Effectiveness of Postnatal Care by Using Comprehensive Postnatal Nursing Stratergy (Cpns) Module

Abstract

Postnatal period is a 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. There are many studies supporting the application of systemic postnatal care to improve outcomes of postnatal care and reduce the incidence of postnatal complications and promote early discharge. There are many studies that have been conducted to evaluate standard nursing care protocols and to check the quality of care investigators often choose to examine comprehensive postnatal maternal health to measure the satisfaction of postnatal mothers with postnatal nursing care.The main objectives of this study were to determine the satisfaction of mothers after implementation of CPNS by the nurses to compare postnatal nursing problems among postnatal mothers in the control group and test group to evaluate the association of selected demographic variables of nurses and satisfaction of postnatal nursing with postnatal care in the test and control group. Convenient sampling was adopted to recruit 174 nurses out of which 86 were in the test group and 88 in the control group. Recruitment was from a total of 24 maternity centers in Bangalore Bruhat Mahanagar Pallikae. A non-probability convenient sampling method as per inclusive criteria was adopted. As per staff inspection committee norms a ratio of 15 that is a sample of one nurse five postnatal mothers were selected. Therefore for 174 nurses 430 mothers were included in the test group. For 88 nurses 440 postnatal mothers were recruited in the control group.Sample selection was done using non-probability convenient sampling and postnatal mothers were chosen as per inclusive criteria. The study followed a non-equivalent control group post-test-only design. The test and the control groups were assessed only after the intervention that is after implementation of the comprehensive postnatal nursing care strategies the test group was assessed. Data were collected as per case record forms prepared to record data on selected demographic variables of postnatal mother and nurses assess the satisfaction of comprehensive postnatal nursing care among postnatal mothers. The collected data were analyzed using descriptive and inferential statistics. Demographic variables analyzed were presented as frequency and percentage. Chi-square tests were performed to describe the demographic characteristics between groups.T-test was performed to evaluate the if there is any significant difference between satisfaction levels in the study and control group and it was found to be statistically significant t50.63 plt0.001. Therefore null hypothesis was rejected and the alternat hypothesis was accepted. The results of this study conclude that the satisfaction level among postnatal mothers administered CPNS by nurses was significantly greater than the postnatal mothers administered normal nursing care.nbsp