Influence Factors Of Parental Self-efficacy Of High-risk Infants’ Mothers And Preliminary Application On WeChat Platform Information Support Intervention

Objective In this paper,the relationship and correlated influence factors between parental self-efficacy of high-risk infants’ mothers,social support,and postpartum depression were investigated.Moreover,the effect and influence of We Chat platform information support on parental self-efficacy of high-risk infants’ mothers and high-risk children’s physical and neurological development are explored,which provides evidence for the transformation of clinical health education.Methods Research I A cross-sectional survey was used.General Condition Questionnaire,Self-efficacy in Infant Care Scale,Postpartum Social Support Scale,and Edinburgh Postnatal Depression Scale were administered to analyze the general condition,parental self-efficacy,social support,and postnatal depression score of 210 mothers of high-risk infants from October 2015 to November 2015.The relationship and correlated influence factors between parental self-efficacy of high-risk infants’ mothers,social support,and postpartum depression were explored.A feasible scheme was developed to improve parental self-efficacy of high-risk infants’ mothers according to the results.Research II An experimental study was conducted.According to the results obtained from the first stage,90 mothers of high-risk infants who visited the clinic of follow-up center in our hospital from December 2015 to June 2016 and met the inclusion criteria were divided into two groups on the basis of the first diagnosis.Each group contained 45 cases.We Chat platform information intervention including basic knowledge of follow-up intervention,child-care science,and interactive communication principally was utilized to the study group on the basis of regular health education,while only regular health education was employed on counterparts.It was a trimestral intervention,and follow-up time of both groups was requested once a month.After intervention,results of two groups were compared by parental self-efficacy score of high-risk infants’ mothers and nervous system and physical development index of high-risk infants.Self-efficacy in Infant Care Scale was filled in by two groups of high-risk infants’ mothers on the first day of diagnosis and further consultation three months later.Nervous system and physical development of high-risk infants were recorded at each follow-up.SPSS19.0 software was used to analyze the data statistically.Normality test was conducted to the measurement data such as age,height,weight,head circumference,etc.The data consistent with normal distribution was both described by mean number plus or minus standard deviation in which t-test or variance analysis was used in comparison among groups,while median and inter-quartile range were adopted in abnormal distribution data in which rank sum test was utilized among groups.Each count was described by frequency and percentage,and chi-square test was used among groups.The influence factors of parental self-efficacy were analyzed by multiple stepwise regressions,while the ones correlated with social support and postnatal depression were illustrated by Pearson correlation analysis.P<0.05 was considered to be statistically significant.Results 1.In the cross-sectional survey stage,total score of parental self-efficacy of high-risk infants’ mothers was(74.9±9.9),among which promoting development,health care,safety,feeding,social support,and postpartum depression score were(76.6±10.4),(64.9±14.0),(88.0±9.8),(82.4±4.9),(43.8±7.1),and(5.3±3.6)respectively.There was a positive correlation between parental self-efficacy score and social support (r=0.438,P<0.01),and a negative correlation between the score and postpartum depression(r =-0.272,P<0.01).The regression analysis results showed that education background of high-risk infants’ mothers,social support,and postpartum depression were influence factors of mother’s parental self-efficacy.2.90 patients in total were included in the intervention study(45 cases in each group).There was no statistical significance to compare high-risk infants and their mothers’ age,education background,occupation,parental self-efficacy,social support,and postpartum depression(P>0.05).3.After three months,52 patients(57.7%)came for further consultation including 30 patients(66.6%)on study and 22patients(48.8%)from the counterparts.Total score of parental self-efficacy of high-risk infants’ mothers in the study group was higher than that in the counterparts(P<0.05)after intervention,especially in health care(P<0.01).There was no statistical significance in nervous system development between two groups after intervention,but body length development in the study group was prior to that in the counterparts(P<0.01).Furthermore,the rate of lost to follow-up had no statistical significance in either group(P>0.05).Conclusion 1.Total score of parental self-efficacy of high-risk infants’ mothers was lower than that of ordinary primipara,especially in health care,and parental self-efficacy level of high-risk infants’ mothers should be further enhanced.Parental self-efficacy of high-risk infants’ mothers can be predicted by education background of mothers,social support,and postpartum depression.2.We Chat platform information support can improve parental self-efficacy of high-risk infants’ mothers.We Chat platform support,increased the knowledge and education of feeding and health care,may promote body height development of high-risk infants.We Chat platform support strengthen parents’ health education,which can be popularized and applicated in early intervention of high-risk infants as a new effective means of hospital health education.