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Effect of QR Code-Supported Infant Care Education on Maternal Self-Confidence, Maternal Attachment, and Infant Health in the NICU (NICU-QR)

2026年8月9日 更新者：Aslınur TAŞKIN GÜZELYAZICI、Ankara Medipol University

The Effect of Meleis' Transition Theory-Based QR Code-Supported Infant Care Training on Maternal Self-Confidence, Maternal Attachment, and Infant Health Among Mothers of Infants Hospitalized in the Neonatal Intensive Care Unit

This randomized controlled trial aims to evaluate the effect of Meleis' Transitions Theory-based Quick Response (QR) code-supported infant care education on maternal self-confidence, maternal attachment, and infant health among primiparous mothers whose infants are hospitalized in the neonatal intensive care unit (NICU). Participants were randomly assigned to either an intervention group or a control group using block randomization. Mothers in the intervention group received face-to-face infant care education before discharge, a printed infant care guide containing QR codes linked to educational videos, and instructions on how to use a mobile application. Mothers in the control group received routine care and discharge education provided by the NICU. Maternal self-confidence, maternal attachment, and infant health outcomes were assessed before discharge and at one and three months after discharge. This study is expected to provide evidence regarding the effectiveness of QR code-supported infant care education in improving maternal adaptation and infant health outcomes following NICU discharge.

調査の概要

状態

完了

条件

介入・治療

詳細な説明

This randomized controlled trial was conducted to evaluate the effects of a Quick Response (QR) code-supported infant care education program based on Meleis' Transitions Theory on maternal self-confidence, maternal attachment, and infant health among primiparous mothers of infants hospitalized in a neonatal intensive care unit (NICU). Data were collected using the Descriptive Information Form, the Pharis Self-Confidence Scale, the Maternal Attachment Scale, and the Infant Health Assessment Form. Participants were randomly assigned to the intervention (n=42) and control (n=42) groups using block randomization. Mothers in the intervention group received face-to-face infant care education based on Meleis' Transitions Theory before discharge, a printed infant care guide containing QR codes linked to educational videos, and instructions on how to use the mobile application developed for the study. Mothers in the control group received routine care and follow-up services provided by the neonatal intensive care unit. Maternal self-confidence, maternal attachment, and infant health outcomes were assessed before discharge and at one and three months after discharge. The intervention group demonstrated higher maternal self-confidence and maternal attachment scores throughout the follow-up period compared with the control group. Infants in the intervention group also showed more favorable health outcomes, including improved growth indicators, higher breastfeeding frequency, and lower rates of common health problems and hospital visits. The findings suggest that Meleis' Transitions Theory-based QR code-supported infant care education is an effective strategy for improving maternal self-confidence, maternal attachment, and infant health outcomes following NICU discharge.

研究の種類

介入

入学 (実際)

84

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

  • 大人
  • 高齢者

健康ボランティアの受け入れ

いいえ

説明

Inclusion Criteria:

  • Primiparous mothers with a singleton birth,
  • Aged 18 years or older,
  • Able to read and communicate in Turkish,
  • Owning a smartphone with internet access and having sufficient digital literacy to use QR code applications,
  • No diagnosed psychiatric disorder,
  • Mothers whose infants had been hospitalized in the neonatal intensive care unit for at least one month,
  • Willing to participate and providing written informed consent,
  • Infants with a gestational age of ≥34 weeks,
  • Infants without life-threatening congenital, neurological, gastrointestinal, or genetic disorders requiring surgical intervention or expected to affect long-term prognosis.

Exclusion Criteria:

  • Mothers who did not continue in the post-discharge follow-up period,
  • Participants whose mother or infant died (exitus) during the study period.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか？

デザインの詳細

  • 主な目的：防止
  • 割り当て：ランダム化
  • 介入モデル：並列代入
  • マスキング：なし（オープンラベル）

武器と介入

参加者グループ / アーム
介入・治療
実験的：QR Code-Supported Infant Care Education
Mothers received face-to-face infant care education based on Meleis' Transitions Theory before discharge, together with a printed infant care guide containing QR codes linked to educational videos and instructions for using the mobile application developed for the study. Routine neonatal intensive care unit care was also provided.
行動：QR Code-Supported Infant Care Education
Face-to-face infant care education based on Meleis' Transitions Theory, supported by a printed infant care guide containing QR codes linked to educational videos and a mobile application developed for the study.
介入なし：Routine Care
Mothers received routine neonatal intensive care unit care, discharge education, and follow-up services without any additional structured infant care education.

この研究は何を測定していますか？

主要な結果の測定

結果測定
メジャーの説明
時間枠
Maternal Self-Confidence
時間枠：Baseline (approximately 1 week before discharge and prior to the intervention), 1 month after discharge, and 3 months after discharge
Maternal self-confidence was assessed using the Pharis Self-Confidence Scale. The scale consists of 13 items, with total scores ranging from 13 to 65. Higher scores indicate higher levels of maternal self-confidence.
Baseline (approximately 1 week before discharge and prior to the intervention), 1 month after discharge, and 3 months after discharge
Maternal Attachment
時間枠：Baseline (approximately 1 week before discharge and prior to the intervention), 1 month after discharge, and 3 months after discharge
Maternal attachment was assessed using the Maternal Attachment Scale. The scale consists of 26 items, with total scores ranging from 26 to 104. Higher scores indicate higher levels of maternal attachment.
Baseline (approximately 1 week before discharge and prior to the intervention), 1 month after discharge, and 3 months after discharge
Infant Health
時間枠：Baseline (approximately 1 week before discharge and prior to the intervention), 1 month after discharge, and 3 months after discharge
Infant health assessed using the Infant Health Assessment Form, including physical growth (weight, length, and head circumference), breastfeeding, urination and stool frequency, non-breastmilk feeding, common infant health problems (gas, fever, vomiting, oral thrush, diaper rash, nasal congestion), and hospital visits
Baseline (approximately 1 week before discharge and prior to the intervention), 1 month after discharge, and 3 months after discharge

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

Ankara Medipol University

捜査官

  • 主任研究者：Aslınur T GÜZELYAZICI、Ankara Medipol University

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2025年6月2日

一次修了 (実際)

2026年2月26日

研究の完了 (実際)

2026年2月26日

試験登録日

最初に提出

2026年8月3日

QC基準を満たした最初の提出物

2026年8月9日

最初の投稿 (実際)

2026年8月13日

学習記録の更新

投稿された最後の更新 (実際)

2026年8月13日

QC基準を満たした最後の更新が送信されました

2026年8月9日

最終確認日

2026年8月1日

詳しくは

本研究に関する用語

キーワード

その他の研究ID番号

  • AYBU-PhD-QRNICU-2026

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

医薬品およびデバイス情報、研究文書

米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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