تأثیر مراقبت دوره پس از زایمان در منزل بر سلامت مادران

نوع مقاله: اصیل پژوهشی

نویسندگان

کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

10.22038/ijogi.2020.16289

چکیده

مقدمه: ارائه خدمات پس از زایمان، از مهم‌ترین عوامل پیشگیری پیامدهای ناخواسته مادری می‌باشد. مطالعه حاضر با هدف تعیین تأثیر مراقبت دوره پس از زایمان در منزل بر سلامت مادر انجام شد.
روش‌کار: مطالعه کارآزمایی بالینی در سال 1394 بر روی 62 مادر در مرحله پس از زایمان در  اصفهان انجام شد. افراد به‌طور تصادفی در دو گروه آزمون و کنترل قرار گرفتند. داده­ها با استفاده از پرسشنامه محقق ساخته در ویزیت­های سه‌گانه دوران پست‌پارتومجمع‌آوری شد. هر نوبت مداخله در منزل، مراقبتهای پس از زایمان طبق پروتکل کشوری ارائه شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) و آزمون­های تی مستقل، دقیق فیشر، کای اسکوئر و من‌ویتنی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: پس از مداخله تفاوت آماری معنی‌داری در ارتباط با عفونت (029/0=p) و درد و تورم در محل بخیه­ها (021/0=p) و جود درد در قسمت شکم، بخیه، ساق ، پستان، دندان (026/0=p) در دو گروه آزمون و کنترل مشاهده شد، لذا در گروه آزمون به‌طور معناداری شرایط بهتر از گروه کنترل بود. همچنین میانگین نمره آگاهی از الگوی صحیح شیردهی (02/0=p) و رضایت‌مندی از نحوه عملکرد تیم مراقبت (001/0>p) در گروه آزمون به‌طور معناداری بیشتر از گروه کنترل بود.
نتیجه‌گیری: ارائه خدمات مراقبت پس از زایمان در منزل موجب افزایش سلامت مادران در جهت کاهش مواردی از قبیل درد شکم، پهلو، ساق و ران، پستان، دندان و مشکلات محل اپی‌زیاتومی شد. این مداخله موجب بهبود فرآیند شیردهی و افزایش رضایت‌مندی آنها شد.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of postpartum home care on mothers’ health

نویسندگان [English]

  • Zahra Baghersad
  • Fatemeh Mokhtari
  • Parvin Bahadoran
M.Sc. of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Introduction: Providing postpartum services is one of the most important factors in prevention of adverse maternal outcomes. This study was performed with aim to evaluate the effect of postpartum home care on mothers’ health.
Methods: This clinical trial study was conducted on 62 mothers in the postpartum stage in Isfahan in 2015. Mothers were randomly assigned to the experimental and control groups. Data were collected using a researcher-made questionnaire in triple visits of the post-partum period. Each intervention session at home, was provided according to the national protocol. Data was analyzed by SPSS software (version 18) and independent t‑test, Fisher's Exact, Chi‑square and Mann-Whitney tests. P<0.05 was considered statistically significant.
Results: After the intervention, there was a statistically significant difference between experimental and control groups in terms of infection (p = 0.029) and pain and swelling at the suture site (p = 0.021) and feeling pain in the abdomen, thighs, breasts, teeth (p = 0.026). Therefore, the conditions were significantly better in the experimental group than the control group. Also, the mean score of knowledge of the correct pattern of breastfeeding (p = 0.02) and satisfaction with the performance of the health care team (p <0.001) was significantly higher in the experimental group than the control group.
Conclusion: Providing postpartum home care services has increased maternal health, such as reducing abdominal, side, leg, thigh, breast and tooth pain, and episiotomy problems. This intervention improved the breastfeeding process and increased maternal satisfaction.

کلیدواژه‌ها [English]

  • Home care
  • Maternal health
  • Postpartum
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