Amaç: Bu çalışma, doğum sonu mobil destek uygulamasının geliştirilmesi amacı ile gerçekleştirilmiştir. Gereç ve Yöntemler: Nitel araştırma yöntemlerinden, eylem araştırması türü benimsenmiştir. Doğum sonu dönemde, annelerin hangi konularda destek ihtiyacı duyduğunu belirlemek için doğum sonu 6 hafta-6 ay dönemdeki 12 anne ile hangi konularda desteğe ihtiyaç duydukları hakkında yarı yapılandırılmış görüşme formu ile görüşmeler yapılmıştır. Belirlenen destek konu başlıkları ve içerikleri uzman görüşüne sunulmuş, uzman değerlendirme ve önerileri ile içerik kısmı tamamlanmıştır. Uygulamanın içeriği, biçimi ve tarzı, annelerin belirlediği ihtiyaçlar temel alınarak bilgisayar mühendisi ve yazılım uzmanı ile yakın işbirliği içerisinde tasarım hakkında fikir üretilmiş, prototipi oluşturulmuştur. Oluşturulan prototip, annelerin önerileri ile güncellenmiştir. Bulgular: Annelerin zaman kısıtlaması olmayan, güvenilir bilgi tabanı olan, hatırlatıcı bildirimleri olan online bir destek sistemine ihtiyaç duydukları görülmüştür. İhtiyaçları karşılamaya yönelik hazırlanan uygulama içeriği, uzman görüşü sonrası yeterli bir kapsamda olduğu görülmüştür. İçerik oluşturulmasında literatür incelenerek, Dünya Sağlık Örgütü ve Türkiye Cumhuriyeti Sağlık Bakanlığının doğum sonu bakım önerileri dikkate alınmıştır. Sonuç: Hazırlanan içeriğin yazılım programına entegre edilmesi ile doğum sonu mobil destek uygulamasının geliştirilmesi tamamlanmıştır. Doğum sonu mobil destek uygulaması annelerin doğum sonu 6 hafta boyunca kullanabilecekleri güvenilir bir kaynak olarak bulunmuştur.
Anahtar Kelimeler: Mobil uygulamalar; obstetrik hemşireliği; postpartum dönem
Objective: This study was performed to develop the postpartum mobile support application. Material and Methods: Action research method that is one of the qualitative research methods has been used. Interviews were made to determine which topics mothers need support in the postpartum period with the semi-structured interview form with 12 mothers who are in the 6 weeks to 6 months postpartum period. The determined postpartum support topics and their contents were presented to the expert's opinion; the content part has been completed according to the expert evaluations and suggestions. Based on the content that the needs determined by the mothers, the form, style of the application, an idea was created about the design, and its prototype was created in close cooperation with the computer engineer and software specialist. The created prototype has been updated with the suggestions of the mothers. Results: It was found that mothers needed an online support system with reminder notifications with a reliable knowledge base without time limitation. The content of the application developed to meet the needs was found to be in an adequate scope after the expert's opinion. During content creation, the literature, the World Health Organization, and the Republic of Turkey of the Ministry of Health postpartum care proposals were considered. Conclusion: By integrating the content into the software program, the postpartum mobile support application was developed. The postpartum mobile support application is a reliable source that mothers can use for postpartum 6 weeks.
Keywords: Mobile applications; obstetric nursing; postpartum period
- Evans M, Donelle L, Hume-Loveland L. [Social support and online postpartum depression discussion groups: A content analysis]. Patient Education and Counseling. 2012a;87:405-10.[Crossref] [PubMed]
- Kumar S, Nilsen WJ, Abernethy A, Atienza A, Patrick K, Pavel M. [Mobile Health Technology Evaluation: Them Health Evidence Workshop]. Am J Prev Med. 2013;45(2):228-36.[Crossref] [PubMed] [PMC]
- Liu CQ, Zhu K, Holroyd A, Seng EK. [Status and Trends of Mobile-Health Applications ForİosDevices: A Developer's Perspective]. Journal of Systems and Software 2011; 84(11):2022-33.[Crossref]
- Bellman S, Potter RF, Hassard ST, Robinson JA, Varan D. [The Effectiveness of Branded Mobile Phone Apps]. Journal of Interactive Marketing. 2011;191-200.[Crossref]
- Kamsu-Foguem B, Foguem C. [Telemedicine and Mobile Health With Integrative Medicine In Developing Countries]. Health Policy and Technology. 2014;3(4):264-71.[Crossref]
