The development of maternity nursing care system to prevention and care postpartum hemorrhage in Pathumthani Province
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Abstract
Background: Postpartum hemorrhage (PPH) is a common complication that is a major cause of maternal mortality across the world.
Objective: To develop the maternity nursing care system to prevent postpartum hemorrhage.
Methods: This research and development study included 3 phases: 1) situation analysis,
2) development of a maternal care system and 3) evaluation of outcomes in the sample of purposively selected 65 obstetrics health care workers and 1,221 women in childbirth. Research tools included 1) risk assessment guide to prevent postpartum hemorrhage 2) nursing care guideline for patients with postpartum hemorrhage 3) referral guide for critical maternal delivery cases 4) clinical supervision guideline. Data collection instruments were 1) questionnaire
2) competency assessment 3) competency observation 4) supervision satisfaction questionnaire 5) system development questionnaire. Data were analyzed using descriptive statistics and paired samples t-test, and qualitative data were analyzed using content analysis.
Result: After the introduction of the maternity nursing system, the level of knowledge and skills improved significantly (p <.01), and situational competence was 83.33 percent. Satisfaction after nursing supervision showed a high satisfaction level (M=3.81, SD=0.32), and PPH patient satisfaction rating of 4.80 (SD=0.43). While PPH complications such as hypovolemic shock and hysterectomy decreased.
Conclusions: Prevention and care of Postpartum Hemorrhage using nursing practice guidelines and clinical supervision increases confidence and decreases the incidence of complications.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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