The Effect of Care Given Using Levine's Conservation Model on Postpartum Quality of Life in Primiparas

Erzincan University

Status: Completed

Conditions: Nursing Model; Quality of Life; Levine Conservation Model; Breastfeeding; Postpartum; Nursing Caries

Treatments: Behavioral: personal hygiene education; Behavioral: nutrition education; Behavioral: breastfeeding education; Behavioral: sleep education; Behavioral: fatigue education; Behavioral: pilates exercises education

Study type: Interventional

Funder types: Other

Identifiers

NCT04084275

22

Details and patient eligibility

About

Background: Postpartum period is a physiologically, emotionally and socially critical period for the woman who gave birth and also for their family. In order for women to go through their postpartum period without any problems, be able to perform self-care and have an unaffected quality of life, they need qualified, comprehensive and integrative nursing care.

Aim and objectives: This study aimed to investigate the effect of care given using Levine's conservation model on postpartum quality of life in primiparae.

Design: A randomized controlled trial. Methods: Levine's conservation model was used as the theoretical framework for this study. A literature review was used to determine the contents of the intervention program. The program consisted of 8 sessions. The puerpera were given trainings on different subjects based on the module during each session. For these trainings, the researcher prepared, in the light of the literature data, leaflets containing information about breastfeeding, personal hygiene, fatigue, nutrition and pilates exercises. The puerpera in the control group received only the standard nursing care given after birth. Standard nursing care contain solely breastfeeding training.

Enrollment: 117 patients

Sex: Female

Ages: 18 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

The study included puerpera who

• were in the 18-35 age interval and were at least a primary school graduate,
• had no loss of their senses of vision or hearing,
• were open to communication and cooperation,
• had a nuclear type of family,
• were able to understand and read Turkish,
• were primiparae,
• had a full-term (between weeks 38-42) vaginal delivery,
• had a haemoglobin value of at least 10 mg/dl,
• experienced no risky conditions during gestation (placenta previa, pre-eclampsia, any systemic ailment) or during delivery (ablatio placenta, dystocia, etc.),
• were administered mediolateral episiotomy (because episiotomy impair the integrity of tissue. Healing such episiotomy incisions as soon as possible is quite important to conserve structural integrity).

Exclusion Criteria:

• those who do not meet the eligibility criteria

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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117 participants in 2 patient groups

experimental group

Experimental group

Description:

Levine's conservation model was used as the theoretical framework for this study. A literature review was used to determine the contents of the intervention program. A nursing care program which consisted of 8 sessions, the first of which was at the hospital and the others at the homes of puerpera and which were held at different times and lasted 12 weeks in total, based on Levine's Conservation Model was provided to the women in the intervention group. Each session lasted approximately 60-120 minutes, according to the educational and practical contents.The puerpera were given trainings on different subjects based on the module during each session. For these trainings, the investigators prepared, in the light of the literature data, leaflets containing information about breastfeeding, personal hygiene, fatigue, nutrition and pilates exercises

Treatment:

Behavioral: sleep education

Behavioral: nutrition education

Behavioral: pilates exercises education

Behavioral: breastfeeding education

Behavioral: fatigue education

Behavioral: personal hygiene education

control group

No Intervention group

Description:

The puerpera in the control group received only the standard nursing care given after birth. Standard nursing care contain solely breastfeeding training. The puerpera in the control group were visited before they were discharged from the hospital to obtain their contact information and to administer them the pretest. A home visit at the end of postpartum month 3 was also planned and they were administered the posttest. After collecting the posttest data, the trainings given to the women in the intervention group on nutrition, sleep, fatigue and pilates exercises were also given to the women in the control group in consideration of the ethical dimension of the study; they were actively trained on pilates exercises by the investigator and the relevant leaflets were given to them by the end of their trainings.