- While A, Dewsbury G. [Nursing and Information and Communication Technology (ICT): A Discussion of Trends and Future Directions] Int J Nurs Stud. 2011;48(10):1302-10.[Crossref] [PubMed]
- Silva B, Rodrigues J, de la Torre Diez I, Lopez-Coronado M, Saleem K. [Mobile‐health: A review of current state in 2015]. Journal of Biomedical Informatics 2015;56:265-72.[Crossref] [PubMed]
- Danbjorg D, Wagner L, Clemensen J. [Designing, developing, and testing an app for parents being discharged early postnatally]. The journal for nurse practitioners - JNP. 2014; 10(10):794-802.[Crossref]
- Waring ME, Simas TAM, Xiao RS, Lombardini LM, Allison JJ, Rosal MC, et al. [Pregnant women's interest in a website or mobile application for healthy gestational weight gain]. Sexual & Reproductive Healthcare 2014;5: 182-4.[Crossref] [PubMed] [PMC]
- Danbjorg D, Wagner L, Kristensen B, Clemensen J. [Intervention among new parents followed up by an interview study exploring their experiences of telemedicine after early postnatal discharge]. Midwifery. 2015; 574-81.[Crossref] [PubMed]
- Watterson JL, Walsh J, Madeka I. [Using mHealth to improve usage of antenatal care, postnatal care and immunization: A systematic review of the literature]. BioMed Research International. 2015;153-402.[Crossref] [PubMed] [PMC]
- Asiodu IV, Waters CM, Dailey DE, Lee KA, Lyndon A. [Breastfeeding and Use of Social Media Among First-Time African American Mothers]. J Obstet Gynecol Neonatal Nurs. 2015;44(2):268-78.[Crossref] [PubMed] [PMC]
- Osma J, Barrera AZ, Ramphos E. [Are Pregnant and Postpartum Women Interested in Health-Related Apps ? Implications for the Prevention of Perinatal Depression]. Cyberpsychology, Behavior and Social Networking. 2016;19(6):412-5.[Crossref] [PubMed]
- Cole-Lewis H. Kershaw T. [Text Messaging as a Tool for Behavior Change in Disease Prevention and Management]. Epidemiol Rev. 2010;32(1):56-69.[Crossref] [PubMed] [PMC]
- Evans WD, Wallace JL, Snider J. [Pilot evaluation of the text4baby mobile health program]. BMC Public Health. 2012b; 12, 1.[Crossref] [PubMed] [PMC]
- Er Güneri S. [Postpartum Erken Dönem Kanıta Dayalı Uygulamalar] Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2015; 4(3):482-96.
- James L, Sweet L, Donnellan-Fernandez R. [Breastfeeding initiation and support: A literature review of what women value and the impact of early discharge]. Women and Birth. 2017;30:87-99.[Crossref] [PubMed]
- Johansson K, Aarts C, Darj E. [First-time parents' experiences of home-based postnatal care in Sweden]. Upsala Journal of Medical Sciences. 2010;115:131-7.[Crossref] [PubMed] [PMC]
- Barimani M, Vikstrom A. [Successful early postpartum support linked to management, informational, and relational continuity]. Midwifery. 2015;31:811-7.[Crossref] [PubMed]
- Jayaseelan R, Pichandy C, Rushandramani D. [Usage of smartphone apps by women on their maternal life]. J Mass Communicat Journalism. 2015;5:1-7.[Crossref]
- Guerra-Reyes L, Christie V, Prabhakar A, Harris A, Siek K. [Postpartum health ınformation seeking using mobile phones: experiences of low-ıncome mothers]. Matern Child Health J. 2016;13-21.[Crossref] [PubMed] [PMC]
- Rhoads SJ, Serrano CI, Lynch CE, Ounpraseuth ST, Gauss CH, Payakachat N, et al. [Exploring implementation of m‐health monitoring in postpartum women with hypertension]. Telemedicine and e‐Health. 2017; 23(10):833-41.[Crossref] [PubMed] [PMC]
- Shorey S, Lau YY, Dennis CL, Chan YS, Tam WS, Chan YH. [A randomized-controlled trial to examine the effectiveness of the 'Home-but not Alone' mobile-health application educational programme on parental outcomes]. Journal of Advanced Nursing. 2017;73(9): 2103-17.[Crossref] [PubMed]
- Ngai FW, Chan PS. A qualitative evaluation of telephone-based cognitive-behavioral therapy for postpartum mothers. Clinical Nursing Research. 2019;28(7):852-68.[Crossref] [PubMed]
- Ju Yeon L, Hye Young K. [Development and Validation of a Postpartum Care Mobile Application for First-time Mothers]. Korean J Women Health Nurs. 2017;23(3):210-20.[Crossref]
- Şimsek H, Yildirim A. Sosyal Bilimlerde Nitel Arastirma Yöntemleri. 8th ed. Ankara: Seckin Yayınevi; 2011. p.366.
