Development of a post-termination of pregnancy
Sripotchanart, W1; Chunuan, S1; Lawantrakul, J1;
Pongpaiboon, P1; Lawantrakul, J2; Kosalwat, S1;
Kritcharoen, S1; Buranasiri, L2
1 Prince of Songkla University, Thailand; 2 Hatyai Hospital, Thailand
This participatory action research (PAR) was aimed to (i) develop
the post-termination of pregnancy (TOP) care model for women
after a TOP and (ii) examine the obstacles in implementing the
developed model for women after a TOP.
The research processes were divided into four steps based on
the PAR model: (i) assessing the existing care model and planning
to develop the initial model; (ii) developing and implementing the
developed model; (iii) revising the initial model to meet the needs
of women after a TOP; and (iv) evaluating the results. The sample
consisted of 12 nurses at a hospital in Southern Thailand and 60
women after a TOP. Open-ended questions were used to collect
data among these women. In-depth interviews, focus group
discussion, and participant observations, were also used. Personal
data and qualitative data were analysed by using descriptive
statistics and content analysis, respectively. It revealed that the
post-TOP care model for women after a TOP was a holistic care
model comprising building an impressive relationship, having
positive attitudes, giving advice and counselling and providing
continuous care to meet the needs of women after a TOP. The
identiﬁed obstacles of the model implementation were the nurses’
overwork, stress, and weariness.
In conclusion, in this participatory action research led nurses to
recognise the importance of holistic care, have better attitudes
towards women after a TOP and improve their service of giving
advice and counselling by using the instructional media.
Wattana Sripotchanart, Sopen Chunuan, Jitsai Lawantrakul, Pranee Pongpaiboon, Jitti Lawantrakul,
Sureeporn kritcharoen, Sirirat Kosulwat,. et al., Thailand
Unsafe Abortion is a major public health problem and society .Each year, Thailand has a woman problem of unsafe abortion around 300,000 people. Complications resulting from unsafe abortion are an important cause of maternal deaths.Hospitals are tertiary places. But with the health care system that is limited. Task of making more women after an abortion care were not taken care coverage.This participatory action research have the following purposes:
1) to study and develop models of care women after abortion.
2) to study the satisfaction of women receiving post-abortion care model developed later.
3) to study the obstacles in developing models of care women after abortion.Participant consisted of 12 nurses who work in units of one hospital and 60 women after abortion.
Before and after the development of models of care of 60 people the tools used to collect information line is open-end questions. And satisfaction survey of women after abortion. Value equal to 0.97 poise storage to a depth interviews. Group discussions and questionnaires.
General data analysis using descriptive statistics. Qualitative data analysis with content analysis. Comparative satisfaction of women after abortion in the quality of hospital care before and after the development of quality care using statistics Independent-Sample t-test at the end of the research. Model of care women after abortion care is holistic, including building relationships that impressed. Having a positive attitude. Advising and counseling. And to maintain continuous compliance with the needs of women after abortion. The satisfaction of women after abortion before and after the development patterns of care differ statistically significant (p =. 05) obstacles in the development patterns found that the burden of care is more leisurely.
Summary of development patterns of care by women after abortion, research that focuses on practical involvement of nurses. Allow nurses are aware of more holistic care. Have better attitudes to women after abortion. The brochures created financial advice and counseling. To women after abortion has led to comply.