Herdin Record #:
Nursing Interventions and Intrapartal State of Mothers in Selected Hospitals in Camarines Sur.
|1Delia B. Oco
|University of Nueva Caceres - University of Nueva Caceres - University of Nueva Caceres
This study determined the effects of nursing interventions to the intrapartal state of mothers in the selected hospitals of Camarines Sur. Explicitly, it aimed to determine the answers to the following questions:
1. 1. What is the intrapartal state of mothers along physical, psychological and social aspects of labor and birth?
2. 2. What are the characteristics of the mothers associated with the their intrapartal state?
3. 3. What is the extent of nursing interventions along physiologic, cognitive, emotional, spiritual and interpersonal aspects provided during labor and birth in levels of facility of hospitals in Camarines Sur?
4. 4. What are the characteristics of nurses associated with the nursing interventions on the intrapartal state of mothers?
5. 5. .What are the effects of nursing intervention on the intrapartal state of mothers? And
6. 6. Are there significant difference in the nursing intervention and aspects of intrapartal state of mothers among hospital levels?
The qualitative and quantitative descriptive- correlational analysis research was utilized. The quantitative study used the retrospective correlational design.
There were 186 respondents. This included the mothers (112) and corresponding nurses(74) who took care of them in the levels of facility of the selected hospitals in Camarines Sur.
The major findings were: 1) The intrapartal state of mothers along labor and birth had a very high rating of 3.74 highlighted at the secondary level facility (3.83, very high) and highest ( 3.80, very high) on physical aspect particularly at the tertiary level facility (3.87, very high) due to 'no body weakness', 'no difficulty in pushing' and no placental retention' with very high common rating of 4.00; while psychological aspect ranked last (3.8, very high) particularly at the tertiary hospital level (23.58, very high) because of the fear of birth and labor experience (3.40, very high) at the tertiary level of facility (3.40,high); 2) The test of association of age of mothers wit their intrapartal state resulted to r-values of 0.2741 for physical ; 0.3754, psychological; and 0.1434 for social; and all values were higher than the critical r-value (0.1858) at 5% significance level; the test of association of pregnancy status of mother with their intrapartal state resulted to r-values of 0.0655 for physical indicating that the association is weak and insignificant. Psychological conditions obtained r- value (0.1858) which, thus, affirmed that their associations with the mothers; characteristics were significant at 55% level; and the test or the association of weight of mothers with their intrapartal state resulted o r-values of0.212 for physical and 0.9717 for social and both were found significantly associated with the mothers' weight.Psychological conditions showed an r-value of 0.1095, which indicated that its association with the mother's weight was not significant;3) The extent of nursing interventions hasd a very high rating of 3.8 and highest on interpersonal interventions (3.71, very high) followed by both physiological and emotional (3.9, very thigh). And cognitive (3.0, very high); while the spiritual interventions ranked last (3.53, very high); 4) Test on the personal nursing intervention resulted to r-value of (0.8117) which was higher than the critical value (0.1858) at at 5% significance level; 5) Test of association of mother's physical intrapartal state with nursing interventions resulted to r-values of 0.9339 for physiological; 0.4357 for cognitive; 0.9322 for emotional; 0.985 for spiritual; and 0.9426 for interpersonal which were all found greater than the critical r-value (0.1858) at 55 level of significance mother's psychological intrapartal state with nursing interventions resulted to r-values of 0.9776 for physiological; 0.7469 for cognitive; 0.9965 for emotional ; 0.9987 for spiritual and 0.9867 for interpersonal, and these were also found greater than the critical r-value (0.1858) a 55 significance level; and the association test on mother's social intrapartal state with nursing interventions resulted to r-value of 0.9310 for physiological; 0.5806 for cognitive; 0.9224 for emotional; 0.9965 for spiritual ; and 0.9053 for interpersonal which were all found greater hat the critical r-value (0.1858) at 5 significance level; and 6) The absolute computed F- value of 170.857 among levels of facility was greater than the tubular values both at 1% (98.65) and 5% (4.46) significance levels; while the tabular value (1.000) for intrapartal state of mothers was less than the tabular values both at 1% and 5% (18.00 and 6.94, respectively).
The major conclusions were: 1). the mother was physically fit and strong in delivering the baby; where the mother accepts the baby, the will be early positive bonding between; and there must be enrichment in developing the confidence of mothers in the offfered services by the hospitals; 2). Age of mother is directly linked significantly with their physical, social and psychological intrapartal state implying that as the mother progresses in age,the more that she understands her intrapartal state and fairly showed calmness and confidence during the period of labor and birth. Age can be a determinant for a good intrapartal state of mothers. Analyzed data for instance, showed that there is a significant associated with their physical and social intrapartal state but not with their psychological state implying that weight of mothers can be a determinant for normal intrapartal state of mothers; 3). The extent of nursing intervention along all aspects at the three levels of facility on mothers under intrapartal state was very high; 4.) There is a significant and direct relationship between age and the extent of nursing interventions provided to mothers indicating that nursing interventions improve with increasing age. Likewise, length of experience is also directly associated significantly with nursing interventions, which then imply that the care-giving work of nurses tended to get better with their lengthening years in the service; 5). The mother's intrapartal state is directly corresponding significantly with nursing interventions. This suggests, therefore that the mothers a tlabor and birth are better served with nurses who could adequately meet their compounding (e.g. physiologic, cognitive, emotional, spiritual and interpersonal) needs for care-giving services; and 6). There was a highly significant difference in nursing interventions rendered; and there was no significant difference on the intrapartal state of mothers among levels of facility.
1. Oco, Delia B. Nursing Interventions and Intrapartal State of Mothers in Selected Hospitals in Camarines Sur. Naga City. 2014. (PhD) University of Nueva Caceres, 2014