Effect of the Pecha-Kucha Method on the Discharge Readiness and Anxiety Levels

H1a: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is a statistically significant difference in the discharge readiness levels.

H1b: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is a statistically significant difference in the anxiety levels.

H0a: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is no statistically significant difference in the discharge readiness levels.

H0b: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is no statistically significant difference in the anxiety levels.

The research was conducted as a single-blind controlled study with simple random sampling. It was carried out at a tertiary-level hospital in Turkey in February-August 2019.

The research population was composed of the mothers who had cesarean delivery at the maternity service of a tertiary-level hospital in Turkey. The size of the research sample was calculated with power analysis. Considering the likelihood that some participants would later be excluded from the research or leave it, a total of 156 mothers who met the inclusion criteria for the research were assigned to the experimental group (78) and control group (78).

Both the experimental and control groups each had 78 mothers, and hence, a total of 156 mothers were included in the study. The postpartum discharge training in which the PechaKucha method was applied via the smartphones was offered to the mothers in the experimental group whereas the mothers in the control group had solely the routine discharge training. The research was completed with the participation of 140 mothers, namely, 70 mothers in the experimental group and 70 mothers in the control group. The discharge training which was comprised of 20 slides created as per the PechaKucha method was offered to the mothers in the experimental group via smartphones. Each slide was displayed for 20 seconds. The presentation took 6 minutes 40 seconds in total. The Q\&A session was performed after the presentation. While care was provided and the follow-up activities were performed in the process following the discharge training, feedback about the discharge training topics was received from both groups, discharge training topics were reminded to both groups and the questions of the mothers in both groups were answered.

The 'Personal Information Form', the 'Readiness for Hospital Discharge Scale - New Mother Form', and the 'State-Trait Anxiety Inventory' were used for gathering the research data.

In the statistical analysis, the SPSS (Statistical Package for Social Science) 22.0 software was utilized. Descriptive statistics (mean, standard deviation, frequency, percentage) were used in the evaluation of the findings. Kolmogorov-Smirnov test was employed for identifying whether the research data were normally distributed.

Eligibility Criteria:
Inclusion Criteria:

* To receive postpartum discharge training with PechaKucha method
* To have cesarean birth
* To have singleton birth
* To be within the early postpartum period (the first 48 hours)
* Not have complications at childbirth
* Not have chronic diseases or mental disorders
* Older than 18 years
* To voluntary to participate
* To know how to read, write and speak in Turkish
* To stay within this study until the end
* To fully complete questionnaire
* To have a newborn with no complications
* To have a healthy baby

Exclusion Criteria:

* To receive routine postpartum discharge training
* Not have cesarean birth
* Having multiple birth
* Not to be within the early postpartum period (the first 48 hours)
* Having complications at childbirth
* Having chronic diseases or mental disorders
* Younger than 18 years
* To refuse to participate
* Not knowing how to read, write and speak Turkish
* To leave early this study
* Not fill the questionnaire
* Having a newborn with complications
* Having a baby in need of medical care