Meleis's Transition Theory on Postpartum Difficulties and Quality of Life in Primipara Mothers

Study Overview
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Brief Summary
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The randomized controlled experimental study sought to determine the impact of the training structured according to Meleis's Transition Theory on postpartum difficulties and quality of life in primipara mothers.

Detailed Description
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In the study, the intervention group (39 mothers) was given face-to-face training in the hospital, which was structured according to Meleis' Transition theory, 24 hours after the cesarean section.Telephone counseling was provided on the 5th, 15th and 42nd days after discharge. Thus, these mothers were followed up 4 times in the postpartum period. No intervention was made in the control group (40 mothers).

Official Title
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Impact of the Training Structured According to Meleis's Transition Theory on Postpartum Difficulties and Quality of Life in Primipara Mothers

Conditions
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First Birth, Postpartum Care, Cesarean Section

Intervention / Treatment
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* Other: Training and Consultancy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mothers with the following criteria were included in the study; Primiparous Cesarean delivery Over 18 years old At least primary school graduate Communicating verbally Using mobile phone and whatsapp application Married and living with spouse Exclusion Criteria: Mothers with the following criteria were excluded from the study; Having a risky pregnancy history Having a history of chronic disease Diagnosed with a psychiatric illness Having a health problem in herself or her baby that requires separation from each other Having a baby with any congenital anomaly or severe disease detected at birth

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: randomized controlled experimental study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention group<br>Training and consultancy | Other: Training and Consultancy<br>* In order to facilitate the transition to motherhood, theory-based training and counseling was provided to primiparous mothers on self and infant care.<br>|
| No Intervention: control group<br>Standard postpartum care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in the level of difficulty in self-care of primipara mothers in post-cesarean (42 days) | Change in the level of difficulty in self-care of primipara mothers in post-cesarean (42 days) was evaluated with a form prepared by the researchers using the literature. This form consists of 15 Likert type items. Each item is scored between 0 and 2. Therefore, the minimum score of the form is 0, while the maximum score of the form is 30. If the score obtained from the form is high, the difficulty level is high, and if the score obtained from the form is low, the level of difficulty is low. | 1st follow-up (pre-training), 2nd follow-up (post-cesarean 5th day), 3rd follow-up (post-cesarean 15th day) and 4th follow-up (post-cesarean 42nd day) | 
| Change in the level of difficulty in baby-care of primipara mothers in post-cesarean (42 days) | Change in the level of difficulty in baby-care of primipara mothers in post-cesarean (42 days) was evaluated with a form prepared by the researchers using the literature. This form consists of 9 Likert type items. Each item is scored between 0 and 2. Therefore, the minimum score of the form is 0, while the maximum score of the form is 18. If the score obtained from the form is high, the difficulty level is high, and if the score obtained from the form is low, the level of difficulty is low. | 1st follow-up (pre-training), 2nd follow-up (post-cesarean 5th day), 3rd follow-up (postcesarean 15th day) and 4th follow-up (postcesarean 42nd day) | 
| Postpartum depression | Edinburgh postpartum depression scale consists of 10 questions. The answers are evaluated in a 4-point Likert format and scored between 0-3. The total score of the scale is obtained by summing these item scores. Persons with a score above 12 points are considered a risk group. The lowest score is 0 and the highest score is 30. Primiparous mothers filled out the google form via whatsapp at the first interview (pre-training) and post-cesarean the 42nd day | Post-cesarean 42nd day | 
| Postpartum quality of life | Postpartum quality of life scale is a likert-type scale consisting of five sub-dimensions and a total of 40 items. Each item is evaluated for its importance and satisfaction for the mother. The Quality of Life Score is in the range of 0-30. Primiparous mothers filled out the google form via whatsapp at the first interview (pre-training) and post-cesarean the 42nd day | Post-cesarean 42nd day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Depression, Difficulty, Meleis's Transition Theory, Postpartum Period, Primipara Mother, Quality of Life