Adaptive Coping Strategies Positively Correlate with Maternal Knowledge among Low Birth Weight Infants
Abstract
Uncertainty about newborn care can lead to stress and inadequate coping mechanisms in mothers of low-birth-weight (LBW) infants. This study aimed to assess mothers' knowledge of LBW infant care and its relationship with coping mechanisms. The study variables included maternal knowledge of LBW care and coping strategies. The study used a descriptive correlational design, with 90 mothers of LBW infants selected through purposive sampling. Data were collected using a questionnaire consisting of three sections: Coping Strategies Scale, the Maternal Knowledge Score, and demographic information. Statistical analysis was performed descriptively and inferentially using Pearson's correlation test. The results showed significant differences in LBW-care knowledge (p=0.02) and coping strategies (p=0.003). A significant correlation was found between maternal knowledge and coping strategies (r=0.242, p<0.015). This conclusion indicates that mothers with greater knowledge have better coping mechanisms. It is recommended that nurses provide proactive and engaging learning opportunities in health education programs on infant care to enhance the confidence and coping strategies of mothers with LBW infants..
How to Cite
Views / Downloads
Files
License
Authors who publish with Poltekita : Jurnal Ilmu Kesehatan agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

This work is licensed under a Creative Commons Attribution-ShareAlike 2.0 Generic License.
Poltekita : Jurnal Ilmu Kesehatan is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
References
Boykova M. Transition from hospital to home in parents of preterm infants. J Perinat Neonatal Nurs. 2016;30(4):327–48. Available from: https://pubmed.ncbi.nlm.nih.gov/27776032/
UNICEF. Low birthweight [Internet]. 2023. Available from: https://data.unicef.org/topic/nutrition/low-birthweight/
Kementerian Kesehatan RI. Survei Kesehatan Indonesia Tahun 2023 [Internet]. 2024. Available from: https://www.badankebijakan.kemkes.go.id/laporan-tematik-ski/
Gupta M, Pursley DM, Smith VC. Preparing for discharge from the neonatal intensive care unit. Pediatrics. 2019;143(6). https://doi.org/10.1542/peds.2018-2915
Yeh AM, Song AY, Vanderbilt DL, Gong C, Friedlich PS, Williams R, et al. The association of care transitions measure-15 score and outcomes after discharge from the NICU. BMC Pediatr. 2021;21(1):1–9. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7780380/pdf/12887_2020_Article_2463.pdf
Aagaard H, Uhrenfeldt L, Ludvigsen MS, Fegran L. Parents’ experiences of transition when their infants are discharged from the Neonatal Intensive Care Unit: a systematic review protocol. JBI Database Syst Rev Implement Reports [Internet]. 2015 Nov 13;13(10):1–7. Available from: http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=26571288&site=ehost-live
Tambunan E, Pratomo H, Hadi EN, Rustina Y. Mothers’ Coping Strategies in Preparing for the Discharge of Low Birth Weight Infants from a Perinatology Ward. Aust J Basic Appl Sci. 2017;11(15):54–63. Available from: https://www.ajbasweb.com/old/ajbas/2017/December-supp1/54-63(8).pdf
Inguglia C, Costa S, Ingoglia S, Cuzzocrea F, Liga F. The role of parental control and coping strategies on adolescents’ problem behaviors. Curr Psychol. 2022 Mar 1;41(3):1287–300. Available from: https://iris.unipa.it/bitstream/10447/420715/2/12144_2020_648_OnlinePDF.pdf
Gaffari M, Abdelghafar N, Sawanal A, Lutfi HM, Qubaisi MA AL, Rifai HAT, et al. Going Home Safely. A Family Centered Approac. BMJ Paediatr Open [Internet]. 2021;5(Suppl 1):A21–2. Available from: https://bmjpaedsopen.bmj.com/content/5/Suppl_1/A21.3
Worrall S, Silverio SA, Fallon VM. The Relationship between Prematurity and Maternal Mental Health during The First Postpartum Year. J Neonatal Nurs [Internet]. 2023;29:511–8. Available from: https://www.sciencedirect.com/science/article/pii/S135518412200206X
de Souza L, de Queiroz V, Andrade S, César E, de Melo V, Oliveira S. Anxiety and Depresión in Mother of Newborns in Intensive Care Units. Rev Gauch Enferm. 2021;42:1–15.
