Comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery
نویسندگان
1 School of Nursing and Midwifery, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2 Faculty of educational and psychology , Ferdowsi University of Mashhad,
3 Department of Midwifery, School of Nursing and Midwifery, Evidence‑Based Care Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran
4
doi
چکیده
INTRODUCTION: Each mother has the legal right to decide about her delivery, but this decisionshould be made based on scientific knowledge. Instructions during pregnancy help to choose theproper type of delivery. This study conducted aimed to compare two instructional methods of roleplaying and lecture on primigravida decision about type of delivery.SUBJECTS AND METHODS: In this single‑blind clinical trial 67 primigravida, 34–36 week wereselected using multi‑stage sampling and assigned into two groups randomly. Decision‑making(before, 2‑week after, and at admission in maternity department) was tested by a questionnaire. Inrole‑playing group, advantages and disadvantages of two type delivery were presented by role‑playingin 90‑min by three scenarios. In lecture group, it was also presented in a 90‑min lecture. Data wereanalyzed by mean difference test, Fisher test, independent and paired t‑test.RESULTS: Two groups showed a significant difference in terms of decision at admission tomaternity department (P = 0.000). 75% of lecture group and 100% of role‑playing group selectednormal delivery. Postintervention knowledge score in lecture group was 18 ± 5.3 and in role‑playinggroup 17.1 ± 4.0. Percent of change in knowledge scores in two groups was significant (P = 0.001).Participants’ attitude, before and after the intervention, in both groups was significant (P < 0.05).Mean difference of pre‑ and post‑test in relation to two groups’ knowledge and attitude scores wasnot significant (P > 0.05).CONCLUSION: In this research, lecture was more effective in raising knowledge level, and roleplaying was more effective in raising decision to vaginal delivery and reducing elective caesareansection. It is therefore suggested to use both teaching methods altogether for pregnant women todecrease the rate of unnecessary cesarean.
