Development of a Home Visit Model for Postpartum Women Integrating Family Participation and Digital Health Technology, NADUN Hospital

Abstract

     This action research aimed to develop a postpartum home visit model integrating family participation and digital health technology at Nadun Hospital. The target group consisted of 30 postpartum women selected by purposive sampling. Research instruments included a knowledge test, self-care skills assessment, family participation questionnaire, ST5 stress assessment, and satisfaction questionnaire. Quantitative data were analyzed using descriptive statistics and paired t-test; qualitative data were analyzed using content analysis.

     The results revealed that: 1) The postpartum home visit completion rate was only 58.4%, attributed to heavy staff workloads, long travel distances, fragmented data systems between healthcare facilities, and lack of family involvement. Problems identified among postpartum mothers included perineal wound dehiscence and infection, insufficient breast milk, postpartum depression, and substance use. 2) The developed model, NADUN Postpartum Home Visit Model, comprised five components: N–Need-based Holistic Assessment, A–Active Family Engagement, D–Digital Platform and Artificial Intelligence, U–Unified 3A 4S Health Behavior Promotion, and N–Networked Continuity of Care among multidisciplinary teams. 3) Post-implementation knowledge scores were significantly higher than pre-implementation scores (p < .001). Self-care skills were at a high level (86.23%). Stress levels were low of participants, with no mothers identified as having postpartum depression. Family participation was at a high level (= 4.23, SD = 0.36), and overall satisfaction was at the highest level (= 4.65, SD = 0.35).