Astuti ES, Nursalam N, Devy SR, Etika R. Knowledge, Family Support and Self-Reliance Capital when Caring for Low Birth Weight Babies. J Ners. 2019;14(1):10–5. Available from: https://e-journal.unair.ac.id/JNERS/article/view/12734
Lacceta G, Chiara M Di, Nardo MC de, Terrin G. Symptom of Post Traumatic Stress Disorder in Parents of Preterm Newborns: A systematic Review of Interventions and Prevention Strategies. Front Psychiatr. 2023;1–11. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10032332/pdf/fpsyt-14-998995.pdf
Herman JL, Tetrick LE. Problem-focused versus emotion-focused coping strategies and repatriation adjustment. Hum Resour Manage [Internet]. 2009 Jan;48(1):69–88. Available from: http://doi.wiley.com/10.1002/hrm.20267
Patil S. Level of Stress and Coping Strategies Seen Among Parents of Neonates. Int J Sci Res [Internet]. 2014;3(4):579–85. Available from: https://www.ijsr.net/archive/v3i4/MDIwMTMxNTEy.pdf
Williams KG, Patel KT, Stausmire JM, Bridges C, Mathis MW, Barkin JL. The neonatal intensive care unit: Environmental stressors and supports. Int J Environ Res Public Health. 2018;15(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5800159/pdf/ijerph-15-00060.pdf
Tambunan E, Pratomo H, Hadi EN, Rustina Y. Mothers’ Coping Strategies in Preparing for the Discharge of Low Birth Weight Infants from a Perinatology Ward. Aust J Basic Appl Sci. 2017;11(15):1–10. Available from: https://www.ajbasweb.com/old/ajbas/2017/December-supp1/54-63(8).pdf
Baysoy N, Kavuncuoglu S, Ramoglu MG, Aldemir EY, Payasli M. Follow Up of Low Birth Weight PretermInfants After Hospital Discharge Incidence and Reasons for Rehospitalization. J Trop Pediatr [Internet]. 2021;00:1–11. Available from: https://pubmed.ncbi.nlm.nih.gov/34059915/
Rincón Uribe FA, Godinho RC de S, Machado MAS, Oliveira KR da SG, Neira Espejo CA, de Sousa NCV, et al. Health knowledge, health behaviors and attitudes during pandemic emergencies: A systematic review. PLoS One. 2021;16(9):e0256731. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8423234/pdf/pone.0256731.pdf
Klebanov PK, Brooks-Gunn J, McCormick MC. Maternal coping strategies and emotional distress: Results of an early intervention program for low birth weight young children. Dev Psychol. 2001;37(5):654–67. Available from: https://psycnet.apa.org/record/2001-11105-009
Folkman S, Lazarus RS. Manual for the Ways of Coping Questionnaire. Research E. California: Consulting Psychologists Press; 1988.
Boykova M, Kenner C. Transition from hospital to home for parents of preterm infants. J Perinat Neonatal Nurs. 2012;26(1):81–7. Available from: https://pubmed.ncbi.nlm.nih.gov/22293645/
Hudson K. Coping Complexity Model: Coping Stressors, Coping Influencing Factors, and Coping Responses. Psychology. 2016;07(03):300–9. Available from: https://www.scirp.org/pdf/PSYCH_2016031615111106.pdf
Sih DA, Bimerew M, Modeste RRM. Coping strategies of mothers with preterm babies admitted in a public hospital in Cape Town. Curationis. 2019;1–8. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6779964/pdf/CUR-42-1872.pdf
Wacharasin C, Phaktoop M, Sananreangsak S. A family empowerment program for families having children with thalassemia, Thailand. Nurs Heal Sci. 2015 Sep 1;17(3):387–94. https://onlinelibrary.wiley.com/doi/10.1111/nhs.12201
Kapti RE, Arief YS, Triharini M, Saidah Q, Azizah N, Supriati L. Maternal Coping Strategies for Premature Infant: A Systematic Review. Kesmas. 2022;17(1):74–80. Available from: https://scholarhub.ui.ac.id/cgi/viewcontent.cgi?article=1986&context=kesmas
Malliarou M, Karadonta A, Mitroulas S, Paralikas T, Kotrotsiou S, Athanasios N, et al. Preterm Parents’ Stress and Coping Strategies in a Neonatal Intensive Care Unit in a University Hospital of Central Greece. Mater Sociomed. 2021;33(4):244–9. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8812370/pdf/MSM-33-244.pdf
