Determining the Severity of Physical Symptoms Displayed and Their Level of Perceived Readiness for Discharge After Birth
Determining the Severity of Physical Symptoms Displayed by Mothers Receiving Personalized Care and Their Level of Perceived Readiness for Discharge After Birth
H1a: There is a difference between the severity of physical symptoms displayed by puerperal women who received routine and personalized care during the early postpartum period.
H1b: There is a difference between the levels of readiness for discharge among puerperal women who received routine and personalized care during the early postpartum period.
H0a: There is no difference between the severity of physical symptoms displayed by puerperal women who received routine and personalized care during the early postpartum period.
H0b: There is no difference between the levels of readiness for discharge among puerperal women who received routine and personalized care during the early postpartum period.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
This single-blind randomized controlled trial was conducted between the February and December of 2019. The study was carried out at tertiary care hospital in Turkey. The population of this study consisted of the puerperal women who performed vaginal birth at the maternity unit of a hospital.
Considering the possibility that participants of the sample might be lost or abandon the study, 120 mothers who met the criteria of inclusion to experimental (E) (n=60) and control (C) (n=60) groups were included and assigned to both groups using the permuted block randomization method.The investigators randomly allocated the participants either to the intervention group (which received the personalized care), or to control group (which received the routine care). The mothers in the experimental group (60) were administered personalized care while those in the control group (60) were given the routine care.
The pre-test procedure was performed when the mothers' statuses were stabilized one hour after the admittance to the maternity service. The post-test procedure was conducted one hour before the discharge. Routine care was provided to the mothers in both groups. Routine care means the standard care service provided to mothers following the birth. The standard postpartum basic care components were determined based on the guides and protocols of the hospital. There are three core components of postpartum care regarding the routine care service.
The data were collected using the ''Personal Information Form'', ''Postpartum Physical Symptom Severity Scale'' and ''Perceived Readiness for Discharge After Birth Scale-Form for New Mothers (PRDABS-FNM)''.
Statistical analyses were performed using IBM SPSS (Statistical Package for Social Sciences) Statistics 22 software. Descriptive statistics (mean, standard deviation, frequency and percentage values) were used to assess the results. Kolmogorov-Smirnov test was used to review the goodness of fit to normal distribution.
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
-
-
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Kutahya, Kalkon, 43000
- Kutahya Health Science University
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-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- To receive personalized care
- To have vaginal birth
- To have singleton birth
- To be within the early postpartum period (the first 24 hours)
- Not have complications childbirth
- Not have chronic diseases or mental disorders
- Older than 18 years
- To voluntary to participate
- To know how to read, write and speak in Turkish
- To stay within this study until the end
- To fully complete questionnaire
- To have a newborn with no complications
- To have a healthy baby
Exclusion Criteria:
- To receive routine care
- To received theoretical training,
- Not have vaginal birth
- Having multiple birth
- Not to be within the early postpartum period (the first 24 hours)
- Having complications childbirth
- Having chronic diseases or mental disorders
- Younger than 18 years
- To refuse to participate
- Not knowing how to read, write and speak Turkish
- To leave early this study
- Not fill the questionnaire
- Having a newborn with complications
- Having a baby in need of medical care
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Stödjande vård
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Experimental Group
The mothers in the experimental group (60) were administered.
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A clinical and standardized workflow was created for both experimental and control groups.
This standardized workflow: consisted of services which included the management of basic medications, routine care regarding the postpartum period, newborn care and health education.
After the standardized clinic workflow was formed, a personalized care plan was developed for the experimental group.
Each care procedure was shared with the participants in the experimental group.
Moreover, all potential alternative care plans were presented to the participants.
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Inget ingripande: Control Group
The mothers in the control group (60) were given the routine care.
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Pre- Test Severity of Physical Symptoms
Tidsram: 1 hour after the admittance to the maternity service
|
Postpartum Physical Symptom Severity Scale; this 4-point Likert scale has 18 items aiming to determine the physical postpartum symptoms.
The scale is scored as 0 (none), 1 (mild), 2 (moderate) and 3 (severe).
The scale assesses the physical symptoms, such as perineum pain, insomnia, constipation, backpain, headache, hemorrhoid, arthralgia, numbness in hands and feet, vaginal discharge and infection, vaginal bleeding, urinary tract infections, dizziness, varicose vein in legs, urinary incontinence, feeling cold abnormally or coldness in hands and feet, and it evaluates the severity of these symptoms.
The total scale score varies between 0 and 54.
An increase in the score obtained from the scale indicates high severity of physical postpartum symptoms.
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1 hour after the admittance to the maternity service
|
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Pre-Test Readiness for Discharge After Birth
Tidsram: 1 hour after the admittance to the maternity service
|
Perceived Readiness for Discharge After Birth Scale-Form for New Mothers (PRDABS-FNM); This is a scale assessing the readiness for discharge by mothers' perceptions.
It consists of four subdimensions and 23 items.
The first item is answered dichotomously (yes/no).
The items between 2 and 23 are calculated through the Likert type points ranging from 0 to 10.
The subdimensions consisted of 1. Care skills, 2. Expected support; 3. Strength and ability to cope; 4. Stress control and knowledge of accessing help.
