EFFECT OF ANTICIPATORY GUIDANCE ON MOOD STATE IN PRIMIPARAS EXPERIENCING UNPLANNED CESAREAN DELIVERY (METROPOLITAN AREA, SOUTHEAST).
Contributors: University of Alabama at Birmingham.
Published: 1985
Number of pages: 121
Subjects: Health Sciences, Nursing.
Description: The purpose of the study was to ascertain if anticipatory guidance was predictive of mood state in primiparas experiencing unplanned cesarean delivery. The conceptual framework was derived primarily from the Neuman Health-Care Systems Model and was enriched through crisis intervention theory.

Seventy-four mothers were interviewed 48 to 96 hours after delivery and completed a 10-item, true-false quiz on cesarean delivery. Participants were divided, on an alternating basis, into control and experimental groups. Patients assigned to the experimental group received anticipatory guidance, following the outline of a booklet developed by the investigator. All participants were asked to complete the Profile of Mood States (POMS) inventory when the infant was 3 weeks old. Fifty-nine mothers completed and returned the POMS.

Analysis of demographic data indicated no statistically significant difference between the groups at a level < .05. The established quiz reliability, using the Kuder-Richardson Formula 20 (KR20), was r(,kk) = .38. Coefficient alphas were calculated for each factor on the POMS. These values ranged from .81 for the confusion subscale to .93 for the vigor and fatigue subscales.

The technique of simple regression was used to test the six hypotheses. The R('2) values ranged from .000 for confusion to .007 for vigor. These values were again nonsignificant at the .05 level and resulted in acceptance of the null hypotheses. As a result of these findings it was concluded that at least in this study the postpartal response was not indicative of an alteration in mood state and that anticipatory guidance provided by the booklet had no significant effect on mood state.

Recommendations included additional research to (a) ascertain the relationship between method of delivery and the mother's mood state, (b) evaluate other methods of providing anticipatory guidance, and (c) determine if childbirth is a crisis. An additional recommendation was the development of class objectives for cesarean delivery content and criterion-referenced items on the level of knowledge quiz.
Notes: Source: Dissertation Abstracts International, Volume: 46-08, Section: B, page: 2627.

Thesis (D.S.N.)--UNIVERSITY OF ALABAMA AT BIRMINGHAM, 1985.

School code: 0005.