Effect of Intervention Programs for Improving Maternal Adaptation in Korea: Systematic Review

Ju Eun Song; Jeong Ah Ahn

doi:10.4069/kjwhn.2013.19.3.129

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Song and Ahn: Effect of Intervention Programs for Improving Maternal Adaptation in Korea: Systematic Review

Original Article

Korean Journal of Women Health Nursing 2013; 19(3): 129-141.

Published online: 17 September 2013

DOI: https://doi.org/10.4069/kjwhn.2013.19.3.129

Effect of Intervention Programs for Improving Maternal Adaptation in Korea: Systematic Review

Ju Eun Song, Jeong Ah Ahn

College of Nursing, Ajou University, Suwon, Korea.

Corresponding author: Ahn, Jeong Ah. College of Nursing, Ajou University, 164 World cup-ro, Yeongtong-gu, Suwon 443-380, Korea. Tel: +82-31-219-7021, Fax: +82-31-219-7020, narcii@hanmail.net

Received 8 June 2013 Revised 31 July 2013 Accepted 21 August 2013

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to determine the current state of nursing intervention for maternal adaptation and its' effectiveness in Korea by utilizing a systematic review.

Methods

The PICO(Population-Intervention-Compar ator-Outcome) strategy was established, and 1,720 pieces of literature published during the last ten-year period from four electronic databases were reviewed. Eighteen references that met inclusion and exclusion criteria were finally selected for systematic review. The quality of references using critical appraisal checklist for experimental studies were evaluated, and then systematic review and meta-analysis were conducted.

Results

All 18 references were quasi-experimental research design. Most interventions were provided at the hospital and postpartum care center. Maternal adaptation interventions appeared to be of many types, and particularly maternal role education programs were the most common. Confidence in maternal role was used as the most common variable for the maternal adaptati on. Various interventions for helping maternal adaptation in the postnatal period improved maternal confidence, moth er-infant attachment, maternal satisfaction and mother-infant interaction effectively.

Conclusion

A diversity of nursin g interventions in postnatal period improved various aspects of maternal adaptation. Randomized controlled trials and longitudinal studies are needed in order to verify the effect of interventions for maternal adaptation more clearly.

Keywords: Mothers, Postnatal care, Adaptation, Intervention studies

Figures and Tables

Figure 1

Flow chart of study selection.

Figure 2

Effect of maternal role education program on self-confidence in maternal role of experimental group versus control group.

Table 1

General Characteristics and Research Methodology (N=18)

Table 2

Intervention and Dependent Variables (N=18)

^†Duplicated response.

Table 3

Effectiveness and Information of Nursing Interventions for Maternal Adaptation (N=18)

Notes

This research was supported by Basic Science Research Program through the National Research Foundation of Korea(NRF) funded by the Ministry of Education, Science and Technology(NRF-2012R1A1A1042257)

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