Effectiveness of Postnatal Care by Using Compressive Postnatal Nursing Strategy (CPNS) Module

Abstract

Postnatal period is commonly neglected part of health care where Postnatal Complications are common due to lack of early and timely systemic postnatal interventions that are the main cause for maternal morbidity and mortality in India and all over the world. Many researchers have proved the systemic postnatal care outcomes of postnatal care and reduce incidence of postnatal complications and promoted early discharge. There are many researches done on standards nursing care protocol to evaluate the quality care, the investigator has selected only satisfaction of comprehensive postnatal aspects of maternal health to find satisfaction of postnatal mother. The main objectives of the study is to determine satisfaction after implementation of CPNS by the nurses in the study group and to compare the satisfaction of postnatal nursing problems among postnatal mothers in the control group and in study group, find the association of selected demographic variables of nurses and satisfaction of Postnatal Nursing Problems in the study and control group. About 174 out of that 86 sample in study group and 88 sample of control group were selected conveniently from total of 24 maternity centers of Bangalore Bruhat Mahanagar pallikae. Postnatal mothers were chosen as per staff inspection committee norms ratio of 1:5 i.e. that was sample of one nurse: five postnatal mothers were selected, therefore for 86 nurses 430 postnatal mothers were chosen for study group, 88 nurses for 440 postnatal mothers in control group were included as per inclusive criteria. Sample selection done by non-probability convenient sampling as per inclusive criteria were chosen and postnatal mothers after delivery. An Non-equivalent control group only post-test designs were selected for the study with the study and control group that had only post test conducted for both groups with intervention as implementation of comprehensive postnatal nursing care strategies was done only for the study group, data collection using interview schedules were prepared on selected demographic variables of postnatal mothers and nurses assess the satisfaction of comprehensive postnatal nursing care among the postnatal mothers. The collected data was analyzed by using descriptive and inferential statistics, demographic variables were analyzed using frequency and percentage. The Chisquare test was performed to assess the significance of the proportion of postnatal mothers according to their demographic characteristics in between the study and control group. The t-test for comparison of means of two independent population was carried out to find out the significant difference between satisfaction level in study and control group, it was found to be significant (t=50.63, p<0.001). So null hypothesis was rejected and the research hypothesis was accepted. It implied that the satisfaction level among postnatal mothers administered with CPNS by nurses was resulted to significantly more than the postnatal mothers administered with normal nursing routine. So, it is concluded that the CPNS intervention was effective in improving the satisfaction level among postnatal mothers.