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
ARTICLE HIGHLIGHTS
Research background

Primigravida may experience fluctuations in self-efficacy, negative emotions such as anxiety, depression, etc., and changes in quality of life. These challenges may stem from physical and psychological stress during the pregnancy and postpartum stages, such as pain, insomnia, difficulty in breastfeeding, restoring body image, etc. These factors may further affect the mental health and quality of life of primiparous women.

Research motivation

Behavior change integrated theory nursing theory also evaluates the repetition of primipara, guides their skill training and knowledge, which can effectively improve their self-efficacy, and thus work harder to overcome related difficulties.

Research objectives

It aims to explore the effect of integrated nursing on self-efficacy, bad mood and quality of life.

Research methods

Primiparous mothers who met the inclusion criteria were randomly divided into observation and control groups. The experimental group received the theoretical integrated care intervention, whereas the control group received the usual care intervention.

Research results

By implementing the intervention, we found that the primipara in the observation group showed a significantly better trend than the control group in terms of self-efficacy, bad mood and quality of life.

Research conclusions

This nursing model can also help primipara better understand the knowledge of breastfeeding, recognize the importance of breastfeeding, enhance their self-care ability and self-protection awareness.

Research perspectives

Timing theory integrated nursing combined behavior change integrated theory nursing intervention can effectively improve the self-efficacy of primipara, reduce the incidence of bad mood, and improve their quality of life.