Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 16, 2024; 12(2): 293-301
Published online Jan 16, 2024. doi: 10.12998/wjcc.v12.i2.293
Timing theory integrated nursing combined behavior change integrated theory of nursing on primiparous influence
Yan-Xia He, Yang Lv, Ting-Ting Lan, Fang Deng, Yuan-Yuan Zhang
Yan-Xia He, Yang Lv, Department of Obstetrics and Gynecology, Wuhan Children’s Hospital, Wuhan 430015, Hubei Province, China
Ting-Ting Lan, Fang Deng, Yuan-Yuan Zhang, Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, Sichuan Province, China
Co-first authors: Yan-Xia He and Yang Lv.
Author contributions: He YX and Lv Y designed the research; Lan TT, Deng F, and Zhang YY contributed new reagents/analytic tools; Zhang YY, Lan TT, Deng F analyzed the data; He YX and Lv Y wrote the paper; All authors were involved in the critical review of the results and have contributed to, read, and approved the final manuscript; He YX and Lv Y contributed equally to this work as co-first authors equally to this work. The reasons for designating He YX and Lv Y as co-first authors are threefold. First, the research was performed as a collaborative effort, and the designation of co-corresponding authorship accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant paper. This also ensures effective communication and management of post-submission matters, ultimately enhancing the paper's quality and reliability. Second, the overall research team encompassed authors with a variety of expertise and skills from different fields, and the designation of co-first authors best reflects this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers' understanding by offering various expert perspectives. Third, He YX and Lv Y contributed efforts of equal substance throughout the research process. The choice of these researchers as co-first authors acknowledges and respects this equal contribution, while recognizing the spirit of teamwork and collaboration of this study. In summary, we believe that designating He YX and Lv Y as co-first authors of is fitting for our manuscript as it accurately reflects our team's collaborative spirit, equal contributions, and diversity.
Institutional review board statement: This study protocol was approved by the Sichuan Provincial People’s Hospital, and all the families have voluntarily participated in the study and have signed informed consent forms.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors declared no conflict of interest existing in this paper.
Data sharing statement: Data generated from this investigation are available upon reasonable quest from the corresponding author.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yuan-Yuan Zhang, Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 32 West Section 2, First Ring Road, Qingyang District, Chengdu 610072, Sichuan Province, China. pyf147852@163.com
Received: November 10, 2023
Peer-review started: November 10, 2023
First decision: November 22, 2023
Revised: December 4, 2023
Accepted: December 28, 2023
Article in press: December 28, 2023
Published online: January 16, 2024
Processing time: 62 Days and 1.7 Hours
Abstract
BACKGROUND

The comprehension and utilization of timing theory and behavior change can offer a more extensive and individualized provision of support and treatment alternatives for primipara. This has the potential to enhance the psychological well-being and overall quality of life for primipara, while also furnishing healthcare providers with efficacious interventions to tackle the psychological and physiological obstacles encountered during the stages of pregnancy and postpartum.

AIM

To explore the effect of timing theory combined with behavior change on self-efficacy, negative emotions and quality of life in patients with primipara.

METHODS

A total of 80 primipara cases were selected and admitted to our hospital between August 2020 and May 2022. These cases were divided into two groups, namely the observation group and the control group, with 40 cases in each group. The nursing interventions differed between the two groups, with the control group receiving routine nursing and the observation group receiving integrated nursing based on the timing theory and behavior change. The study aimed to compare the pre- and post-nursing scores of Chinese Perceived Stress Scale (CPSS), Edinburgh Postpartum Depression Scale (EPDS), Self-rating Anxiety Scale (SAS), breast milk knowledge, self-efficacy, and SF-36 quality of life in both groups.

RESULTS

After nursing, the CPSS, EPDS, and SAS scores of the two groups was significantly lower than that before nursing, and the CPSS, EPDS, and SAS scores of the observation group was significantly lower than that of the control group (P = 0.002, P = 0.011, and P = 0.001 respectively). After nursing, the breastfeeding knowledge mastery, self-efficacy, and SF-36 quality of life scores was significantly higher than that before nursing, and the breastfeeding knowledge mastery (P = 0.013), self-efficacy (P = 0.008), and SF-36 quality of life (P = 0.011) scores of the observation group was significantly higher than that of the control group.

CONCLUSION

The integration of timing theory and behavior change integrated theory has been found to be an effective approach in alleviating negative mood and stress experienced by primipara individuals, while also enhancing their self-efficacy and overall quality of life. This study focuses on the key concepts of timing theory, behavior change, primipara individuals, negative mood, and quality of life.

Keywords: Timing theory; Behavior change; Primipara; Bad mood; Quality of life

Core Tip: Pregnancy is a necessary stage for women to transition to the mother, for women, this stage is hard and great. At the same time, it will also exert pressure on intimate relationship and role change, body change and appearance, and women with low sense of security and insufficient psychological stress ability are prone to depression.To explore the effect of timing theory combined with behavior change on self-efficacy, negative emotions and quality of life in patients with primipara.80 cases of primipara admitted to our hospital from August 2020 to May 2022 were selected and divided into observation group and control group (40 cases each) by the different nursing interventions.Timing theory combined with behavior change integrated theory nursing application in primipara, can reduce their bad mood and pressure, enhance their breast milk knowledge, improve the rate of breastfeeding, but also promote the improvement of self-efficacy, and then improve the quality of life of primipara.