| Summary: | 碩士 === 國立陽明大學 === 護理學系 === 100 === Study Objective: Hearing is essential to the children’s language acquisition and communication with the outside world. Children with impaired hearing may have difficulty in adjusting to their surroundings in terms of cognition, socialization, and emotions. Although Universal Newborn Hearing Screening (UNHS) is beneficial in terms of discovering young children with hearing disability at an early age so that they may learn by using hearing aids to acquire languages, studies have showed that with a false positive result may result parents experiencing unnessary anxiety and stress. Thus, this study aim at examining the effects of positive hearing screening result of UNHS of the newborns on their parent’s uncertainty and parental stress,with an implication to serve as a reference for conducting preventive interventions in future.
Study method: This study is designed in the manner of purposive sampling and longitudinalstudy, conducting questionnaire survey on infants’ parents after their babies have received UNHS for one month and six months respectively. The first survey is conducted in two medical centers’ Otolaryngology Department with one of them in Northern Taiwan and the other in Central Taiwan and 85 copies of questionnaire in total are collected. The second survey is conducted by mailing questionnaires to those 85 study subjects, with 30 copies of them collected and the response rate being 35.3%. This study used Mishel Uncertainty in Illness Scale (MUIS) and Parenting Stress Index Short Form (PSI/SF) as the study tools, and adopted SPSS 17.0 in the analyzing the data in the manner of percentage, paired t-test, and generalized estimating equation (GEE).
Study result: 1. All parents of infants have showed their uncertainty about the positive hearing screening result. 2. Though the positive hearing screening result did not cause the parents to have parenting stress, the mean score of “Change is in life” was 3.34, indicating that their lives as parents has changed as the result of the positive hearing screening result of their children. 3. Six months after the positive hearing screening result of UNHS, the mean score of parents’ uncertainty in illness decreased, while that of parenting stress increased but not statistically significantly. On the other hand, the aspect of “Social Support” increases significantly (p＝0.026). 4. On the whole, the parents with two children had less uncertainty in illness (p＝0.017) and the aspects of ‘children’s gender,’ ‘parents’ age,’ ‘educational background,’ and ‘family financial situation’ had no significant correlation to the uncertainty in illness. 5. Parents with more than two children had less parenting stress (p=0.004) and the aspects of ‘children’s gender’, ‘parents’age,’ ‘educational background,’ and ‘family financial situation’ have no significant correlation to the parenting stress. 6. The more uncertainty in illness parents had, the greater their parenting stress would be (p＝0.006). Conclusion: This study had examined how the positive hearing screening result of UNHS caused the parents to experience have the uncertainty in illness and parenting stress. According to the study results,the infants’ positive hearing screening results tend to lead to their parents’ uncertainty in illness and parenting stress from time to time. Nevertheless, six months after the diagnosis, their uncertainty in illness decreased, while the parenting stress increased which may be due to the stress in child-rearing that requires attention in clinical practice and future research.Conclusively,when the parents of positive hearing screening of children experience uncertainty in illness,their parenting stress are also greater,which warrants health care professionals providing pratical interventions in reducing their uncertainty and parenting stress.
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