Sümeyya Betül TURAN, MSc, Midwife; Health Ministry, Beylikdüzü District Health Directorate, 34524 İstanbul, Turkey.
Department of Midwifery, Faculty of Health Sciences, Inonu University, 44280 Malatya, Turkey.
Midwifery. 2021 Dec;103:103140. doi: 10.1016/j.midw.2021.103140. Epub 2021 Sep 15.
This study was conducted to determine the effects of midwifery care provided to primiparous mothers during the postpartum period on maternal attachment and post-traumatic growth.
The study was conducted based on a quasi-experimental model with a pre-test/post-test control group. The population of the study was composed of primiparous mothers who gave birth in a public hospital located in eastern Turkey, and the sample consisted of 128 postpartum women (64 women in the control group and 64 women in the experimental group); the sample size was determined via power analysis. Midwifery care was provided to the mothers in the experimental group throughout their hospitalisation in accordance with the Postpartum Care Management Guidelines (PCMG) published by the Republic of Turkey's Ministry of Health. In addition, 3 home visits were carried out between the postpartum 2 and 5 days, 13 and 17 days and 36 and 42 days. The mothers in the control group were not subjected to any intervention. The data were collected using a personal information form, the Maternal Attachment Inventory (MAI) and the Post-traumatic Growth Inventory (PTGI). Statistical analyses were conducted using percentage distribution, arithmetic mean, standard deviation, chi-square testing, independent samples t-testing and dependent samples t-testing.
Based on the mean MAI and PTGI pre-test scores, it was determined that the mothers in the experimental and control groups were similar in terms of maternal attachment and post-traumatic growth characteristics (p>0.05). The mean MAI post-test score was 101.85±2.85 in the experimental group and 98.68±5.91 in the control group, and the difference between the groups was statistically significant (p<0.001). The mean PTGI post-test score was 86.21±20.39 in the experimental group and 79.54±22.32 in the control group, and the difference between the groups' mean scores was statistically significant (p<0.05). The mean post-test score of the PTGI Change in Philosophy of Life subscale was 19.37±6.04 in the experimental group and 16.17±6.83 in the control group, and the difference between the mean scores was statistically significant (p<0.05).
It was determined that the midwifery care provided to primiparous mothers during the postpartum period had a positive effect on levels of post-traumatic growth and maternal attachment.
本研究旨在探讨产褥期助产士对初产妇的护理对母婴依恋和创伤后成长的影响。
本研究采用准实验设计，设有前测-后测对照组。研究对象为土耳其东部某公立医院分娩的初产妇，样本由 128 名产后妇女组成（对照组 64 名，实验组 64 名）；通过功效分析确定样本量。实验组产妇按照土耳其共和国卫生部发布的《产后护理管理指南》（PCMG）在医院住院期间接受助产士护理。此外，在产后 2-5 天、13-17 天和 36-42 天进行了 3 次家访。对照组产妇未接受任何干预。使用个人信息表、母婴依恋量表（MAI）和创伤后成长量表（PTGI）收集数据。采用百分比分布、算术平均值、标准差、卡方检验、独立样本 t 检验和配对样本 t 检验进行统计分析。
根据 MA1 和 PTGI 前测得分的平均值，实验组和对照组产妇在母婴依恋和创伤后成长特征方面相似（p>0.05）。实验组 MA1 后测得分平均值为 101.85±2.85，对照组为 98.68±5.91，组间差异有统计学意义（p<0.001）。实验组 PTGI 后测得分平均值为 86.21±20.39，对照组为 79.54±22.32，组间差异有统计学意义（p<0.05）。实验组生活哲学观变化子量表 PTGI 后测得分平均值为 19.37±6.04，对照组为 16.17±6.83，组间差异有统计学意义（p<0.05）。
产褥期助产士对初产妇的护理对创伤后成长和母婴依恋水平有积极影响。
