Design and psychometric evaluation of the maternal perception of postpartum care in comprehensive health centers.

BACKGROUND: Mothers' perceptions of the quality and quantity of care they have received and their relationship with healthcare personnel significantly impact continuity of care and future referrals. This study evaluated the psychometric dimensions of the Iranian version of the Mothers' Perception of Postpartum Health Care questionnaire in comprehensive health centers. METHODS: We conducted a cross-sectional study in which the questionnaire was administered to 250 women from different comprehensive health centers. First, the questionnaire was translated verbatim from English to Persian. Then, we evaluated the face, content, structural validity, and reliability of the questionnaire. RESULTS: The results showed that this questionnaire's face, content, structure validity, and reliability were adequate. Cronbach's alpha coefficient for the entire questionnaire was 0.668. The interclass correlation coefficient was 0.688, which confirmed divergent validity. CONCLUSIONS: Mothers' Perception of Postpartum Health Care questionnaire in comprehensive health centers is valid and reliable for measuring maternal perception of these vital services.

INTRODUCCIÓN: La percepción de las madres con respecto a la calidad y cantidad de la atención que han recibido, así como de su relación con el personal de salud impactan significativamente en la continuidad de la atención y sus futuras derivaciones. Este estudio se diseñó para evaluar las dimensiones psicométricas de la versión iraní del Cuestionario de Percepción de las Madres sobre la Atención de la Salud Posparto en los centros integrales de salud. MÉTODOS: Se llevó a cabo un estudio transversal en el que se aplicó el cuestionario a 250 mujeres de distintos centros integrales de salud. En primer lugar, el cuestionario se tradujo de forma literal del inglés al persa. Después se evaluó la validez aparente, de contenido y de estructura, así como la confiabilidad del cuestionario. RESULTADOS: Los resultados mostraron que la validez aparente, de contenido y de estructura, así como la confiabilidad de este cuestionario son adecuadas. El coeficiente alfa de Cronbach para todo el cuestionario fue 0.668. El coeficiente de correlación intraclase fue 0.688, lo que confirmó una validez divergente. CONCLUSIONES: El Cuestionario de Percepción de las Madres sobre la Atención de la Salud Posparto en los centros integrales de salud es válido y confiable para medir la percepción materna sobre estos servicios vitales.

Design and psychometric evaluation of the maternal perception of postpartum care in comprehensive health centers / Diseño y evaluación psicométrica de la percepción materna de la atención posparto en centros de salud integral

Abstract Background: Mothers' perceptions of the quality and quantity of care they have received and their relationship with healthcare personnel significantly impact continuity of care and future referrals. This study evaluated the psychometric dimensions of the Iranian version of the Mothers' Perception of Postpartum Health Care questionnaire in comprehensive health centers. Methods: We conducted a cross-sectional study in which the questionnaire was administered to 250 women from different comprehensive health centers. First, the questionnaire was translated verbatim from English to Persian. Then, we evaluated the face, content, structural validity, and reliability of the questionnaire. Results: The results showed that this questionnaire's face, content, structure validity, and reliability were adequate. Cronbach's alpha coefficient for the entire questionnaire was 0.668. The interclass correlation coefficient was 0.688, which confirmed divergent validity. Conclusions: Mothers' Perception of Postpartum Health Care questionnaire in comprehensive health centers is valid and reliable for measuring maternal perception of these vital services.

Resumen Introducción: La percepción de las madres con respecto a la calidad y cantidad de la atención que han recibido, así como de su relación con el personal de salud impactan significativamente en la continuidad de la atención y sus futuras derivaciones. Este estudio se diseñó para evaluar las dimensiones psicométricas de la versión iraní del Cuestionario de Percepción de las Madres sobre la Atención de la Salud Posparto en los centros integrales de salud. Métodos: Se llevó a cabo un estudio transversal en el que se aplicó el cuestionario a 250 mujeres de distintos centros integrales de salud. En primer lugar, el cuestionario se tradujo de forma literal del inglés al persa. Después se evaluó la validez aparente, de contenido y de estructura, así como la confiabilidad del cuestionario. Resultados: Los resultados mostraron que la validez aparente, de contenido y de estructura, así como la confiabilidad de este cuestionario son adecuadas. El coeficiente alfa de Cronbach para todo el cuestionario fue 0.668. El coeficiente de correlación intraclase fue 0.688, lo que confirmó una validez divergente. Conclusiones: El Cuestionario de Percepción de las Madres sobre la Atención de la Salud Posparto en los centros integrales de salud es válido y confiable para medir la percepción materna sobre estos servicios vitales.

Mothers' Perceptions of the Quality of Postnatal Care Provided in Health Centers and the Associated Factors: A Cross-Sectional Study.

Background: Postnatal care plays a great role in the health of mothers and their neonates. This study aimed to evaluate the mothers' perceptions of the provided postnatal care and the associated factors. Methods: In this cross-sectional study, the health centers of Sirik city in Hormozgan province, Iran, were selected using convenience sampling. The study was conducted on 160 mothers who had referred to the selected centers for postnatal care from 7 August 2018 to 2 August 2020 and had given birth to live full-term neonates (>37 weeks of gestation) 40 days to 12 months before sampling. The Mothers' Perceptions of the Quality of Postnatal care questionnaire was designed by the research team; it included 18 questions about mothers' perception of care. The collected data were analyzed using the SPSS software, version 21. Results: The mothers' mean score of perception was 69.84±16.04; most mothers rated the provided postnatal care and their relationship with the personnel as good or excellent. The mean total scores of the mothers' perceptions were not different based on their satisfaction with postnatal care (P=0.646) and time of the first referral after birth (P=0.251), but they were significantly different according to the number of referrals (P=0.023) and their satisfaction with the health personnel (P<0.001). Conclusion: The study results revealed that mothers had a good perception about postnatal care provided by health center staff. Hence, it is necessary to educate all health staff in this regard to provide high-quality postnatal care to all mothers who refer to these centers.

The Effect of Self-Management Educational Program on Pain Intensity in Elderly Patients with Knee Osteoarthritis: A Randomized Clinical Trial.

BACKGROUND: Osteoarthritis is one of the chronic diseases that greatly affect the health and life quality of individuals. AIM: This study aimed to determine the effect of self-management educational program on the pain intensity of the elderly patients with knee osteoarthritis. METHODS: In a randomised clinical trial, a total of 82 elderly patients with knee osteoarthritis were randomly divided into intervention and control groups. The intervention group received six sessions of self-management group education, while the control group received only the routine care during this period. In both groups, patients' pain intensity, with a visual analogue scale (VAS), were assessed before, immediately after and eight weeks after the start of the study. RESULTS: The mean pain intensity scores of the intervention and control groups were not significantly different before the intervention (P = 0.9), but after the intervention, the mean pain intensity score in the intervention group (3.61 ± 2.36) was significantly lower than that of the control group (4.93 ± 2.00), (P < 0.0001). CONCLUSION: Implementation of a self-management program for the patients with knee osteoarthritis is useful in reducing their pain intensity and can be used as one of the effective methods for their empowerment.