Development of a Nursing Care Model for Pregnant Women with Premature Labor
Keywords:
Prematurel Labor Pain, Nursing Care, Pregnant Women, Framework of ServicesAbstract
The aims of this research and development were to develop a nursing care model for pregnant women with premature labor, following the framework for quality of care for laboring women, and determine the effectiveness of this model. Research process was divided in 3 steps. First step was situation analysis. Second step was to develop a model. A draft of model was sent to five experts, then a pilot study was conducted with 15 pregnant women with premature labor pain. Third and final step was model testing with quasi experimental design. Sample were 91 pregnant women with premature labor pain. Research instrument was a nursing care model for pregnant women with premature labor following the framework for quality of care for laboring women. Data were collected by using demographic sheet, labor and delivery information sheet, and self-care behaviors questionnaire for which Cronbach’s alpha coefficient was 0.77. Data were analyzed by descriptive statistic, one sample t-test and chi-square test.
New nursing care model for pregnant women with premature labor pain consisted in nursing care and nursing procedure at the room for check-in, the room for nursing care and follow up after discharge. Nurses used this model at 100%.
Results showed as following. Self-care behaviors mean score were at moderate level (M = 3.32, SD = 0.27). Medical diagnosis duration at check-in were less statistically significant than the target at p<.001 (t=8.09, df = 90). Duration for receiving medicine were more statistically significant than the target at p<.05 (t=2.15, d f= 76). Regarding to the extended date of pregnancy was found to be more statistically significant than the target at p<.001 (t=10.07, df=90).
In summary, this model is effective in shortening the time for check-in and in extending the length of pregnancy. However, time for medical treatment is still long. Therefore, the development of this model should be done in collaboration with inter-professional practitioners.
References
AGREE Next Steps Consortium. (2009). The AGREE II Instrument [Electronic version]. Retrieved May 1, 2020, from http://www.agreetrust.org.
Buranabenjasathian, S. (2017). Effective of Preterm Labour Care Process in Maechan Hospital. Chiangrai Medical Journal, 9(2), 41-52. (in Thai).
Bureau of Nursing, Office of Permanent Secretary, Ministry of Public Health. (2011). Nursing Quality Assurance: Quality Assurance of Maternity Nursing Care. Bangkok. Samchareon Phanich (Bangkok) Co., LTD. (in Thai).
Choijorhorm, R., Serisathien, Y., Ratinthorn, A., & Kovavisarach, E. (2019). The Effects of Nursing Therapeutics on Preventive Management of Preterm Labour, Readmission and Gestational Age at Birth in Pregnant Women with Preterm Labor. Journal of Nursing Science, 27(2), 39-48. (in Thai).
Leenhapongsatron, W., & Juntatip, P. (2016). Development of Nursing Practice Guideline for Pregnant Women with Preterm Labour by Evidence Practice in Labour Room at Kingnarai Hospital. Journal of Nursing Division, 43(3Suppl), 46-62. (in Thai).
Maneechot, K., & Nangkala, N. (2017). The Development of Care Model for Pregnant in Labor Pain with Preterm Labor at Maharaj Nakhon Si Thammarat Hospital. Journal of Nursing Division, 44(2): 7-25. (in Thai).
Maternal and Child Health Board 2013-2015. (2015). RTCOG Clinical Practice Guideline: The Management of Preterm Labour and Preterm Premature Rupture of Membranes. Retrieved April 04, 2020 from http://www.rtcog.or.th/home/wp-content/uploads/2017/04/OB_014.pdf. (in Thai).
Medical Record Department Surin Hospital. (2020). Annually Report of Labor Unit Surin Hospital. (in Thai).
Raksatham, C., Kaiphol, T., & Khungtumneam, K. (2018). The Practiced Guideline for Continuing Care of Pregnant Women with Preterm Labor. Journal of The Royal Thai Army Nurses, 19(Supp.), 348-356. (in Thai).
Sangin, S. (2014). Nursing Care of a Mother Experiencing Preterm Labor. The Journal of Faculty of Nursing Burapha University, 22(1), 27-38. (in Thai).
Senthiri, P., Srisong, S., Pomprakai, R., & Permchat, M. (2016). Development of the Nursing Model for Pregnant Women to Prevent Preterm Labour. Journal of Nursing and Health Care, 34(2), 164-173. (in Thai).
Srisaard, B. (1994). Interpretation of Estimation Scale Data Collecting Tool. Journal of Educational Measurement Mahasarakham University, 2(1), 64-70. (in Thai).
Vibulwong, P. (2000). The Effect of Supporting Care on The Compliance of Pregnant Women with Pregnancy Induced Hypertension. A Thesis Submitted in Partial Fulfilment of the Requirement for the Master degree of Maternal and Child Nursing Faculty of Nursing, Mahidol University. (in Thai).
Waichompu, N. & Kongchauy, A. (2015). Development of a Discharge Planning Model for Pregnant Women with Preterm Labor Pain. The Southern College Network Journal of Nursing and Public Health, 2(3), 114-128. (in Thai).
Yusamran, C., Kongjira, A., Sirisomboon, R., Phimon, K., & Chalernchockcharoenkit, A. (2007). Social Support Knowledge and Self-care Ability among Pregnant Women with Premature Labour Pain. Thai Journal of Nursing Council, 22(1), 60 - 71. (in Thai).
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