{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:50:56Z","timestamp":1792029056160,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2018,10,5]],"date-time":"2018-10-05T00:00:00Z","timestamp":1538697600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004386","name":"Universiti Malaya","doi-asserted-by":"publisher","award":["PG047\u20102014B"],"award-info":[{"award-number":["PG047\u20102014B"]}],"id":[{"id":"10.13039\/501100004386","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To investigate the effectiveness of a structured nursing intervention program on maternal stress and <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>\u2010related maternal ability after the admission of premature infants to a neonatal intensive care unit (<jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Mothers of premature infants may face stress having premature infants, and their infants may be admitted to the <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content> for a few weeks or months. The mothers\u2019 experience of stress would be worse if they have low knowledge and poor <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>\u2010related maternal ability. Mothers of infants admitted to the <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content> require well\u2010planned interventions to cope with psychological matters arising after an infant hospitalisation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Quasi\u2010experimental design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 216 mothers were consecutively assigned to control and intervention groups. Each group consisted of 108 mothers. The mothers in both groups received questionnaire concerning maternal stress and <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>\u2010related ability during their first visit to <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content> (within 48\u00a0hr of admission). A structured nursing intervention was implemented for 10\u00a0days on mothers in the intervention group. The control group continued to receive existing practice nursing care. Mothers of both groups were again given the questionnaire on maternal stress and <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>\u2010related ability after 14\u00a0days of admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the intervention group, the difference between the mean total score of maternal stress and parental role and relationship subscale decreased significantly, compared to the control group (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.04; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01) respectively. Maternal ability improved significantly in mothers in the intervention group 2\u00a0weeks postintervention, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A structured nursing intervention for mothers could significantly reduce maternal stress and promote maternal <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>\u2010related abilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The results of the study could help neonatal nurses to develop an appropriate nursing intervention for parents with premature infants in the <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14659","type":"journal-article","created":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T07:10:03Z","timestamp":1536131403000},"page":"641-649","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["The effectiveness of a structured nursing intervention program on maternal stress and ability among mothers of premature infants in a neonatal intensive care unit"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0150-170X","authenticated-orcid":false,"given":"Swee Leong","family":"Ong","sequence":"first","affiliation":[{"name":"Department of Nursing Science Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"},{"name":"School of Nursing Faculty of Medicine Universiti Sultan Zainal Abidin Terengganu Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7185-6004","authenticated-orcid":false,"given":"Khatijah Lim","family":"Abdullah","sequence":"additional","affiliation":[{"name":"Department of Nursing Science Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"},{"name":"Faculty of Nursing Universitas Airlangga Surabaya, East Java Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Danaee","sequence":"additional","affiliation":[{"name":"Academic Enhancement And Leadership Development Centre (ADeC) Deputy Vice Chancellor (academic &amp; International) Office Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim Lam","family":"Soh","sequence":"additional","affiliation":[{"name":"Department of Nursing and Rehabilitation Faculty of Medicine and Health Sciences UPM Serdang Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim Geok","family":"Soh","sequence":"additional","affiliation":[{"name":"Department of Sports Studies Faculty of Education UPM Serdang Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1658-8553","authenticated-orcid":false,"given":"Daphne Siew Kee","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Nursing Science Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1934-6269","authenticated-orcid":false,"given":"Emni Omar Daw","family":"Hussin","sequence":"additional","affiliation":[{"name":"Department of Nursing Science Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,5]]},"reference":[{"issue":"4","key":"e_1_2_13_2_1","first-page":"349","article-title":"A family support intervention to reduce stress among parents of preterm infants in neonatal intensive care unit","volume":"19","author":"Abdeyazdan Z.","year":"2014","journal-title":"Iranian Journal of Nursing and Midwifery Research"},{"issue":"2","key":"e_1_2_13_3_1","first-page":"82","article-title":"Revision of a parental stress scale for use on a pediatric general care unit","volume":"38","author":"Agazio J. 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