- Kensing F, Greenbaum J. Heritage: having a say. In: Simonsen J, Robertson T. The İnternational Handbook of Participatory Design. 1st ed. New York: Routledge Taylor & Francis; 2013. p.21-36.
- Clemensen J, Rothmann M, Smith A, Caffery L, Danbjorg D. [Participatory design methods in telemedicine research]. Journal of Telemedicine and Telecare. 2016;1-6.[Crossref] [PubMed]
- Burnard P. [A Method of Analysing Interview Transcripts in Qualitative Research]. Nurse Educ Today. 1991;11(6):461-6.[Crossref]
- Field PA, Morse JM. Nursing Research: The Application of Qualitative Approaches. 1985; 56-71.
- Burnard P, Edwards D, Bennett K, Thaibah H, Tothova V, Baldacchino D. [A comparative, longitudinal study of stress in student nurses in five countries: Albania, Brunei, The Czech Republic, Malta and Wales]. Nurse Education Today. 2008;28:134-45.[Crossref] [PubMed]
- World Health Organization. Mental Health Action Plan: 2013-2020: 2013. Erişim tarihi: 15.07.2018.
- Doğum Sonu Bakım Yönetim Rehberi (2018). Erişim tarihi: 07.02.2019.[Link]
- Polit DF, Hungler BF. Nursing Research: Principles and Methods. Philadelphia: Lippincott Comp; 1995. p.343-53.
- Erefe İ. Hemşirelikte Araştırma İlke Süreç ve Yöntemleri, Veri toplama araçlarının niteliği. Ankara: Odak Ofset; 2012. p.180.
- Erdoğan S, Nahcivan N, Esin N. Hemşirelikte Araştırma: Süreç, Uygulama ve Kritik. Esin N, editör Veri Toplama Yöntem ve Araçları & Veri Toplama Araçlarının Güvenirlik ve Geçerliği. İstanbul: Nobel Tıp Kitabevleri; 2014. p.65-120.
- Burns N, Grove SK. The practice of nursing research appraisal, synthesis, and generation of evidence. Unit II: Research Process. 6th ed. MO: Saunders. St. Louis; 2009. p.110-65.
- Lindberg I, Christensson K, Öhrling K. [Parents' experiences of using videoconferencing as a support in early discharge after childbirth]. Midwifery. 2009;25(4):357-65.[Crossref] [PubMed]
- Sorknæs A. The Effects of Real-Time Telemedicine Video Consultations between Nurses and Patients with Severe Chronic Obstructive Pulmonary Disease (COPD), University of Southern Denmark, Odense, Denmark, 2013.
- Kim HG, Geppert J, Quan T, Bracha, Y, Lupr V, Cutts DB. [Screening for postpartum depression among low-income mothers using an interactive voice response system]. Maternal Child Health Journal. 2012;16(1):921-28.[Crossref] [PubMed]
- Shorey S, Mei Ng Y, Danbjorg D, Dennis CL, Morelius E. [Effectiveness of the 'Home-but not Alone' mobile health application educational programme on parental outcomes: a randomized controlled trial, study protocol]. JAN. 2016;253-64.[Crossref] [PubMed]
- Löf M, Svalenius EC, Persson EK. Factors that influence first-time mothers' choice and experience of early discharge. Scand J Caring Sci. 2006;20(3):323-30.[Crossref] [PubMed]
- Foster DA, Mclachlan H, Rayner J, Yelland J, Gold L, Rayner S. [The early postnatal period: exploring women's views, expectations and experiences of care using focus groups in Victoria, Australia]. BMC Pregnancy and Childbirth. 2008; 8, 1.[Crossref] [PubMed] [PMC]
- Hjälmhult E, Lomborg K, Managing the first period at home with a newborn: a grounded theory study of mothers' experiences Scand J Caring Sci. 2012;26(4):654-62.[Crossref] [PubMed]
- Bandura A. Self-efficacy and health behaviour. In: Ayers S, Baum A, McManus C, Newman S, Wallston K, Weinman J, eds. Cambridge Handbook of Psychology, Health and Medicine. 2nd ed. Cambridge: Cambridge university Press; 1997. p.160-2.
- Thomas GM, Lupton D. Threats and thrills: pregnancy apps, risk and consumption. Health, Risk & Society. 2016;17(7-8): 495-509.[Crossref]
- Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191-215.[Crossref] [PubMed] [PMC]
- Glanz K, Rimer BK, Viswanath K. Health behavior: Theory, research and practice. Social Networks and Health Behavior. 5th ed. New York, NY: John Wiley & Sons; 2015.
- Watterson JL, Walsh J, Madeka I. [Using mHealth to improve usage of antenatal care, postnatal care and immunization: A systematic review of the literature]. BioMed Research International. 2015;153-402.[Crossref] [PubMed] [PMC]
.: İşlem Listesi