THE EFFECTS OF WOMAN-CENTERED CARE ON VITAL SIGNS, ANXIETY AND COMFORT LEVELS: A RANDOMIZED CONTROLLED TRIAL

Öz

Objective: The aim of the study was to evaluate the effects of the woman-centered care given in the early postpartum period on vital signs, anxiety and comfort levels. Method: The study is a single-blind, randomized controlled trial. 120 women were assigned to each of the experimental and control groups by the permutation block randomization method. Woman-centered care was given to the experimental group and standard care to the control group. Descriptive statistics, Chi-square, Mann Whitney-U, Kruskal Wallis, Wilcoxon Ranks Tests were used in the analyses. A value of p<0.05 was considered significant. Results: Socio-demographic and obstetric characteristics were similar in both groups (p>0.05). There was a difference between posttest mean scores from the State, Trait Anxiety, and Postpartum Comfort Scales of the experimental and control groups (p=0.001; p=0.002; p=0.001). A difference was also identified between pretest and posttest total mean scores from the State, Trait Anxiety, and Postpartum Comfort Scales of the experimental group (p=0.001). Conclusion: In the early postpartum period, the recipients of woman-centered care were found to have lower state and trait anxiety levels and higher comfort levels compared to the recipients of standard care. It was determined that the pulse and systolic blood pressure were lower in women with low anxiety levels receiving woman-centered care.

Anahtar Kelimeler

• Postpartum
• Woman-Centered Care
• Standard Care
• Vital Signs
• Comfort
• Anxiety

KADIN MERKEZLİ BAKIMIN YAŞAM BULGULARI, KAYGI VE KONFOR DÜZEYLERİNE ETKİSİ: RANDOMİZE KONTROLLÜ ÇALIŞMA

Öz

Amaç: Araştırmada erken postpartum dönemde verilen kadın merkezli bakımın kadınların yaşam bulguları, kaygı ve konfor düzeyleri üzerine etkisinin değerlendirilmesi amaçlandı. Yöntem: Araştırma tek körlü randomize kontrollü bir çalışmadır. Deney ve kontrol gruplarının her birine permütasyon blok randomizasyon yöntemiyle 120 kadın atandı. Deney grubuna kadın merkezli bakım, kontrol grubuna standart bakım verildi. Analizlerde tanımlayıcı istatistikler, Ki-kare, Mann Whitney-U, Kruskal Wallis, Wilcoxon Ranks Testleri kullanıldı. p<0.05 değeri anlamlı kabul edildi. Bulgular: Sosyo-demografik ve obstetrik özellikler açısından iki grupta benzerdi (p>0.05). Deney ve kontrol grubunun Durumluk, Sürekli Kaygı ve Postpartum Konfor Ölçeği son test puan ortalamaları arasında fark saptandı (p=0.001; p=0.002; p=0.001). Deney grubunun Durumluk, Sürekli Kaygı ve Postpartum Konfor Ölçeği ön testleri ile son testlerinin toplam puan ortalamaları arasında fark bulundu (p=0.001). Sonuç: Erken postpartum dönemde kadın merkezli bakım alanların standart bakım alanlara göre durumluluk ve sürekli kaygı düzeylerinin daha düşük, konfor düzeylerinin ise daha yüksek olduğu saptandı. Kaygı düzeyi düşük olan, kadın merkezli bakım alan kadınların nabız hızının ve sistolik kan basıncının daha düşük olduğu belirlendi.

Anahtar Kelimeler

• Postpartum
• Kadın Merkezli Bakım
• Standart Bakım
• Yaşam Bulguları
• Konfor
• Kaygı

Kaynakça

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