The Effect of Nursing Care Based on Comfort Theory on Women's Postpartum Comfort Levels After Caesarean Sections

Abstract

Purpose

The aim of this study was to determine the effect of nursing care based on comfort theory on women's postpartum comfort levels after C-sections.

Methods

A quasi-experimental design was used. The sample comprised 100 women who had C-sections (50 experimental, 50 control).

Results

A total of 27 nursing diagnoses were determined. The physical (p = .000), psychospiritual (p = .249), and sociocultural (p = .001) subdimension mean scores on the Postpartum Comfort Scale were higher in the experimental group than they were in the control group. The mean total scores on the Postpartum Comfort Scale were 138.70 ± 8.79 in the experimental group and 131.06 ± 9.30 in the control group (p = .000).

Conclusion

Nursing care based on comfort theory for women having C-sections met their comfort needs and increased their postpartum comfort levels.

Practice Implications

It is recommended that nursing care outcomes be compared using different nursing models.

Amaç

Bu araştırmanın amacı, sezaryen ile doğum yapan loğusalara konfor kuramına göre verilen hemşirelik bakımının doğum sonu konfor düzeyine etkisini belirlemektir.

Yöntem

Yarı deneysel çalışma modeli kullanılmıştır. Araştırmanın örneklemini sezaryen ile doğum yapan 100 loğusa (50 deney, 50 kontrol) oluşturmuştur.

Bulgular

Toplamda 27 hemşirelik tanısı saptanmıştır. Deney grubunda yer alan loğusaların Doğum Sonu Konfor Ölçeği fiziksel (p = .000), psikospritüel (p = .249) ve sosyokültürel (p = .001) alt boyut puan ortalamalarının kontrol grubuna oranla daha yüksek olduğu belirlenmiştir. Doğum Sonu Konfor Ölçeği toplam puan ortalamasının deney grubunda 138.70 ± 8.79, kontrol grubunda 131.06 ± 9.30 olduğu tespit edilmiştir (p = .000).

Sonuç

Sezaryen ile doğum yapan loğusalara konfor kuramı doğrultusunda verilen hemşirelik bakımının konfor gereksinimlerini karşılayarak doğum sonu konfor düzeyini yükselttiği belirlenmiştir.

Uygulama Önerileri

Farklı hemşirelik modelleri kullanılarak bakım sonuçlarının karşılaştırılması önerilmektedir.

Keywords

Caesarean comfort theory nursing care

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References

Arslan

Konuk Şener

(2009). Studying the concepts of stigma, spirituality and comfort in accordance with Meleis' concept development process. Maltepe University Journal of Nursing Science and Art, 2, 51–58.

Beksaç

M. S.

Demir

Koç

Yüksel

(2001). Caesarean. Maternal-fetal medicine obstetrics & pernatoloji [Obstetrics; maternal-fetal medicine and perinatology] . Ankara: Nobel Bookstore.

Beydağ

K. D.

(2007). Adaptation to motherhood in the postpartum period and the nurse's role. TAF Preventive Medicine Bulletin, 6, 479–484.

Bortolusso

Boscolo

Zampieron

(2007). Survey about the comfort level according to Kolcaba on a sample of oncologic patients. Professioni İnfermieristiche, 60, 166–169.

Büyükkayacı Duman

Karataş

(2011). The effect of home care service given to postpartum early discharged women who had a cesarean section on the maternal health and power of self-care. Journal of Health Sciences, 20, 54–67.

Büyüköztürk

(2007). Handbook for data analysis of the social sciences. Ankara: Pegem Publishing.

Çınar Yücel

Ş.

(2011). Kolcaba's comfort theory. Journal of Ege University School of Nursing, 27, 79–88.

Çıtak Bilgin

Coşkuner Potur

(2010). Postpartum period evidence-based approaches and nursing. Maltepe University Journal of Nursing Science and Art, 3, 80–87.

Dowd

Kolcaba

Steiner

(2002). Correlations among measures of bladder function and comfort. Journal of Nursing Measurement, 10, 27–38.

