Effects of Educational Program for Postpartum Perineal Wound Care on Knowledge, Attitude, and Perineal Wound Healing of Postpartum Mothers at Kranuan Crown Prince Hospital Khon Kaen Province
Keywords:
perineal, wound healing, knowledge, attitude, education program for postpartum perineal wound careAbstract
Background and Objectives: Perineal wound infection and dehiscence affect maternal health and women’s quality of life. This study aimed to examine the effects of educational program for perineal wound care on knowledge, attitude, and perineal wound healing in postpartum mothers.
Methods: This study was a quasi-experimental research using two-group pretest and posttest design. Forty parturient women who met the inclusion criteria were included and divided into a control group and an experimental group equally as 20 women each group. The research instruments were an educational program for perineal wound care. Data were collected by using the general information and pregnancy and delivery questionnaires, the knowledge and attitude of perineal wound care assessment forms, and the REEDA scale for wound healing assessment. Data were analyzed using descriptive statistics, independent t-test, Mann-Whitney U Test, and one-way repeated-measures ANOVA.
Results: The experimental group had significantly higher knowledge score for perineal wound care after the program implementing than the control group (p < 0.001). The attitude towards perineal wound care after the program was no statistical significant difference between the experimental and control groups (p>0.05). Moreover, the experimental group had a significantly better mean score for perineal wound healing at 48 hours postpartum than the control group (p<0.05).
Conclusion: The educational program before delivery effectively increased knowledge and promoted better healing of perineal wounds within 48 hours postpartum. Thus, this program should be integrated into routine care provision.
References
Phakdee K, Poorimpatt U, Phichitra J, Suttipong C. Relation between the timing of birth and obstetric perineal wound infection. J Nakornping Hosp 2017;8(1):15–24.
Nikolopoulos KI, Doumouchtsis SK. Healing Process and Complications. In: Doumouchtsis SK, editor. Childbirth Trauma [Internet]. London: Springer London; 2017 [cited Apr 16, 2021]. :195–211.
doi:10.1007/978-1-4471-6711-2_13.
Shahrahmani H, Kariman N, Jannesari S, Rafieian-Kopaei M, Mirzaei M, Ghalandari S, et al. The effect of green tea ointment on episiotomy pain and wound healing in primiparous women: A randomized, double-blind, placebo-controlled clinical trial. Phytotherapy Res 2018;32(3):522–30. doi:10.1002/ptr.5999.
Jones K, Webb S, Manresa M, Hodgetts-Morton V, Morris RK. The incidence of wound infection and dehiscence following childbirth-related perineal trauma: A systematic review of the evidence. Eur J Obstet Gynecol Reprod Biol 2019;240:1–8. doi:10.1016/j.ejogrb.2019.05.038.
Nareelux S, Jintana T, Srikiat A. A study of the infection situation, preventive actions and infection control in hospital, Northeastern region. J Health Nurs Educ 2018;24(2):78–95.
Singh S, Young A, McNaught CE. The physiology of wound healing. Surgery (Oxford). 2017;35(9):473–7. doi:10.1016/j.mpsur.2017.06.004
Natanong S. Deleopment of perineal wound care model to reduce perineal wound infection and perineal wound dehiscence in labor room departmenr Wanornniwat hospital . Wanornniwat Hospital; 2018:69–80.
Quiroz LH, Shobeiri SA. Epidemiology of childbirth trauma and associated pelvic floor disorders. In: Doumouchtsis SK, editor. Childbirth Trauma [Internet]. London: Springer; 2017 [cited Jun 2, 2024]. p.31–41. doi:10.1007/978-1-4471-6711-2_3.
Currer-Briggs. Care of the perineum after the birth of your baby [Internet]. 2017. [cited Apr 17, 2021]. Available from: https://www.ouh.nhs.uk/patient-guide/leaflets/files/10929Pperineum.pdf
Queensland Clinical Guidelines. Guideline: Perineal care. Intellectual Property Officer; 2018.
Obstetrics and Gynaecology Directorate Clinical Practice Guideline. Perineal care and repair:Protection, assessment and management [Internet]. Obstetrics and Gynaecology Directorate; 2020 [cited Dec 25, 2020]. Available from: https://www.kemh.health.wa.gov.au/~/media/HSPs/NMHS/Hospitals/WNHS/Documents/Clinical-guidelines/Obs-Gyn-Guidelines/Perineal-Care-And-Repair.pdf?thn=0
Somanusorn M, editors. Obstetric Nursing Volume 2. 15th ed. Nonthaburi: Academic Welfare Project, Boromarajonani College of Nursing; 2019.
Rinthachai W, Akkanet K, Suebma N. Effect of Clinical Nursing Practice Guidelines on Knowledge and Episiotomy Infection among postpartum mothers at Kumpawapi Hospital. J Res Health Inno Dev 2024;5(1):456-69.
