Document Type : Original Article
Authors
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: E-learning, in addition to promotion of patients’ level of awareness, causes a more
efficient way to increase patient-personnel interaction and provision of patients’ educational
content. Materials and Methods: In a quasi-experimental study, 100 primigravida women,
referring to Navab Safavi health care center affiliated to Isfahan University of Medical Sciences,
were selected through convenient sampling. The subjects received education via E-learning or
booklet education methods for four weeks. Questionnaire of satisfaction with the awareness
of prenatal care was completed by both groups before and 4-6 weeks after education. Data
were analyzed by student t-test and paired t-test through SPSS with a significance level of
P < 0.05. Results: No significant difference was noted between scores of satisfaction and
awareness in both groups before education, while a significant difference was observed four
weeks after intervention (P = 0.004). There was a significant difference between scores of
satisfaction and awareness after intervention in both groups (P = 0.001, P = 0.034). Satisfaction
and awareness scores increased by 169% and 123%, and 61% and 37% in the E-learning and
control groups, respectively (P = 0.034). Conclusions: E-learning can cause an increase in
the level of primigravida women’s satisfaction and awareness. Therefore, conducting such
education, as an efficient learning method, is recommended as it needs less time, has lower
costs, and does not need any special equipment.
Keywords
Survey influencing factors on prenatal care in referring maternal
to health care centers in Rasht City. Iran J Nurs Res 2012;16:21-7.2. Tayebi T, Turk Zahrani S, Jannesari S, Mohammadpour R.
Assessment of Relationship between Adequacy of Prenatal care
Utilization Index with Preterm Labor. J Mazandaran Univ Med Sci
2011;21:87-95.
3. Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM,
et al. Maternal mortality for 181 countries, 1980-2008: A systematic
analysis of progress towards Millennium Development Goal 5.
Lancet 2010;375:1609-23.
4. Farrokhi F, Khadivzadeh T. The quality of referrals and follow up
cares in prenatal care units of health centers in Mashad, 2001.
J Mashhad Sch Nurs Midwifery 2003;4:27-38.
5. Farokhi F, khadivzadeh T. Quality assessment of midwives
performance in prenatal cares in urban health centers in Mashhad,
Iran. Health Monitor 2008;7:203-10.
6. Sharami S, Zahiri Z, Zendehdel M. Assessment the client satisfaction
in prenatal unit of Rasht public hospitals. J Guilan Univ Med Sci
2008;17:29-37.
7. Kojuri MD, Karimi S, Shekarabi R, Hossinei F. A study of satisfaction
with prenatal care services in the women attending to the health
centers of the Shirevan Chardavel (IRAN), in 2005. Iran J Nurs
2005;18:61-9.
8. Arzaniv A, Kermanshahi S, Zahedpasha Y. The effect of educational
intervention on continuous breast feeding in low birth weight
infants. J Qazvin Univ Med Sci 2008;12:64-74.
9. Mirmolaei ST, Moshrefi M, Kazemnejad A, Farivar F, Morteza H. The
Effect of Nutrition Education on Nutritional Behaviors in Pregnant
Women. J Faculty Nurs Midwifery 2010;15:35-42.
10. Siavash V, Tadrisi S, Ghayyem S, Ebadi A, Daneshmandi M,
Saghafi N. Comparing the Effect of Triage Education in Lecture
and Multimedia Software on Nurses Learning. Iran J Crit Care Nurs
2011;4:7-12.
11. Gharebaghi SH, Soltan Mohammadi Z. Discussion learning activity;
a novel approach to virtual education. Iranian Journal of Educational
Strategies 2010;3:35-9.
12. Farshi M, Babatabar Darzi H, Mahmoudi H, Mokhtari Nouri J.
Comparison of nursing care learning in air evacuation and transport
by lecture and e-learning methods. Journal of Military Medicine.
2012;14:27-31. [Cited Nov 2013] Available from: http://www.
militarymedj.ir/browse.php?a_code=A-10-787-1 and slc_lang=en
and sid=1 and sw=Transport
13. Jones R, Skirton H, Mcmullan M. Feasibility of combining e-health
for patients with e-learning for students using synchronous
technologies. J Adv Nurs 2006;56:99-109.
14. Mirmolaei S, Khakbazan Z, Kazemnejad A, Azari M. Prenatal care
utilization rate and patients satisfaction. Hayat 2007;13:31-40.
15. Nikpour S, Shahpourian F, Haji Kazemy E, Hosseini F, Safdari M.
The Relationship Between Women’s Satisfaction With Prenatal Care
Services and Characteristics of the Women and the Provision of
Services. Iran J Nurs 2007;20:15-27.
16. Handler A, Rosenberg D, Raube K, Lyons S. Prenatal care
characteristics and African-American Women’s Satisfaction with
care In a managed care organization. Womens Health Issues
2003;13:93-103.
17. Gashtasebi A, Majlesi F, Rahimi Foroushani A, Nadim A. Quality
assessment of prenatal care in kohgiloyeh and boyerahmad
province, Iran. Payesh 2002 2002;1:12-7.
18. Bahadoran P, Oreizy H. The Effect of Different Educational Methods
in Changing Girl Students’ Negative Attitude towards Menstruation,
in Intermediate Schools of Isfahan. Iran J Med Educ 2006;6:27-33.
19. Toghyani R, Ramezani MA, Izadi M, Shahidi SH, Aghdak P, Motie Z,
et al. The effect of prenatal care group education on Pregnant
Mothers’ Knowledge, Attitude and Practice. Iran J Med Educ
2008;7:317-24.
20. Huang M, Kuo S, Avery M, Chen W, Lin KC, Gau ML. Evaluating
effects of a prenatal web-based breastfeeding education programme
in Taiwan. J Clin Nurs 2007;16:1571-9.
21. Mangeli M, Ramezani T, Mangeli S. The effect of educating about
common change in pregnancy period and way to cope with them
on marital satisfaction of pregnant women. Iran J Med Educ
2009;8:305-11.
22. Kuo SC, Chen YS, Lin KC, Lee TY, Hsu CH. Evaluating the effects
of an Internet education programme on newborn care in Taiwan.
J Clin Nurs 2009;18:1592-601.
23. Davis TC, Fredrickson DD, Bocchini C, Arnold CL, Green KW,
Humiston SG, et al. Improving Vaccine Risk/Benefit communication
with an immunization education package: A Pilot Study. Ambul
Pediatr 2002;2:193-200.
24. Langkamp DL, Hoshaw-woodard S, Boye ME, Lemeshow S. Delay in
receipt of immunizations in low-birth-weight children: A nationally
representative sample. Arch Pediatr Adolesc Med 2006;155:167-75.
25. Mohamadirirzi S, Bahadoran P, Fahami F. Comparsion between
the impacts of e-learning and booklet education on Primigravida
Women’s Satisfaction about postpartum care. IJOGI 2013;16:1-8.
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