge of preterm infants, and postnatal depression and Family Intimacy and Adaptability scores of preterm infants' parents were collected at 42 days postpartum. Results Five groups of families dropped out during the intervention, and ultimately 49 families with preterm infants in the experimental group and 43 families with preterm infants in the control group completed the study. Exclusive breastfeeding, mixed feeding, formula feeding were 39, 7, and 3 cases in the experimental group and 24, 15, and 4 cases in the control group, respectively, and the breastfeeding of preterm infants in the experimental group was better than that in the control group (Z=2.323, P<0.05); 38 cases of parents in experimental group and 22 cases of parents in control group were free of depression, and the detection rate of postnatal depression in preterm infants' parents was lower in the experimental group than in the control group (χ2=7.450, P<0.05); the intimacy score of families in the experimental groups was (56.50±8.59), higher than that of families in the control group (45.65±6.58) (t=6.827, P<0.05), and the adaptability score of families in the experimental groups was (46.80±10.43), higher than that of families in the control group (40.77±9.01) (t=2.974, P=0.004). Conclusion The family support program for hospitalized preterm infants based on Actor-Partner Interdependence Model can improve the breastfeeding success rate of preterm infants, reduce the probability of postnatal depression in preterm fathers and mothers, and improve family intimacy and adaptability, which can be used in clinical practice.
Key words
preterm infants /
postpartum depression /
breast-feeding /
actor-partner interdependence model /
family intimacy and adaptability
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