American Journal of Nursing Research
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American Journal of Nursing Research. 2020, 8(2), 132-141
DOI: 10.12691/ajnr-8-2-1
Open AccessArticle

Impact of Puerperal Sepsis Self-Care Nursing Guideline on Women's Knowledge and Practices

Wafaa Mostafa Ahmed Gamel1, Amal Sarhan Eldesokey Genedy1 and Hanan Elzeblawy Hassan2,

1Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Fayoum University, Egypt

2Maternal and Newborn Health Nursing Department, Faculty of Nursing, Beni-Suef University, Egypt

Pub. Date: January 10, 2020

Cite this paper:
Wafaa Mostafa Ahmed Gamel, Amal Sarhan Eldesokey Genedy and Hanan Elzeblawy Hassan. Impact of Puerperal Sepsis Self-Care Nursing Guideline on Women's Knowledge and Practices. American Journal of Nursing Research. 2020; 8(2):132-141. doi: 10.12691/ajnr-8-2-1

Abstract

Background: Over 30.000 maternal deaths were referred to as postpartum sepsis; which consider as the third most frequent cause of approximately 290.000 maternal deaths worldwide. Puerperal sepsis is an important public health problem which is а leading cause of maternal death, especially, in developing countries due to the lack of knowledge on preventive methods. This study aimed to investigate the impact of puerperal sepsis self-care nursing guidelines on women's knowledge and practice among primiparous postnatal mothers. Subjects and Methods: An interventional quasi-experimental, pre-posttest, research design was carried out at the postpartum unit of Fayoum General and University Hospitals on 100 primiparous women. Data were collected using а structured interview questionnaire. Results: There is а highly significant improvement of the studied women’s knowledge regarding puerperal sepsis after introducing of the puerperal sepsis self-care-nursing-guidelines compared with pre-intervention (p<0.001). There are no significant differences in the total score of knowledge about socio-demographic variables (p>0.05). However, improvement of women’s knowledge regardless of their demographic variables was noticed in both immediately-intervention and one-month after the intervention. Conclusion: The primiparous-postnatal mothers who received and compliance with the guidelines regarding puerperal sepsis and its prevention had high knowledge and practices score in the post-test of the intervention program than in pre-test (P≤0.01), which shows the effectiveness of puerperal sepsis self-care nursing guidelines in increasing the knowledge score of primiparous post-natal mothers regarding the prevention of puerperal sepsis. Recommendations: Such guideline needs to be given while the antenatal period also and thus promote healthy post-partum period. The study can be replicated in а larger sample, in different settings.

Keywords:
puerperаl sepsis self-cаre nursing guidelines knowledge and prаctices

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