Determining the Severity of Physical Symptoms Displayed and Their Level of Perceived Readiness for Discharge After Birth

NCT04656756 | Completed

• 1 other identifier: Personalized Phy. Symp. Disc.
• Study Type: interventional
• Target: 113
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Physical Suffering; Post Procedural Discharge

Keywords

Personalized care; Routine care; Postpartum care; Physical symptom; Discharge

Outcome Measures

Primary Outcomes (2)

• Pre- Test Severity of Physical Symptoms

  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.

  1 hour after the admittance to the maternity service

• Pre-Test Readiness for Discharge After Birth

  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 after the admittance to the maternity service

Secondary Outcomes (2)

• Post-Test Severity of Physical Symptoms

  1 hour before the discharge

• Post-Test Severity of Physical Symptoms

  1 hour before the discharge

Study Arms (2)

Experimental Group

EXPERIMENTAL

The mothers in the experimental group (60) were administered.

Behavioral: Personalized Care

Control Group

NO INTERVENTION

The mothers in the control group (60) were given the routine care.

Interventions

Personalized Care BEHAVIORAL

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.

Experimental Group

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Aysegul Durmaz: lead

Study Sites (1)

Kutahya Health Science University

Kütahya, 43000, Turkey (Türkiye)

Location

Related Publications (12)

• 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.

  PMID: 29219937 BACKGROUND

• 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.

  PMID: 27297976 RESULT

• 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.

  PMID: 19278680 RESULT

• 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.

  PMID: 32320424 RESULT

• 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.

  PMID: 26841782 RESULT

• 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.

  PMID: 20604910 RESULT

• 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.

  PMID: 31446229 RESULT

• 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.

  PMID: 24962625 RESULT

• 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.

  PMID: 27128643 RESULT

• ACOG Committee Opinion No. 736: Optimizing Postpartum Care. Obstet Gynecol. 2018 May;131(5):e140-e150. doi: 10.1097/AOG.0000000000002633.

  PMID: 29683911 RESULT

• 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.

  PMID: 30589480 RESULT

• 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.

  PMID: 21268489 RESULT

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Aysegul Durmaz

  KSBU

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants didn't know which group they were allocated. The participants will be blind when they take personalized care from investigators.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Asst. Prof.

Model Details: The study was conducted as a single blind, prospective, and simple randomized controlled trial. The sample was calculated through Power analysis. Consequently, the sample size calculated for α:0.05 and 1-β= 0.95 was 48.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 size and number of blocks divided into two groups as E and C was calculated as 20 (3E and 3C) with six mothers in each block. Using Microsoft Office Excel 2013, numbers ranging from 1 to 20 were randomly generated.A total of 120 mothers were evenly and homogeneously assigned to both groups.

Study Record Dates

• First Submitted: November 29, 2020
• First Posted: December 7, 2020
• Study Start: February 1, 2019
• Primary Completion: July 1, 2019
• Study Completion: December 1, 2019
• Last Updated: December 7, 2020

Record last verified: 2020-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR
• Time Frame: Starting 6 months after publication
• Access Criteria: If study' IPD are used, my article should be cited.

Locations

TU (1)