Primiparas Participation in Self - management Delivery Skills Program at Krathum Bean Hospital-การมีส่วนร่วมในโปรแกรมเตรียมคลอดต่อทักษะการควบคุมตนเองในระยะคลอดของสตรี คลอดครรภ์แรก โรงพยาบาลกระทุ่มแบน

Abstract

           Giving birth for the first time is a traumatic experience involving a crisis of the body, mind and emotion of new expecting mothers (primiparas).  Health promotion through health education could help women through this difficult period.  This quasi experimental study examined the effects of a training program designed to lessen the problems of the first delivery.  This program was based on skill development self-management, and group process.  Fifty primiparas attending ante-natal care and giving birth at the Krathum Baen hospital were included in a experimental group from October 2007 to January 2008.  An interview technique with a set of questionnaire was used for data collection before and after intervention.  Descriptive statistics comprised of percentage, mean, median, standard deviation, Paired samples t-test and Pearsonีs Product Moment Correlation Coefficient were employed in data analysis.

              The findings showed that the training program could significantly increase the knowledge and delivery skills (p-value <0.05), but could not reduce delivery anxiety.  In addition, it was found that self - management delivery skills among primiparas attending training significantly increased knowledge and delivery skills (p-value < 0.05), if not delivery anxiety.  The perceived delivery experiences increased.  It is recommended that this program may be applied in other hospitals, but it should put more effort in decreasing anxiety while increasing perceived delivery experiences among primiparas.

Key words:      participation, self - management, group process, primiparas