4.2 Article

Efficacy of Nursing Support in the Pre- and Postmedical Termination of Pregnancy Phases: A Randomized Study

Journal

OMEGA-JOURNAL OF DEATH AND DYING
Volume 84, Issue 1, Pages 51-68

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0030222819877791

Keywords

anxiety; grief; nursing care; pain; perinatal loss

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This study evaluated the efficiency of a nursing support program based on the Roy adaptation model for pregnant women undergoing medical termination. The experimental group showed positive differences in coping with stress, adaptation assessment, and physical complaints compared to the control group, with no significant differences in anxiety levels. However, the total grief scale score was significantly higher in the experimental group during follow-up assessment.
This study was conducted to evaluate the efficiency of a nursing support program developed in accordance with the Roy adaptation model that was applied in addition to routine nursing care during the treatment process of pregnant women for whom the medical termination decision. This study, which was conducted using a pretest-posttest design, was a prospective, single-blind, and randomized-controlled empirical study. In the experimental group, although the first and last assessment State Anxiety Inventory scores were higher than those in the control group after the medical termination nursing support program, there was no significant difference. Compared with the control group, there were positive differences in the Scale of Ways of Coping with Stress, Adaptation Assessment Form for Role Function Area, and physical complaints in the experimental group. At the follow-up assessment, the total Perinatal Grief Scale score was significantly higher than that in the control group.

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