Abstract / Summary
To evaluate whether a team management model based on Timing It Right theory was associated with postoperative recovery, breastfeeding outcomes, and readiness for hospital discharge among women undergoing elective cesarean section. This single-center, nonrandomized quasi-experimental study used a sequential (nonconcurrent) control design. Women undergoing elective cesarean section were recruited by convenience sampling. Participants treated from April to June 2023 received routine perioperative clinical pathway management and served as the control group, whereas participants treated from July to September 2023 received the same routine pathway plus a team management intervention based on Timing It Right theory. Outcomes related to postoperative recovery, lactation, breastfeeding self-efficacy, and readiness for hospital discharge were compared between groups at prespecified time points. A total of 97 cases were studied in the 2 groups, including 49 cases in the control group and 48 cases in the intervention group. Comparing the postoperative clinical data of the 2 groups, the number of active steps and the time of the first urination in the intervention group were better than those of the control group in the postoperative period of 24 and 48 hours ( P < .05); comparing the postoperative lactation situation of the 2 groups, the amount of lactation in the intervention group was better than that in the control group in the postoperative period of 48 and 72 hours ( P < .05), and breastfeeding confidence in the intervention group (126.65 ± 15.894) was better than that of the control group (110.13 ± 17.662), and the difference between the 2 groups was statistically significant ( P < .05). In addition, the total discharge readiness score of the intervention group (98.55 ± 12.261) and adaptability dimension (39.65 ± 6.851), anticipatory support dimension (26.06 ± 3.875) were better than that of the control group (82.46 ± 15.276, 33.06 ± 6.166, 20.48 ± 3.968), and the difference between the 2 groups was statistically significant ( P < .05). In this single-center, nonrandomized sequentially controlled study, the team management model based on Timing It Right theory was associated with better early postoperative activity, earlier first urination, more favorable lactation status at 48 and 72 hours, higher breastfeeding self-efficacy, and greater readiness for hospital discharge.