Effects of a home follow-up program in Turkey for urban mothers of premature babies

Public Health Nurs. 2020 Jan;37(1):56-64. doi: 10.1111/phn.12671. Epub 2019 Oct 23.


Objective: To examine the effects of a home follow-up program in Turkey on care problems, anxiety, and depression levels of mothers after the birth of a premature baby.

Methods: A semi-experimental study with a pretest-posttest control group design. Eighty premature newborns and their mothers were included in the study. Nursing care was given to mothers and babies in the study group through a total of four home visits on weeks 1, 2, 3, and days 40-42 in Kırıkkale, Turkey guided by the Nursing Diagnosis System and Nursing Interventions Classification (NIC) system of the North American Nursing Diagnosis Association (NANDA). Data were collected from a sociodemographics form, home care needs evaluation form, Edinburgh Postpartum Depression Scale, and State Anxiety Inventory.

Results: There were no significant differences between groups for nursing diagnoses at baseline, while the study group resulted in significantly fewer problems on days 40-42, compared to the control group. Mothers had a comparatively lower depression and state anxiety risk in the study group compared to the control group.

Conclusions: Providing home-based nursing care for preterm mothers and babies during the first 40-42 days has the potential to decrease postnatal care problems, including maternal depression and state anxiety levels.

Keywords: anxiety; baby care; depression; home follow-up; premature infant.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aftercare / methods
  • Anxiety / epidemiology*
  • Anxiety / nursing
  • Depression / epidemiology*
  • Depression / nursing
  • Female
  • Follow-Up Studies
  • Home Care Services / organization & administration*
  • House Calls
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature*
  • Male
  • Mothers*
  • Postnatal Care / methods*
  • Psychiatric Status Rating Scales
  • Turkey
  • Young Adult