Wattanaphanit C. The results of using electronic teaching media on the level of knowledge, behavior and rate of perineal wound infection in postpartum women at Phetchabun hospital. Phetchabun Med J 2021;1(1):59–66.
O’Kelly SM, Moore ZE. Antenatal maternal education for improving postnatal perineal healing for women who have birthed in a hospital setting. Cochrane Database Syst Rev2017;12(12):CD012258. doi: 10.1002/14651858.CD012258.pub2.
Ari E, Sotunsa J, Leslie T, Ari S, Kumzhi P. Impact of an educational intervention on postpartum perineal wound care among antenatal mothers in Jos: A quasi-experimental study. Clin Pract 2019;16(6):1409-22. doi:10.37532/fmcp.2019.16(6).1409-1422
Ari Samuel E, John Obafemi S, Chigozie Nweke I, Tabitha Amere L, Samuel Inuwa A, Patience Ringkat K. Effectiveness of an Educational Intervention on Knowledge of Postpartum Perineal Wound Care amongst Antenatal Mothers in Jos. Med Clin Sci2021;3(2):1-13. doi:10.33425/2690-5191.1039
Elsayed Ahmed N, Mohamed N, Heiba M. Effect of antenatal educational package on primiparous women’s knowledge and practices for prevention of selected aspects postpartum complications. Zagazig Nursing J 2023;19(1):45–65. doi:10.21608/znj.2023.275203
Norlina S. Knowledge and attitudes of postpartum mothers in caring for perineal wounds in the independent practice of the Endang Midwife T S.S.T. Jurnal Eduhealth 2023;14(2):861–5.
Nurmaliza L, Lubis RC, Muryani M. The relationship between knowledge and attitudes of postpartum mothers regarding vulva hygiene and prevention of perineal wound infections at the Sulastri clinic. Int J Public Health Excell (IJPHE) 2023;3(1):460–70. doi: 10.55299/ijphe.v3i1.744
Thitaree S, Siripattra J, Krissada M, Aekavute S, Kanlaya T. A postpartum women educational system on mobile device. J Police Nurs Health Sci2019;11(2):474–82.
Rattana T, Somporn W. The relationship between adjustments to maternal role, sleep disturbance, social support, postpartum fatigue and stress in advanced maternal age. J Nurs Sci Health 2017;40(3):12-23.
Statistics on infection surveillance at Kranuan Crown Prince Hospital Khon Kaen Province, 2022.
Saksri Y. Relationship between knowledge, attitude and pratice towards prevention of surgical site infection during intraoperative period among perioperative nurses [Internet] [Degree of Master of Nursing Science (Adult Nursing)]. [Thai]: Prince of Songkla University; 2017. [cited 2024 Aug. 30].Available from: https://kb.psu.ac.th/psukb/bitstream/2016/12524/1/425749.pdf
Janmanee T, Yusamran C, Ratinthorn A, Phahuwatanakorn W. Effects of cooling and heat application on perineal inflammation and pain in postpartum mothers. Nurs Sci JThailand 2014;32(4):25–34.
Wigati PW, Sari DK. The effect of egg white consumption on the healing process of perineum wounds. STRADA J Ilmiah Kesehatan 2020;9(2):1285–90. doi:10.30994/sjik.v9i2.458
Threenush K, Sommaphat S.Factors related to acceptance about perineal massage among pregnant women [Master Degree of Nursing Science in Midwifery]. Khon Kean: Khon Kean University; 2014.
Abed H, Mohamed EA, Nahed, El-Nagger N. Effect of Self Perineal Care Instructions on Episiotomy Pain and Wound Healing of Postpartum Women. J am Sci 2012;88:640–50.
Gustirini R, Pratama R, Maya R, Mardalena. The effectiveness of kegel exercise for the acceleration of perineum wound healing on postpartum women. In: Proceedings of the 1st International Conference on Science, Health, Economics, Education and Technology (ICoSHEET 2019) [Internet]. Semarang, Central Java, Indonesia: Atlantis Press; 2020 [cited 2021 Apr 14]. doi:10.2991/ahsr.k.200723.101.
Khusniyati E, Purwati H. Influence of kegel exercises on duration of healing perineal to women pospartum. 2018;12(2):7. doi:10.29238/kia.v12i2.147.
Franz MG. Wound Healing. In: Doherty GM, editor. Current Diagnosis & Treatment: Surgery [Internet]. 15th ed. New York, NY: McGraw Hill LLC; 2020 [cited Jul 2,2021]. Available from: accessmedicine.
mhmedical.com/content.aspx?aid=1171273991
Wang PH, Huang BS, Horng HC, Yeh CC, Chen YJ. Wound healing. J Chin Med Assoc2018;81(2):94–101. doi:10.1016/j.jcma.2017.11.002.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Srinagarind Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.