The Model Development of Self-care Promotion for Preterm Labor Prevention at the Antenatal Care in Phon Phisai Hospital, Nong Khai

Abstract

This research is Action Research. The objectives of this research are 1) to study the situation, 2) to develop the model, 3) to evaluate the model develop- ment. The population was 9 persons staff of ANC clinic. and 33 persons of pregnant women at risk of preterm labor by purposive sampling. The research was conducted from October 2021 to August 2022. The research was divided into 3 phases: Phase 1: situation study; Phase 2: development Model and Phase 3: Model Evaluation. The research tools consisted of format service models and self-care record format of a pregnant woman "Let's Prevent preterm labor". Research tools included group discussion form, in-depth interview form, the knowledge and attitude test, satisfaction survey purposive sampling and a satisfaction assessment form Quantitative data were analyzed by frequency, percentage, mean, and standard deviation. and compared knowledge with attitude scores used Paired t-test to analyze the data. qualitative with content analysis, interpretation and conclusion The results of the study revealed problems such as the self-care system for pregnant women was not clear. and pregnant women still lack knowledge and self-care guidelines preterm labor the findings to develop a service model. From the experimental a service model, it was found that the mean of knowledge with attitude of the sample increased signifcantly statistically. (p-value<0.001) Satisfaction with the system of service models was at a good level in all aspects. and decreased preterm labor. Which passed the indicator criteria of the Ministry of Public Health at 7.00 percent. Therefore, the developed model should be adapted in the antenatal clinic for prevent preterm labor risk and be able to properly self-care for themselves at home.