H1: Navigation-assisted care program based on Swanson care theory reduces perinatal grief
levels of women.
H2: Navigation-assisted care program based on Swanson care theory reduces
depression-anxiety-stress levels of women
H3: Navigation-assisted care program based on Swanson care theory positively affects women's
coping and adjustment levels.
Independent variables: Sociodemographic characteristics such as age, marital status,
educational status and the Navigation Assisted Care Program Based on Swanson Care Theory
constitute the independent variables.
Dependent variables: Scores from Perinatal Grief Scale, Depression, Anxiety and Stress Scale,
Coping and Adaptation Process Scale, discharge time, labor pain constitute the dependent
variables.
Preparation of mobile application:
After the formation of the training content, expert opinions and the completion of the ethics
committee process, the construction phase of the mobile application started. The mobile
application was named "Pregnancy Loss Support Program". In order for the patients in the
intervention group to log in to the mobile application, a user name and password were
defined, and the user names and passwords defined during the installation of the mobile
application were reported to them by the researcher. Before starting the patient interviews
with the mobile application, trials were made and updates were made regarding the
deficiencies. Continuous support was provided to people through the Messaging section, which
offers instant messaging so that participants' questions can be answered. The questionnaires
applied during the study were made available to the participants in the Survey section. In
the video section, videos that will provide technical support for mobile application
installation and use have been added. A symptom diary section was created in order for the
participants to indicate the changes that occurred in them, and the participants were
provided to report their symptoms from this section.
After the patient is admitted to the service at the first interview, data collection
forms will be applied to the women. Afterwards, information will be given about the
mobile application and its use, and the mobile application will be downloaded to the
women's phones. The mobile application will be activated after the discharge of the
patient, and the woman will be able to access the mobile application at discharge. The
mobile application will be installed on the patient's phone at the first meeting in the
hospital, and the patient will be informed about its use.
In the second meeting, before the termination, the Medical Post-Termination Training and
Supportive Care Program will continue.
After the termination at the third meeting, the Medical Post-Termination Training and
Supportive Care Program will continue. Telephone interviews and follow-up plans will be
made with the patient after discharge. After the medical termination decision is taken,
it is thought that there may be deficiencies during the training due to the high anxiety
and stress levels of women, and the training program will be integrated into the mobile
application so that women can access it at any time. In case of a problem with the use
of the mobile application, women will be able to reach the researcher by phone during
working hours and support will be provided by the researcher. In the study, it was
planned to make home visits, but the follow-ups arising from the Coronavirus Pandemic
process will be made in the form of telephone follow-up and follow-up. Survey and
measurement tools will be applied.(Perinatal Grief Scale, Depression, Anxiety and Stress
Scale, Coping and Adaptation Process Scale)
After the discharge, the fourth interview will take place in the first week, the
problems experienced by the patient will be discussed and his questions will be
answered. Post-Medical Termination Education and Supportive Care Program will continue.
After discharge, the fifth interview will be held in the second week and the problems
experienced by the patient will be discussed.
After discharge, the sixth interview will be held in the fourth week and the problems
experienced by the patient will be discussed.
The seventh interview will be held in the sixth week after discharge, during which the
problems experienced by the patient will be discussed, data collection forms and
measurement tools will be applied. (Perinatal Grief Scale, Depression, Anxiety and
Stress Scale, Coping and Adaptation Process Scale)
The eighth interview will be held in the tenth week, during which the problems
experienced by the patient will be discussed, data collection forms and measurement
tools will be applied. (Perinatal Grief Scale, Depression, Anxiety and Stress Scale,
Coping and Adaptation Process Scale)
Applications to the control group In the control group, data collection forms and measurement
tools will be applied after admission to the service. No application will be made other than
the routine maintenance of the hospital. The routine care of the hospital applied to the
control group within the scope of the research includes the information that should be given
before, during and after the procedure that should be done depending on the medical
intervention. In addition, there is no support program planned in the hospital and at
discharge, and there is no follow-up after discharge. In studies evaluating the effectiveness
of education in the literature, 6-8 weeks are considered appropriate for evaluation. For this
reason, the first measurement will be made in the 6th week of the study. In addition, in
terms of evaluating the effects of medical termination on the woman in the long term, a
post-test will be applied at the 10th week.
• After the completion of the training and evaluation in terms of ethical compliance, the
support program training content and mobile application usage will be opened to the control
group. Women in the control group will have access to the application after study protocol.