10.

Ejder Apay

Pasinlioğlu

(2014). Using Roy's model to evaluate the care given to postpartum women following caesarean delivery. Open Journal of Nursing, 4, 784–796.

11.

Eker

Yurdakul

(2008). Effect of care supply on patient satisfaction after caesarean section. Mersin University Journal of Health Sciences, 1, 26–35.

12.

Herdman

T. H.

Kamitsuru

(Eds.). (2014). NANDA International nursing diagnoses: Definitions and classification, 2015-2017. Oxford: Wiley-Blackwell.

13.

Karabacak

Ü.

(2004). Supporting breast cancer patients comfort nursing care and education interaction with radiotherapy (PhD thesis). İstanbul University, İstanbul.

14.

Karakaplan

(2007). The effects of birth methods on postnatal comfort of mothers and on newborn (Master's thesis). Marmara University, İstanbul.

15.

Karakaplan

Yıldız

(2010). A study on developing a postpartum comfort scale. Maltepe University Journal of Nursing Science and Art, 3, 55–65.

16.

Kolcaba

(2003). Comfort theory and practice. A vision for holistic care and research. New York: Springer Publishing Company.

17.

Kolcaba

DiMarco

M. A.

(2005). Comfort theory and its application to pediatric nursing. Pediatric Nursing, 31, 187–194.

18.

Kolcaba

Tilton

Drouin

(2006). Comfort theory: A unifying framework to enhance the practice environment. Journal of Nursing Administration, 36, 538–544.

19.

Kolcaba

Wilson

(2002). Comfort care: A framework for perianesthesia nursing. Journal of Perianesthesia Nursing, 17, 102–111.

20.

Kolcaba

K. Y.

(1995). The art of comfort care. Journal of Nursing Scholarship, 27, 287–289.

21.

Kolcaba

K. Y. A.

(1991). Taxonomic structure for the concept comfort. Image: The Journal of Nursing Scholarship, 23, 237–240.

22.

Kuğuoğlu

Karabacak

Ü.

(2008). Turkish version of the General Comfort Questionnaire. Istanbul University Florence Nightingale School of Nursing Journal, 16, 16–23.

23.

Logsdon

M. C.

Koniak-Griffin

(2005). Social support in postpartum adolescents: Guidelines for nursing assessments and interventions. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 34, 761–768.

24.

Novak

Kolcaba

Steiner

Dowd

(2001). Measuring comfort in caregivers and patients during late end-of-life care. American Journal of Hospice and Palliative Care, 18, 170–180.

25.

Pınar

Doğan

Algıer

Kaya

Çakmak

(2009). Factors that affecting mothers' postnatal comfort. Dicle Medical Journal, 36, 184–190.

26.

Richards

(1997). Too choosy about choice: The responsibility of the midwife. British Journal of Midwifery, 5, 163–168.

27.

Scott

J. R.

Disaia

J. P.

Hammend

B. C.

Spellacy

N. W.

(1994). Caesarean birth. In Erez

(Ed., Translation Editor), Danforth obstetri and jinekoloji (7th ed., pp. 563–576). İstanbul: Yüce Publishing.

28.

Torloni

M. R.

Campos Mansilla

Merialdi

Betran

A. P.

(2014). What do popular Spanish women's magazines say about caesarean section? A 21-year survey. BJOG: An International Journal of Obstetrics and Gynaecology, 121, 548–555.

29.

Vendlinski

Kolcaba

K. Y.

(1997). Comfort care: A framework for hospice nursing. American Journal of Hospice and Palliative Care, 14, 271–276.

30.

Wilson

Kolcaba

(2004). Practical application of comfort theory in the perianesthesia setting. Journal of Perianesthesia Nursing, 19, 164–173.

31.

Zengin

(2008). Effects of nursing education and behavioral therapy on comfort, pelvic muscle exercise self-efficacy and quality of life among women with urinary incontinence (PhD thesis). Marmara University, İstanbul.