published_or_final_version / Nursing Studies / Master / Master of Nursing

Lee Chor To. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2005. / Includes bibliographical references (leaves 102-112). / Abstracts in English and Chinese. / List of appendices --- p.xi / List of tables --- p.xii / List of figures --- p.xii / Chapter CHAPTER 1. --- INTRODUCTION --- p.1 / Chapter CHAPTER 2. --- LITERATURE REVIEW / Introduction --- p.3 / Prematurity --- p.3 / Parental feelings of a preterm birth --- p.5 / Transition from hospital to home care --- p.11 / Maternal information need --- p.13 / Discharge education --- p.15 / Use of video education --- p.18 / Summary --- p.21 / Chapter CHAPTER 3. --- OBJECTIVES AND METHODOLOGY / Aims and Objectives --- p.22 / Operational definitions --- p.23 / Research design --- p.23 / Sample --- p.24 / Inclusion criteria --- p.24 / Sample size --- p.25 / Sampling procedure --- p.26 / Educational program of infant care --- p.27 / Usual care --- p.27 / Educational video --- p.27 / Data collection methods --- p.30 / Phase I: / Instruments --- p.31 / Chinese version State Scale of the State-Trait Anxiety Inventory for Adults --- p.31 / The Chinese version of the Maternal Confidence Questionnaire --- p.31 / Knowledge Test Infant Care --- p.33 / Social Support Questionnaire --- p.35 / Demographic information --- p.35 / Satisfaction Questionnaire of the Video Education --- p.36 / Date Collection procedure in Phase I --- p.37 / Phase II: / Instrument --- p.39 / Interview guide --- p.39 / Data collection procedure in Phase II --- p.39 / Data analysis --- p.40 / Phase I of the quantitative data --- p.40 / Phase II of the qualitative data --- p.41 / Pilot study --- p.42 / Ethical considerations --- p.42 / Chapter CHAPTER 4. --- FINDINGS / Introduction --- p.44 / Phase I / Sample --- p.45 / Sociodemographic and other characteristics of participating women --- p.45 / Demographic characteristics of infants --- p.46 / Comparison of sociodemographic data between groups --- p.47 / "Maternal outcomes of knowledge, confidence and anxiety about infant care" --- p.52 / Knowledge of infant care --- p.52 / Confidence in infant care --- p.53 / Anxiety concerning infant care --- p.55 / Correlation between outcome measures and sociodemographic data --- p.56 / Video group women perceived satisfaction of the study video --- p.58 / Summary of major findings in Phase I --- p.61 / Phase II / Characteristics of informants --- p.62 / Six categories emerged from the content analysis --- p.63 / Feelings about infant care at home --- p.64 / Concerns about the infant --- p.65 / Perceptions of the discharge process --- p.67 / Sources of support --- p.69 / Help-seeking activities --- p.70 / Perceptions of the usefulness of video education --- p.74 / Differences and similarities in the perceptions of the video group and non-video group women about the experience of caring for their infants at home --- p.77 / Summary of major findings in Phase II --- p.78 / Chapter CHAPTER 5. --- DISCUSSION / Introduction --- p.80 / Sociodemographic characteristics of participants --- p.80 / Effects of video education on knowledge of infant care --- p.83 / Effects of video education on confidence about infant care --- p.85 / Effects of video education on anxiety about infant care --- p.88 / Women's feelings about caring for infants at home and their information need --- p.90 / Preferred methods of learning about infant care --- p.92 / Contributions of the study video --- p.93 / Chapter CHAPTER 6. --- CONCLUSION / Limitations --- p.96 / Implications for nursing practice --- p.98 / Recommendations for farther research --- p.100 / Conclusion --- p.101 / REFERENCES --- p.102 / APPENDICES / Appendix 1a State Scale of State-Trait Anxiety Inventory for Adults (English) --- p.113 / Appendix 1b State Scale of State-Trait Anxiety Inventory for Adults (Chinese) --- p.114 / Appendix 2a Maternal Confidence Questionnaire (English) --- p.115 / Appendix 2b Maternal Confidence Questionnaire (Chinese) --- p.116 / Appendix 3a Knowledge Test of Infant Care (English) --- p.117 / Appendix 3b Knowledge Test of Infant Care (Chinese) --- p.120 / Appendix 4a Social Support Questionnaire (English) --- p.123 / Appendix 4b Social Support Questionnaire (Chinese) --- p.125 / Appendix 5 Demographic information --- p.127 / Appendix 6a Satisfaction Questionnaire of the Video Questionnaire (English) --- p.128 / Appendix 6b Satisfaction Questionnaire of the Video Questionnaire (Chinese) --- p.129 / Appendix 7a Interview guide (English) --- p.130 / Appendix 7b Interview guide (Chinese) --- p.131 / Appendix 8a Ethics approval 2001 --- p.132 / Appendix 8b Ethics approval 2004 --- p.133 / Appendix 9 Permission from Prince of Wales Hospital --- p.134 / Appendix 10 Consent form --- p.135 / Appendix 11 Comments about the video provided by video group women --- p.136 / Appendix 12 Other topics of interest provided by video group women --- p.137

The need to compare parenthood adjustment experiences for mothers and fathers of full term and preterm infants was identified. Stressors, coping strategies, and marital adjustment were variables examined. It was hypothesized that parents of preterm infants, despite gender category, would indicate experiencing greater stress and would use more emotion-focused coping strategies than parents of full term infants. Parents of full term infants were hypothesized to use more problem-focused coping strategies than parents of preterm infants. Reports of marital adjustment were expected to be different between the parent groups by infant term category, and marital satisfaction was hypothesized to remain unchanged from the time prior to conception to 0 - 3 months postpartum. A description of the investigation that includes discussion of methodological issues and suggestions for intervention is presented. / Ph. D.