The Effect of Pecha-Kucha Method on the Discharge Readiness and Anxiety Levels: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 140
- 试验地点
- 1
- 主要终点
- Pre-Test Anxiety Level
研究概览
简要总结
H1a: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is a statistically significant difference in the discharge readiness levels.
H1b: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is a statistically significant difference in the anxiety levels.
H0a: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is no statistically significant difference in the discharge readiness levels.
H0b: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is no statistically significant difference in the anxiety levels.
详细描述
The research was conducted as a single-blind controlled study with simple random sampling. It was carried out at a tertiary-level hospital in Turkey in February-August 2019.
The research population was composed of the mothers who had cesarean delivery at the maternity service of a tertiary-level hospital in Turkey. The size of the research sample was calculated with power analysis. Considering the likelihood that some participants would later be excluded from the research or leave it, a total of 156 mothers who met the inclusion criteria for the research were assigned to the experimental group (78) and control group (78).
Both the experimental and control groups each had 78 mothers, and hence, a total of 156 mothers were included in the study. The postpartum discharge training in which the PechaKucha method was applied via the smartphones was offered to the mothers in the experimental group whereas the mothers in the control group had solely the routine discharge training. The research was completed with the participation of 140 mothers, namely, 70 mothers in the experimental group and 70 mothers in the control group. The discharge training which was comprised of 20 slides created as per the PechaKucha method was offered to the mothers in the experimental group via smartphones. Each slide was displayed for 20 seconds. The presentation took 6 minutes 40 seconds in total. The Q&A session was performed after the presentation. While care was provided and the follow-up activities were performed in the process following the discharge training, feedback about the discharge training topics was received from both groups, discharge training topics were reminded to both groups and the questions of the mothers in both groups were answered.
The 'Personal Information Form', the 'Readiness for Hospital Discharge Scale - New Mother Form', and the 'State-Trait Anxiety Inventory' were used for gathering the research data.
In the statistical analysis, the SPSS (Statistical Package for Social Science) 22.0 software was utilized. Descriptive statistics (mean, standard deviation, frequency, percentage) were used in the evaluation of the findings. Kolmogorov-Smirnov test was employed for identifying whether the research data were normally distributed.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
盲法说明
Participants didn't know which group they were allocated. The participants will be blind when they take postpartum discharge training with PechaKucha method from investigators.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •To receive postpartum discharge training with PechaKucha method
- •To have cesarean birth
- •To have singleton birth
- •To be within the early postpartum period (the first 48 hours)
- •Not have complications at childbirth
- •Not have chronic diseases or mental disorders
- •Older than 18 years
- •To voluntary to participate
- •To know how to read, write and speak in Turkish
- •To stay within this study until the end
- •To fully complete questionnaire
- •To have a newborn with no complications
- •To have a healthy baby
排除标准
- •To receive routine postpartum discharge training
- •Not have cesarean birth
- •Having multiple birth
- •Not to be within the early postpartum period (the first 48 hours)
- •Having complications at childbirth
- •Having chronic diseases or mental disorders
- •Younger than 18 years
- •To refuse to participate
- •Not knowing how to read, write and speak Turkish
- •To leave early this study
- •Not fill the questionnaire
- •Having a newborn with complications
- •Having a baby in need of medical care
研究组 & 干预措施
Control Group
The mothers in the control group (70) were given the routine postpartum discharge education.
Experimental Group
The mothers in the experimental group (70) were given the postpartum discharge education with PechaKucha Method.
干预措施: The postpartum discharge education with PechaKucha Method. (Behavioral)
结局指标
主要结局
Pre-Test Anxiety Level
时间窗: the pretest was applied in the first 8-12 hours in the postpartum period.
State-Trait Anxiety Inventory (STAI): The scale which was developed in 1970 by Spielberger, Gorsuch, and Lushene is comprised of two parts for measuring state anxiety and trait anxiety. Each part has 20 items. The STAI-State is scored as per the severity level of the emotions and behaviors (1: Not at all, 2: Somewhat, 3: Moderately so, and 4: Very much so). In the STAI-State, there are ten reverse-scored items (Items 1, 2, 5, 8, 10, 11, 15, 16, 19, and 20). The items of the STAI-Trait are scored as per the expression frequency of the emotions and behaviors (1: Almost never, 2: Sometimes, 3: Often, and 4: Almost always). In the STAI-Trait, there are seven reverse-scored items (Items 21, 26, 27, 30, 33, 36, and 39). In the scoring, two separate keys are prepared for identifying the total weighted values of the straight-scored and reverse-scored items. These constant values are 50 and 35 respectively for the STAI-State and STAI-Trait.
Pre-Test Readiness for Postpartum Discharge
时间窗: the pretest was applied in the first 8-12 hours in the postpartum period.
Perceived Readiness for Discharge After Birth Scale-Form for New Mothers (PRDABS-FNM); This is a scale assessing the readiness for discharge by mothers' perceptions. It consists of four subdimensions and 23 items. The first item is answered dichotomously (yes/no). The items between 2 and 23 are calculated through the Likert type points ranging from 0 to 10. The subdimensions consisted of 1. Care skills, 2. Expected support; 3. Strength and ability to cope; 4. Stress control and knowledge of accessing help. The lowest and highest scores are 0 and 220. High scores indicate women's readiness for discharge.
次要结局
- Post-Test Readiness for Postpartum Discharge(the post-test was applied in the first 36-40 hours in the postpartum period.)
- Post-Test Anxiety Level(the post-test was applied in the first 36-40 hours in the postpartum period.)
研究者
Aysegul Durmaz
Asst. Prof.
Kutahya Health Sciences University