Melnyk BM, Feinstein NF, Alpert-Gillis L, Fairbanks E, Crean HF, Sinkin R a, et al. Reducing premature infants’ length of stay and improving parents’ mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: a randomized, controlled trial. Pediatrics. 2006;118(5):e1414–27. Available from: https://publications.aap.org/pediatrics/article-abstract/118/5/e1414/69924/Reducing-Premature-Infants-Length-of-Stay-and?redirectedFrom=PDF
Silveira RC, Valentini NC, O’Shea TM, Mendes EW, Froes G, Cauduro L, et al. Parent-Guided Developmental Intervention for Infants With Very Low Birth Weight: A Randomized Clinical Trial. JAMA Netw open. 2024;7(7):e2421896. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11255911/
Utami R, Ugrasena IDG, Ernawati, Arief YS, Santy WH. Effectiveness of relevant interventions with readiness for discharge in transitional care of low birth weight infants: a systematic review. Bali Med J. 2023;12(2):1320–9. Available from: https://balimedicaljournal.ejournals.ca/index.php/bmj/article/view/4314/2727
Tambunan E, Pratomo H, Hadi EN, Rustina Y. Knowledge of low birth weight care as a source of coping strategies for mothers: Cross sectional study in perinatology WARD’S. J Neonatal Nurs [Internet]. 2020;(January):1–5. Available from: https://doi.org/10.1016/j.jnn.2020.01.003
Maleki M, Mardani A, Harding C, Basirinezhad MH, Vaismoradi M. Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis. Women’s Heal. 2022;18. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9234836/pdf/10.1177_17455057221104674.pdf
Similar Articles
Similar Articles
- Nurbaya Nurbaya, Najdah Najdah, Food Security Status and Coping Strategies Among Adolescents During the Covid-19 Pandemic in Mamuju , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 1 (2023): May
- I Putu Suiraoka, Hertog Nursanyoto, I Made Suarjana, Ni Made Ayu Suastiti, Analysis Factor Dominance and Contribution Program Performance against Stunting Incidents in Bali Province: SSGI Data Analysis , Poltekita: Jurnal Ilmu Kesehatan: Vol. 18 No. 1 (2024)
- Siti Nurunniyah, Fatimatasari, Dyah Pradnya Paramita, Claudia Banowati Subarto, Fatikha Khoirun Nisa, Asusan, Vera Tasya Ashari, Patricia Sator, Association between Maternal Characteristics and Maternal Capabilities: A Quantitative Study in The Special Region of Yogyakarta , Poltekita: Jurnal Ilmu Kesehatan: Vol. 20 No. 1 (2026)
- Taqwin Taqwin, Amsal Amsal, Siti Hadijah Batjo, Siti Radhiah, Kadar Ramadhan, Dwi Erma Kusumawati, Fahmi Hafid, Enti Hariadha, Faiz Ahmed, Kaveesha Raju, Uncovering Determinant of Anaemia Among Adolescent Girls , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 3 (2023): November
- Linda, Idramsyah, Wisuda Andeka Marleni, The Impact of Spiritual Emotional Freedom Technique (SEFT) on Adolescent Nicotine Dependence: A Quasi-Experimental Study , Poltekita: Jurnal Ilmu Kesehatan: Vol. 19 No. 3 (2025)
- Dewi Andariya Ningsih, Nani Yunarsih, Innama Sakinah, Liana Devi Oktavia, Application of Rolling and Areola Massage Using Jitu Oil with Murottal Al Qur'an Relaxation for Smooth Exclusive Breastfeeding , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 4 (2024): February
- Henrick Sampeanggin, Yulianus Gandeng, Heru Supriyatno, Provision of Peanuts as Additional Food in Stunting Prevention for Pregnant Women During the COVID-19 Pandemic: A Systematic Review , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 4 (2024): February
- Rizkiati Nurdin, Saidah Syamsuddin, Yusring Sanusi Baso, Andi Wardihan Sinrang, Werna Nontji, Deviana Soraya Riu, Effect of E-WoHealth on Perceived Body Image, Self Confidence, and Body Mass Index (BMI) among Female Adolescents , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 2 (2023): August
- Fitriani Fitriani, Rondhianto Rondhianto, Ketut Ima Ismara, Determinant Analysis of Hand Hygiene Compliance and Its Relation to HAIs in Hospitals: Systematic Literature Review , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 4 (2024): February
- Sumiaty Sumiaty, Muhammad Nur Ali, Hasan Muhamad, Socio-Cultural Norms and Compliance with Cervical Cancer Screening: A Phenomenological Study among High-Risk Women , Poltekita: Jurnal Ilmu Kesehatan: Vol. 19 No. 3 (2025)
You may also start an advanced similarity search for this article.



