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Peer-reviewedCC BYFrontiers in medicine

Association between an ITHBC theory-based nursing pathway and discharge readiness among mothers of preterm infants: a non-randomized controlled study with a historical control group

  • Fang Tang1
  • Yihong Wu1
  • Liping Dai2
  • Wenbo Yan2
  • Meng Yang2
  • Weiyi Shi3
  • Achao Tian4
  • Yonghao Zhang5
5 affiliations
  1. 1Department of Nursing, Tongren Maternal and Child Health Care Hospital , , ,
  2. 2Department of Neonatology, Tongren Maternal and Child Health Care Hospital , , ,
  3. 3Department of Obstetrics, Tongren Maternal and Child Health Care Hospital , , ,
  4. 4Department of Pediatric Rehabilitation, Tongren Maternal and Child Health Care Hospital , , ,
  5. 5Psychological Clinic, Tongren Maternal and Child Health Care Hospital , , ,
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Abstract

Objective: To evaluate the effects of an Integrated Theory of Health Behavior Change (ITHBC)-based nursing pathway on discharge readiness in mothers of preterm infants.

Methods: In this non-randomized controlled study with a historical (temporal) control group, 115 mothers were divided into an observation group (ITHBC-based care, n = 57) and a control group (routine care, n = 58). Discharge readiness, discharge instruction quality, care ability, self-efficacy, resilience, anxiety, and depression were assessed at discharge; infant growth, complications, readmission, and maternal satisfaction were followed up at 6 months. Multivariable linear regression was used to adjust for baseline covariates for key outcomes.

Results: The observation group showed significantly higher discharge readiness, discharge instruction quality, care ability, self-efficacy, and resilience, with lower anxiety and depression (all P < 0.05). At 6 months, their infants had better growth metrics, fewer complications (thrush, diaper rash), and lower readmission rates, alongside higher maternal satisfaction (P < 0.05). These differences remained significant after covariate adjustment.

Conclusions: The ITHBC-based nursing pathway was associated with better maternal psychological status and care competence, more favorable infant health outcomes, lower readmission rates, and higher satisfaction, providing a practical framework for transitional care in preterm infants.

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Cite

BibTeXRIS
BibTeX
@article{tang2026association,
  title = {{Association between an ITHBC theory-based nursing pathway and discharge readiness among mothers of preterm infants: a non-randomized controlled study with a historical control group}},
  author = {Fang Tang and Yihong Wu and Liping Dai and Wenbo Yan and Meng Yang and Weiyi Shi and Achao Tian and Yonghao Zhang},
  journal = {Frontiers in medicine},
  year = {2026},
  month = oct,
  doi = {10.3389/fmed.2026.1938054},
  url = {https://europepmc.org/article/PMC/PMC13727570},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Association between an ITHBC theory-based nursing pathway and discharge readiness among mothers of preterm infants: a non-randomized controlled study with a historical control group
AU  - Fang Tang
AU  - Yihong Wu
AU  - Liping Dai
AU  - Wenbo Yan
AU  - Meng Yang
AU  - Weiyi Shi
AU  - Achao Tian
AU  - Yonghao Zhang
PY  - 2026
DA  - 2026/10/20
JO  - Frontiers in medicine
DO  - 10.3389/fmed.2026.1938054
UR  - https://europepmc.org/article/PMC/PMC13727570
AB  - Objective: To evaluate the effects of an Integrated Theory of Health Behavior Change (ITHBC)-based nursing pathway on discharge readiness in mothers of preterm infants.  Methods: In this non-randomized controlled study with a historical (temporal) control group, 115 mothers were divided into an observation group (ITHBC-based care, n = 57) and a control group (routine care, n = 58). Discharge readiness, discharge instruction quality, care ability, self-efficacy, resilience, anxiety, and depression were assessed at discharge; infant growth, complications, readmission, and maternal satisfaction were followed up at 6 months. Multivariable linear regression was used to adjust for baseline covariates for key outcomes.  Results: The observation group showed significantly higher discharge readiness, discharge instruction quality, care ability, self-efficacy, and resilience, with lower anxiety and depression (all P < 0.05). At 6 months, their infants had better growth metrics, fewer complications (thrush, diaper rash), and lower readmission rates, alongside higher maternal satisfaction (P < 0.05). These differences remained significant after covariate adjustment.  Conclusions: The ITHBC-based nursing pathway was associated with better maternal psychological status and care competence, more favorable infant health outcomes, lower readmission rates, and higher satisfaction, providing a practical framework for transitional care in preterm infants.
SN  - 2296-858X
ER  -