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Kurniawati Wiwit,Afiyanti Yati,Nasution Lina Anisa,Juliastuti Dyah 한국여성건강간호학회 2023 여성건강간호학회지 Vol.29 No.1
Purpose: The aim of this study was to conduct a scoping review of knowledge and information delivery modes related to preconception care (PCC) among adolescent girls and women Methods: A scoping review was performed on studies selected from five electronic databases (Cochrane Library, PubMed, Science Direct, CINAHL/EBSCO, and ProQuest), published between 2012 and 2022, with predetermined keywords and criteria. We included English-language research articles available in full text and excluded irrelevant articles.Results: This study included eight articles, comprising seven quantitative studies and one qualitative study conducted among adolescent girls and women. Five were from low- and middle-income countries and three were from high-income countries. The synthesized themes generated from the data were PCC knowledge and PCC information delivery modes and effectiveness. In general, adolescent girls and women were found to have basic PCC knowledge, including risk prevention and management and a healthy lifestyle, although more extensive knowledge was found in higher-income countries than in lower-income countries. The delivery modes of PCC information have grown from individual face-to-face conventional methods, which are used predominantly in lower-income countries, to more effective digital mass media.Conclusion: Globally, many women still have insufficient knowledge regarding PCC, as not all of them receive access to PCC information and support. PCC promotion efforts should be initiated earlier by involving a wider group of reproductive-age women and combining individual, in-group, face-to-face, and electronic delivery modes.
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Neny Utami,S. Setyowati,Yati Afiyanti 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): The study aimed to examine the intervention of cold compress and early mobilization in reducing perineal pain and increasing comfort in postpartum mothers after vacuum extraction. Method(s): The evidence-Based Nursing Practice (EBNP) was performed in four stages: 1) determining the feasibility of the study protocol, 2) recruiting clients as respondents through the convenience sampling technique, 3) providing intervention and measurement, and 4) processing, analyzing, and evaluating data. Case report were collected from five cases, between Pebruary and June, 2021. Result(s): The five cases managed had an episiotomy with second-degree wounds, perineal pain due to stitches, and different pain scales, which ranged from five to eight. Moreover, the majority of respondents were able to visit the bathroom 24 hours after vacuum extraction in the mobilization stage.The pain scale after the cold compress were decrease which ranged from two to three. There was a 28% decrease in pain intensity before and after the cold compress intervention and early mobilization in postpartum mothers after vacuum extraction. Also, increased comfort was felt by the participants when a cold compress was applied. Four of the five participants stated that the pain was reduced after administration of the cold compress and that early mobilization increased their comfort. Conclusion(s): The application of cold compress as a non-pharmacological therapy reduce pain by decreasing edema and muscle spasms in the perineum. This method causes paresthesias by reducing the inflammatory response to perineal tissue damage, skin temperature and underlying tissues. Therefore, pain is lessened due to vasoconstriction from decreased blood circulation to the area. Early mobilization can reduce swelling at the suture wound and improve comfort, as well as treat episiotomy suture wounds. Furthermore, cold compress and early mobilization are proven to be effective in reducing the pain scale by 28%.
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