The lowest and highest scores are 0 and 220.
High scores indicate women's readiness for discharge.
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1 hour after the admittance to the maternity service
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Post-Test Severity of Physical Symptoms
Tidsram: 1 hour before the discharge
|
Postpartum Physical Symptom Severity Scale; this 4-point Likert scale has 18 items aiming to determine the physical postpartum symptoms.
The scale is scored as 0 (none), 1 (mild), 2 (moderate) and 3 (severe).
The scale assesses the physical symptoms, such as perineum pain, insomnia, constipation, backpain, headache, hemorrhoid, arthralgia, numbness in hands and feet, vaginal discharge and infection, vaginal bleeding, urinary tract infections, dizziness, varicose vein in legs, urinary incontinence, feeling cold abnormally or coldness in hands and feet, and it evaluates the severity of these symptoms.
The total scale score varies between 0 and 54.
An increase in the score obtained from the scale indicates high severity of physical postpartum symptoms.
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1 hour before the discharge
|
|
Post-Test Severity of Physical Symptoms
Tidsram: 1 hour before the discharge
|
Perceived Readiness for Discharge After Birth Scale-Form for New Mothers (PRDABS-FNM); This is a scale assessing the readiness for discharge by mothers' perceptions.
It consists of four subdimensions and 23 items.
The first item is answered dichotomously (yes/no).
The items between 2 and 23 are calculated through the Likert type points ranging from 0 to 10.
The subdimensions consisted of 1. Care skills, 2. Expected support; 3. Strength and ability to cope; 4. Stress control and knowledge of accessing help.
The lowest and highest scores are 0 and 220.
High scores indicate women's readiness for discharge.
|
1 hour before the discharge
|
Samarbetspartners och utredare
Sponsor
Utredare
- Huvudutredare: Aysegul Durmaz, KSBU
Publikationer och användbara länkar
Allmänna publikationer
- Durmaz A, Komurcu N. Relationship Between Maternal Characteristics and Postpartum Hemorrhage: A Meta-Analysis Study. J Nurs Res. 2018 Oct;26(5):362-372. doi: 10.1097/jnr.0000000000000245.
- Ceylan B, Eser I. Assessment of individualized nursing care in hospitalized patients in a university hospital in Turkey. J Nurs Manag. 2016 Oct;24(7):954-961. doi: 10.1111/jonm.12400. Epub 2016 Jun 14.
- Chien LY, Tai CJ, Hwang FM, Huang CM. Postpartum physical symptoms and depressive symptomatology at 1 month and 1 year after delivery: a longitudinal questionnaire survey. Int J Nurs Stud. 2009 Sep;46(9):1201-8. doi: 10.1016/j.ijnurstu.2009.02.007. Epub 2009 Mar 10.
- Finlayson K, Crossland N, Bonet M, Downe S. What matters to women in the postnatal period: A meta-synthesis of qualitative studies. PLoS One. 2020 Apr 22;15(4):e0231415. doi: 10.1371/journal.pone.0231415. eCollection 2020.
- Forster DA, McLachlan HL, Davey MA, Biro MA, Farrell T, Gold L, Flood M, Shafiei T, Waldenstrom U. Continuity of care by a primary midwife (caseload midwifery) increases women's satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial. BMC Pregnancy Childbirth. 2016 Feb 3;16:28. doi: 10.1186/s12884-016-0798-y.
- Jansson I, Pilhamar E, Forsberg A. Factors and conditions that have an impact in relation to the successful implementation and maintenance of individual care plans. Worldviews Evid Based Nurs. 2011 Jun;8(2):66-75. doi: 10.1111/j.1741-6787.2010.00195.x. Epub 2010 Jun 29.
- Johansson M, Thies-Lagergren L, Wells MB. Mothers experiences in relation to a new Swedish postnatal home-based model of midwifery care-A cross-sectional study. Midwifery. 2019 Nov;78:140-149. doi: 10.1016/j.midw.2019.07.010. Epub 2019 Jul 15.
- Knier S, Stichler JF, Ferber L, Catterall K. Patients' perceptions of the quality of discharge teaching and readiness for discharge. Rehabil Nurs. 2015 Jan-Feb;40(1):30-9. doi: 10.1002/rnj.164. Epub 2014 Jun 24.
- McCarter-Spaulding D, Shea S. Effectiveness of Discharge Education on Postpartum Depression. MCN Am J Matern Child Nurs. 2016 May-Jun;41(3):168-72. doi: 10.1097/NMC.0000000000000236.
- ACOG Committee Opinion No. 736: Optimizing Postpartum Care. Obstet Gynecol. 2018 May;131(5):e140-e150. doi: 10.1097/AOG.0000000000002633.
- Nurhayati N, Songwathana P, Vachprasit R. Surgical patients' experiences of readiness for hospital discharge and perceived quality of discharge teaching in acute care hospitals. J Clin Nurs. 2019 May;28(9-10):1728-1736. doi: 10.1111/jocn.14764. Epub 2019 Feb 6.
- Poochikian-Sarkissian S, Sidani S, Ferguson-Pare M, Doran D. Examining the relationship between patient-centred care and outcomes. Can J Neurosci Nurs. 2010;32(4):14-21.
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