Randomized Trial of Group Postpartum Care Model Improves Knowledge and Clinical Outcomes.

IF 2.2 4区 医学 Q1 NURSING
Nursing Research Pub Date : 2025-05-01 Epub Date: 2025-02-13 DOI:10.1097/NNR.0000000000000814
Yenupini Joyce Adams, John Stephen Agbenyo, Elizabeth Lau, Jessica Young, David Haas
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引用次数: 0

Abstract

Background: In sub-Saharan Africa, the risk of obstetric complications remains high throughout the postpartum period.

Objective: We developed and tested a novel, integrated model of group postpartum care titled Focused-Postpartum Care (Focused-PPC) to improve outcomes. In this paper, we report clinical outcomes of participants in the intervention arm and differences in knowledge of postbirth warning signs among those in the intervention and control arms.

Methods: Focused-PPC encompassed recommended clinical assessments, targeted education, and peer support up to 1 year after birth. Focused-PPC was implemented as a parallel randomized controlled trial involving 192 postpartum women across four health centers in Tamale, Ghana, from February 2022 to August 2023. Eligible participants 18 years or older with a live birth were randomly assigned to either the Focused-PPC intervention arm or the control arm at a 1:1 allocation and were not blinded to their allocation. At each health center, 48 participants were allocated to either an intervention or control arm. Focused-PPC groups in the intervention arm consisted of eight participants per group. Participants in the intervention arm received the Focused-PPC integrated group model of care. Participants in the control arm received the standard of postnatal care already administered at each health center.

Results: Baseline analysis included 96 participants from the control arm and 91 participants from the intervention arm. We found that vital signs and clinical outcomes were relatively stable; however, incidences of hypertension substantially decreased among participants in the intervention arm. By 3 months postbirth, most participants in the intervention arm were able to identify all postbirth warning signs and retain this knowledge compared to the control arm. Those in the intervention arm were also knowledgeable of more warning signs at each time point compared to the control arm.

Discussion: An integrated, evidence-based approach to postpartum care, such as Focused-PPC, has potential to increase knowledge and improve clinical outcomes among mothers in Ghana.

小组产后护理模式提高知识和临床效果的随机试验。
背景:在撒哈拉以南非洲,整个产后期间产科并发症的风险仍然很高。目的:我们开发并测试了一种新型的综合产后护理模式,即集中产后护理(focus - ppc),以改善预后。在本文中,我们报告了干预组参与者的临床结果,以及干预组和对照组参与者对出生后警告信号知识的差异。方法:焦点ppc包括推荐的临床评估,有针对性的教育,以及出生后1年的同伴支持。重点ppc是一项平行随机对照试验,于2022年2月至2023年8月在加纳塔马莱的四个保健中心实施,涉及192名产后妇女。年龄在18岁或以上且活产的符合条件的参与者被随机分配到焦点ppc干预组或对照组,按1:1分配,并且对他们的分配不盲目。在每个健康中心,48名参与者被分配到干预组或对照组。干预组的重点ppc组由每组8名参与者组成。干预组的参与者接受了focus - ppc综合组护理模式。对照组的参与者接受了每个保健中心已经提供的标准产后护理。结果:基线分析包括96名控制组参与者和91名干预组参与者。我们发现生命体征和临床结果相对稳定;然而,干预组的高血压发病率显著降低。出生后3个月,与对照组相比,干预组的大多数参与者能够识别所有出生后警告信号并保留这些知识。与对照组相比,干预组在每个时间点对警告信号的了解也更多。讨论:综合的、基于证据的产后护理方法,如focus - ppc,有可能增加加纳母亲的知识并改善临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Research
Nursing Research 医学-护理
CiteScore
3.60
自引率
4.00%
发文量
102
审稿时长
6-12 weeks
期刊介绍: Nursing Research is a peer-reviewed journal celebrating over 60 years as the most sought-after nursing resource; it offers more depth, more detail, and more of what today''s nurses demand. Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies. Each issue highlights the latest research techniques, quantitative and qualitative studies, and new state-of-the-art methodological strategies, including information not yet found in textbooks. Expert commentaries and briefs are also included. In addition to 6 issues per year, Nursing Research from time to time publishes supplemental content not found anywhere else.
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