Development of a pain management model for women during the first stage of labor
Keywords:
pain management model, action research, first stage of LaborAbstract
The purpose of this action research was to develop a pain management model for women during the first stage of labor. The study applied Kemmis & Mc Taggart’s Theory with 4 steps: 1) planning 2) intervention 3) observation and collecting data 4) evaluation. The study conducted 2 cycles of these 4 steps. Participants were 14 nurses working at delivery room and 260 pregnant women with gestational age of 37 weeks or over who visited the antenatal care unit and received care during labor at Khon Kaen Hospital from February to October 2019. Research instruments included: 1) a pain behavior and management questionnaire 2) a satisfaction questionnaire for nurses, and 3) a satisfaction questionnaire for patients. After content validity of instruments was verified by 5 experts, data collection and evaluation were conducted by nurses. Pain behavior and management during first stage of delivery as well as satisfaction of labor women were assessed 2 hours after delivery. Data were analyzed using descriptive statistics.
Results: The pain management model consisted of: 1) teaching and skill practice of pain management for pregnant women of 37 weeks or over at antenatal unit, and 2) implementation of labor nurses and practice of labor women in pain management while entering the first stage of labor. Most of Labor women participants can cope with pain properly (97.3%) and satisfied towards the pain management model at the highest level (95%). All nurses could implement the developed model. Nurse satisfaction towards the model as follows: 1) making good relationship between nurses and labor women (95.7 %), 2) giving benefits for labor women (95.7%), 3) user-friendly (91.4 %). Nurses satisfied with utilization of the pain management model of labor women. This model can reduce prolong labor and can be applied in other hospitals with similar contexts
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