title: Continuous primary nursing care increases satisfaction with nursing care and reduces postpartum problems for hospitalized pregnant women.
abstract: OBJECTIVE
  To compare the differences in practicing continuous primary nursing care (CPNC) versus task-centered nursing care (TCNC) with regard to patient satisfaction with nursing care and early postpartum health problems for hospitalized pregnant women.
  
  
  METHODS
  All participants filled out the satisfaction with nursing care questionnaire, breastfeeding knowledge questionnaire, and early postpartum problem questionnaire.
  
  
  METHODS
  Participants in the CPNC group received continuous individualized primary nursing care and participants in the TCNC group received task-centered nursing care during their perinatal period.
  
  
  METHODS
  Using a randomized controlled trial, 470 hospitalized pregnant women participated in the study with 230 pregnant women in the CPNC group and 240 in TCNC group.
  
  
  METHODS
  Questionnaire data were collected, calculated, and statistically analyzed using independent t-tests or Χ(2) tests along with power analysis.
  
  
  RESULTS
  Participants in the CPNC group reported significantly higher overall satisfaction with nursing care (t(468) = 5.936, p < .001), had more breastfeeding knowledge (t(468) = 5.633, p < .001), and were more likely to breast feed six weeks after delivery (Χ(2) (1) = 39.237, p < .001) than those in the TCNC group. Participants in the CPNC group also showed a significantly lower occurrence of postpartum urinary retention (Fisher exact test was used, p < .002) and breast discomfort (Χ(2) (3) = 34.482, p < .001) than those in the TCNC group.
  
  
  CONCLUSIONS
  Practicing continuous primary nursing care was more effective than practicing traditional task-centered nursing care for hospitalized pregnant women in increasing satisfaction with nursing care, enhancing breastfeeding, and reducing early postpartum problems.
authors.affiliation: Department of Nursing, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
authors.forename: Hongwei
authors.initials: H
authors.lastname: Wan
authors.forename: Senqi
authors.initials: S
authors.lastname: Hu
authors.forename: Marshelle
authors.initials: M
authors.lastname: Thobaben
authors.forename: Yanwen
authors.initials: Y
authors.lastname: Hou
authors.forename: Tao
authors.initials: T
authors.lastname: Yin
mesh_terms: D000328:Adult; D001942:Breast Feeding; D002681:China; D003266:Continuity of Patient Care; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009732:Nursing Care / Q000379:methods*; D017060:Patient Satisfaction; D011247:Pregnancy; D011295:Prenatal Care; D011644:Puerperal Disorders / Q000517:prevention & control*; D016055:Urinary Retention / Q000517:prevention & control