Document Type : Original Article
Authors
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
INTRODUCTION: The postpartum period is a transition to a critical stage. Moreover, the rapid
changes experienced after delivery, expose the mother to unpleasant experiences such as changes
in sleep patterns. Trying to an appropriate training method is necessary. This study aims to conduct
a comparative study between the impact of face‑to‑face training and e‑training on maternal sleep
during the postpartum period.
MATERIALS AND METHODS: The present study was empirically conducted on 110 postpartum
mothers who visited the selected healthcare centers of Isfahan in 2015. Mothers randomly divided into
three groups (face to face, electronic and control). Data collection tools included demographic and
fertility questionnaire and Pittsburgh Sleep Quality Index. Intervention groups were received training
such as mothers with necessary instructions regarding the health approaches, relaxation techniques,
sleeping place, and energy‑saving techniques. Mothers’ quality of sleep was measured and compared
before training (until the 10th day after childbirth) then in the second and third cares (from the 10th to
30th day after childbirth) in all three groups. Data were analyzed using descriptive statistics and ANOVA
and analyze variance with repeated measures in SPSS (SPSS Inc., Chicago, IL, USA,) version 17.
RESULTS: The results showed there was a significant difference among the sleep quality scores in
the three times in the e‑training (P < 0.001) and face‑to‑face groups (P < 0.001) and in the control
group (P = 0.01), but the improvement in the sleep quality score has been higher in the two groups;
e‑training and face‑to‑face, than in the control group. In addition, the mothers’ mean sleep quality
score was different between the control group and face‑to‑face group as well as between the control
group and e‑training group. While, no statistically significant difference was found between the
e‑training group and face‑to‑face group.
CONCLUSION: Training through both methods; face‑to‑face and electronic, had the same impact
on maternal sleep quality during the postpartum period. Therefore, despite the belief that in‑person
trainings are more effective, the findings of this research showed the effectiveness of electronic methods
too, and determined that this method, has the same effectiveness as the face‑to‑face method has.
Keywords
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