The Effect of Implementing Family-Centered Empowerment Model on the Quality of Life of Parents of Premature Infants Admitted to Neonatal Intensive Care Unit

Introduction: Infant hospitalization in the intensive care unit is a psychological crisis for the family that causes stress and disability for the family. In critical situations, the knowledge of the healthcare team is devoted to patient care, while it is necessary to emphasize the needs of the family. Numerous studies report a lack of support for family caregivers and a lack of attention to their needs. The health team should understand the responsibilities and needs of caregivers and examine them in terms of physical, social, psychological needs and supportive and financial problems. This study aims to determine the impact of family-centered empowerment model on parentschr('39') quality of life Premature infants were admitted to the neonatal intensive care unit. Materials and Methods: This quasi-experimental controlled study was performed on 84 patients (parents) with healthy preterm infants admitted to the intensive care unit. Samples were continuously targeted in both intervention and control groups. They received training sessions in four steps and 8 sessions. Step 1 (Understanding the threat through group discussion): During two sessions of 30 to 60 minutes, group discussion to raise awareness about a healthy baby, including skin care, healthy eating, healthy sleep, and sensitizing parents to symptoms The threat was posed by the researcher. Step 2 (Promoting self-efficacy through problem-solving): At the beginning of the third session, the ambiguities and questions of the parents were answered, then during two 60-minute sessions, a group discussion and demonstration in the field of correct breastfeeding positions How to deal with colic or colic in infants and familiarity and how to deal with a trembling child were discussed. Step 3 (Promoting self-esteem through educational participation): During three 30- to 60-minute group discussion sessions, clients were asked to teach their family members the lessons learned in the presence of the researcher, to share their experiences. Leave other people in the group and ask questions to yourself or family members in the group and get the answer. Step 4 (Evaluation): In the last session, the level of knowledge and ability of individuals to transfer information from educational cases was examined. The ability of the subjects was also assessed by the competency questionnaire (including three dimensions; threat perception, self-efficacy and self-esteem). Demographic questionnaire, and WHOQOL-BREF quality of life questionnaire once at the beginning of the study and again one month after completion. Intervention sessions were completed and the data were analyzed using Chi-square, independent t-test, analysis of variance and Spearman and Shapiro-Wilk correlation coefficient using SPSS software. Results: There was no significant difference between the two groups in terms of demographic characteristics and baseline competency scores (self-efficacy, self-esteem, severity and sensitivity) and quality of life. Comparison of total quality of life score (P = 0.041) in the intervention group was significantly higher than the control group. In-group comparison, empowerment scores (self-esteem, self-efficacy (P <0.001)) of both groups and intensity and sensitivity scores (P <0.001) showed a significant increase only in the intervention group. In terms of quality of life, in the psychological dimension (P = 0.042), social (P = 0.003), environmental and total scores (<0.001) in the intervention group and in the total score dimension (P = 0.41) There was a significant increase in environmental performance (<0.001) in the control group. Conclusion: The family-centered empowerment model has improved some quality of life factors. , But further studies are needed to reach a definitive conclusion in this regard. It is suggested that future researchers strengthen the family-centered empowerment program in less effective dimensions. Further studies should also be performed on the use of family-centered empowerment program to empower pregnant women with the possibility of preterm delivery and its effectiveness after delivery.