Effectiveness of education Program in Knowledge and practices for Nurse-Midwife Regarding Psychological Status, Rest and Sleep, Self-Care for Primipara Women with Cesarean Section at Maternity Hospital in Holy Karbala

Abstract

Background: The ability to provide self- care is a fundamental requisite for childbearing women to maintain and improve health during the postpartum period. Promoting women’s self-care during postpartum is part of the nursing care process in the gravid-puerperal cycle.

Objectives: To evaluate  nurses-midwifes' knowledge and practices about Psychological Status, and Rest and Sleep, self-care postpartum for primipara women with cesarean section; to determine the effectiveness of the educational program on knowledge and practices for nurses-midwifes';

and to identify the relationship between  nurses-midwifes knowledge and practices about postnatal self-care and their demographic, variables ( age and education).

Methodology: Quasi-experimental study design. Non-probability (purposive) sample consists of (60 nurse- midwife) their work at surgical ward in hospital.  The sample was exposed to pretest, educational training program, posttest (1and 2). A pilot-study is conducted to determine the reliability of the questionnaire. Data were analyzed through the use of SPSS (24).

Result: Nurse-midwives’ knowledge was poor in pretest; while in posttest was good after implementation the educational program. The intervention  highly effective on nurse-midwives’ knowledge and practices  evidenced by high significance at p-value=0.001. It is clear out of descriptive the noticeable increasing of mean score on nurses-midwives’ knowledge and practices in post-test 1 and 2 that indicate the effectiveness of educational program; and there is strong positive relationship between knowledge  with nurse-midwives’ level of education at p-value= 0.001

Conclusion: The education program was effective in increasing nurse-midwives’ knowledge and practices regarding Psychological Status Rest and Sleep, self-care for primipara women with cesarean section.

Recommendations: Prenatal and postnatal  childbirth education should be improved by giving priority to it, improving nurse/ midwife knowledge and practices   regard    self-care for primipara women with cesarean section and activation of their role as educator in routine prenatal and postnatal.