基于反馈教学法的自我护理计划对产后生活质量的影响。
The effect of a self-care program based on the teach back method on the postpartum quality of life.
作者信息
Ghiasvand Fatemeh, Riazi Hedyeh, Hajian Sepideh, Kazemi Elahe, Firoozi Armin
机构信息
Student Research Committee, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ph.D., Assistant Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Electron Physician. 2017 Apr 25;9(4):4180-4189. doi: 10.19082/4180. eCollection 2017 Apr.
BACKGROUND
The postpartum period is a critical stage of life with major changes in the quality of life. Therefore, special consideration is needed to this issue.
OBJECTIVE
To determine the effect of a self-care program based on the Teach Back method on the postpartum quality of life.
METHODS
This experimental study was conducted on eighty postpartum women who had given birth in health centers across Darreh Shahr County, Ilam Province, Iran in 2016. The control group received only routine postpartum care according to the national guidelines. The trial group received the routine care in addition to two sessions of physical and psychological postpartum self-care based on the Teach Back method. The two groups were assessed in terms of their quality of life before and after the intervention using the Postpartum Quality of Life Questionnaire. The data were analyzed using SPSS version 21. Descriptive statistic tests, Chi squared, independent-samples t-test, paired-samples t-test, Wilcoxon and Mann Whitney's test was used.
RESULTS
Before the intervention, the postpartum quality of life score was 106.23±11.866 in the trial group and 107.30±13.197 in the control group; after the intervention, the score was 124.73±10.706 and 115.03±12.687 in the two groups respectively, suggesting a significant inter-group difference after the intervention (p<0.001). Significant differences were also observed between the two groups in terms of the mother's feelings toward herself, toward her child and toward her spouse and others, and physical health before and after the intervention (p<0.001).
CONCLUSIONS
Using the Teach Back model for a self-care program appears to dramatically improve the postpartum quality of life and is therefore recommended as a useful method for postpartum care.
TRIAL REGISTRATION
The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the Irct ID: IRCT2015012820854N1.
FUNDING
The authors received no financial support for the research, authorship, and/or publication of this article.
背景
产后时期是生活中的一个关键阶段，生活质量会发生重大变化。因此，需要对这个问题给予特别关注。
目的
确定基于反馈教学法的自我护理计划对产后生活质量的影响。
方法
本实验研究针对2016年在伊朗伊拉姆省达雷沙赫尔县各保健中心分娩的80名产后妇女进行。对照组仅根据国家指南接受常规产后护理。试验组除接受常规护理外，还接受了基于反馈教学法的两期产后身心自我护理。使用产后生活质量问卷对两组在干预前后的生活质量进行评估。数据采用SPSS 21版进行分析。使用描述性统计检验、卡方检验、独立样本t检验、配对样本t检验、威尔科克森检验和曼-惠特尼检验。
结果
干预前，试验组产后生活质量评分为106.23±11.866，对照组为107.30±13.197；干预后，两组评分分别为124.73±10.706和115.03±12.687，表明干预后组间差异显著（p<0.001）。两组在干预前后母亲对自己、对孩子、对配偶及他人的感受以及身体健康方面也存在显著差异（p<0.001）。
结论
将反馈教学模式用于自我护理计划似乎能显著提高产后生活质量，因此推荐作为产后护理的一种有效方法。
试验注册
该试验在伊朗临床试验注册中心（http://www.irct.ir）注册，注册号为：IRCT2015012820854N1。
资金
作者未获得该研究、撰写和/或发表本文的资金支持。
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