Paper
Friday, July 23, 2004
The Community-Based Postpartum Care Needs Among New Mothers in Taiwan
Ching-Min Chen, DNS, School of Nursing, School of Nursing, Taipei Medical University, Taipei, Taiwan
| Learning Objective #1: Identify the postpartum concerns, health-promoting lifestyle, social support, postpartum depression, and parental caregiving self-efficacy of first-time mothers of Taiwan |
| Learning Objective #2: Discuss the various community-based postpartum care needs at various stages in Taiwan |
The length of hospital stay for postpartum mothers and their newborn infants has been dramatically decreased since the implementation of National Health Insurance in Taiwan. A standard of community care addressing this issue, however, has not been established. Objective: The purpose of this project is to explore the postpartum needs, health promoting lifestyle, postpartum depression, level of social support and parental caregiving self-efficacy of new mothers at various stages at their homes. Design: Correlational research design was used to compare competing needs of first time mothers at their first week, and 1st, 6th, 12th and 24th months postpartum. Population: Subjects were recruited from hospital chart reviews corresponding to their delivery days, then invited through phone interviews and surveyed through mail. A total of 122 effective questionnaires returned (response rate 51.57%). Variables studied: Instruments of this study including Postpartum Concerns, Health-Promoting Lifestyle, Social Support, Postpartum Depression, and Parental Caregiving Self-efficacy were self-developed with acceptable reliability and validity levels (£\=0.69-0.88,CVI>.86,criterion validity, p<0.05). Findings: Results of this study indicated that women's own physical difficulties ranked as the top concerns regardless their postpartum stages. Postpartum depression and practice of health-promoting lifestyle were worst at the first month postpartum. Conclusions: Major areas should be covered in the community-based postpartum care should at least include postpartum depression, nutritional advise, and infant cares. Implications: Results of ANOVA and t-test analyses demonstrated the necessary of scientific measures in effects of community postpartum care and to develop the knowledge of evidence-based nursing.
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Sigma Theta Tau International
July 22-24, 2004