Wagner Debra L, Bear Mary, Davidson Nangela S
University of North Florida, USA.
Res Theory Nurs Pract. 2011;25(3):176-90. doi: 10.1891/1541-6577.25.3.176.
The purpose of this study was to determine the relationship between new mothers' interaction with nurses using different teaching methods to provide postpartum discharge teaching and their satisfaction with nursing care. Cox's Interaction Model of Client Health Behavior (IMCHB) provided the framework for this study. This study used a quasi-experimental posttest design with two groups to examine patient satisfaction with different teaching methods used by nurses to provide postpartum education. The Modified Client Satisfaction Tool measured satisfaction with discharge teaching. Data were analyzed with descriptive statistics, chi-square, Kendall's tau, and Mann-Whitney U tests. The data showed high satisfaction scores for new mothers receiving both methods of discharge teaching, indicating that new mothers who received the traditional method of discharge instruction provided by nurses were just as satisfied as those who received the demonstration/return demonstration method of discharge instructions provided by nurses. Providing individualized care, based on the expressed needs of the patient, was demonstrated in this study to result in high satisfaction with nursing care using both methods of providing postpartum discharge teaching.
本研究的目的是确定初为人母者在接受护士采用不同教学方法进行产后出院指导时与护士的互动情况,以及她们对护理服务的满意度。考克斯患者健康行为互动模型(IMCHB)为本研究提供了框架。本研究采用两组准实验后测设计,以检验患者对护士采用不同教学方法进行产后教育的满意度。改良的患者满意度工具用于测量对出院指导的满意度。数据采用描述性统计、卡方检验、肯德尔秩相关检验和曼-惠特尼U检验进行分析。数据显示,接受两种出院指导方法的初为人母者满意度得分都很高,这表明接受护士传统出院指导方法的初为人母者与接受护士示范/回示出院指导方法的初为人母者同样满意。本研究表明,根据患者表达的需求提供个性化护理,采用两种产后出院指导方法都会使患者对护理服务高度满意。