Effectiveness of the Caring-Based Health Education Program for Primipara who experienced an Emergency Cesarean Section in a Government Hospital
Regina Vidya Trias Novita, MA. Elizabeth C. Baua
1053
ABTRACT
Background The utilization of Continuum of care (CoC)
is problematic in Indonesia. The inconsistency of CoC and the referral turning
did not work make it difficult to measure the quality of care after
EmCS. CbHEP is a package service care with
caring action during in hospital and CoC through home visit on 1st,
2nd and 6th week after delivery.
Aim: To reduce the pain, depression and
increase the breastfeeding self-efficacy.
Method used one group quasi-experiment and time
series posttest-only design, with 50 participants during three months. The
inclusion criteria of the participants must be a primiparous, have had EmCS,
vital signs are stable after EmCS, can speak and read well in Bahasa and
participants must be residents in Maumere district, Nusa Tenggara Timur,
Indonesia.
Result indicates the maternal age for
adolescent mothers (<25 yo) are 56% and
adult mothers (≥26 yo) are 44%. The mean
of the depression and pain for young and adult mothers decreased over time and
per succeeding home visit, and for the level of breastfeeding self-efficacy
increase. The level of depression (P-value 0.000) and pain (P-value 0.000) were
significantly decreased on the 3rd day in the hospital, 1st,
2nd and 6th week’s home visit. The breastfeeding
self-efficacy is significantly increased (P-value 0.000). The maternal age is
not significant to the level of depression, and
breastfeeding self-efficacy (P-value> 0.05).
Conclusion the implementation of the CbHEP is an
effective program for CoC, and recommends using the referral turning system
from hospital to Community Health Centre (PUSKESMAS). The
program must be continued after discharge with home visits on the first, second
and sixth weeks after giving birth in collaboration with the community health
nurses.
Keywords: CbHEP, Pain, depression, breastfeeding
self-efficacy, home visit
ABTRACT
Background The utilization of Continuum of care (CoC)
is problematic in Indonesia. The inconsistency of CoC and the referral turning
did not work make it difficult to measure the quality of care after
EmCS. CbHEP is a package service care with
caring action during in hospital and CoC through home visit on 1st,
2nd and 6th week after delivery.
Aim: To reduce the pain, depression and
increase the breastfeeding self-efficacy.
Method used one group quasi-experiment and time
series posttest-only design, with 50 participants during three months. The
inclusion criteria of the participants must be a primiparous, have had EmCS,
vital signs are stable after EmCS, can speak and read well in Bahasa and
participants must be residents in Maumere district, Nusa Tenggara Timur,
Indonesia.
Result indicates the maternal age for
adolescent mothers (<25 yo) are 56% and
adult mothers (≥26 yo) are 44%. The mean
of the depression and pain for young and adult mothers decreased over time and
per succeeding home visit, and for the level of breastfeeding self-efficacy
increase. The level of depression (P-value 0.000) and pain (P-value 0.000) were
significantly decreased on the 3rd day in the hospital, 1st,
2nd and 6th week’s home visit. The breastfeeding
self-efficacy is significantly increased (P-value 0.000). The maternal age is
not significant to the level of depression, and
breastfeeding self-efficacy (P-value> 0.05).
Conclusion the implementation of the CbHEP is an
effective program for CoC, and recommends using the referral turning system
from hospital to Community Health Centre (PUSKESMAS). The
program must be continued after discharge with home visits on the first, second
and sixth weeks after giving birth in collaboration with the community health
nurses.
Keywords: CbHEP, Pain, depression, breastfeeding
self-efficacy, home visit