Mothers with Postpartum Hemorrhage: A New Holistic Care Model from Obstetrics and Gynecology Ward of Yala Hospital
Keywords:
Holistic Care, Postpartum Hemorrhage, Obstetrics and Gynecology, Yala ProvincAbstract
This research and development aimed to: 1) study the holistic care of postpartum hemorrhage mothers, 2) establish a holistic postpartum hemorrhage care model; and 3) assess the appropriateness and feasibility of applying such new postpartum hemorrhage care model at the Obstetrics and Gynecology ward of Yala Hospital. The research was divided in 3 steps. First step was to study the holistic care of postpartum hemorrhage mothers by reviewing the postpartum hemorrhage prevalence and the current situation regarding the postnatal care of mothers. The sample was 12 professional nurses in Obstetrics and Gynecology ward at Yala Hospital. The tool used was an open-ended questionnaire. Its content validity was checked by 3 experts, obtaining a CVI between 0.67-1.00. Data were analyzed by descriptive statistics. Second step was the process of creating a new model by using the data obtained from step 1. Third step was the feasibility assessment step of the model by 8 experts. The tool used was a questionnaire on the suitability and feasibility of the model. Content validity was checked by 3 experts by determining the content validity index, getting a value between 0.67-1.00. It was analyzed by descriptive statistics such as percentage and mean. The results showed the following.
1. Guidelines for the prevention of holistic postpartum hemorrhage after 2 hours postpartum found that 75% of the guideline was not comprehensive. Almost 60 percent (58.33%) of the guideline use could prevent postpartum hemorrhage. The percentage of care to prevent postpartum hemorrhage in terms of physical dimension (P), psychological dimension (P), psychosocial dimension (P), and spiritual dimension (S) were 100, 100, 58.33, and 91.67, respectively.
2. The holistic care model for mothers with postpartum hemorrhage at Obstetrics and Gynecology ward, Yala Hospital is the PPPS Model.
3. The PPPS Model was appropriate and feasible to use at the high level.
The organization can use the PPPS Model as a guideline for designing a maternal postpartum hemorrhagic assessment for comprehensive and holistic care. It can be used as a standard care of the hospital to achieve the highest efficient care for mothers with postpartum hemorrhage.
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1. บทความหรือข้อคิดเห็นใด ๆ ที่ปรากฏในวารสารเครือข่าย วิทยาลัยพยาบาลและการสาธารณสุขภาคใต้ ที่เป็นวรรณกรรมของผู้เขียน บรรณาธิการหรือเครือข่ายวิทยาลัยพยาบาลและวิทยาลัยการสาธารณสุขภาคใต้ ไม่จำเป็นต้องเห็นด้วย
2. บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของ วารสารเครือข่ายวิทยาลัยพยาบาลและการสาธารณสุขภาคใต้
