Dissertations and Theses @ UNI


Open Access Dissertation


Patient discharge instructions--Saudi Arabia; Cesarean section--Saudi Arabia;


The purpose of this research was to investigate the effectiveness of the Patient Discharge Information (PDI) booklet on the knowledge, attitude, and behaviors of participants who were cesarean patients in local hospitals in Saudi Arabia. This study investigated the following two research questions: (1) does the participant have information, resources, and understand basic personal health information regarding her health conditions including diagnosis, treatment, self-care management, medication instructions, normal expected symptoms, dangerous signs and what to do, as well as lifestyle changes?; and (2) how does patient discharge information provided by the hospital make a difference in participants’ knowledge, attitude, and behaviors?

This research used an experimental pretest-posttest design with both an experimental and control group. The two-group, pretest-posttest design includes one dependent variable (a patient discharge information booklet) and three independent variables: patients’ knowledge, attitude, and behavior. The population in this study were women who had undergone caesarean section deliveries and were selected from the obstetrics or gynecology department (OB/GYN) in general hospitals located in the Eastern Province of Saudi Arabia. A 17-item questionnaire was used both at pre- and post- test. The treatment was the PDI (Patient Discharge Information), which was given immediately after pre-test. The post-test was given four weeks later.

For bivariate analysis, two additional methods were used in this study: the two-sample t- tests on the different scores between pretest and posttest and repeated measures/split-plot analysis of variance. The results of this study showed that the PDI (Patient Discharge Information) increased experimental participants’ knowledge, attitude, and behaviors regarding diagnosis, medical procedure, treatment, self-care management, signs and symptoms awareness, medication, lifestyle, diet, and psychological health. The results also showed that the control participants decreased from pretest to post-test in their knowledge, attitude, and behaviors regarding the medical procedure, treatment, signs and symptoms awareness, lifestyle, diet, and psychological health. The results of this have implications for policy and practice in the field of healthcare services. The results also provide recommendations for future research in this area.

Year of Submission


Degree Name

Doctor of Education


Department of Educational Psychology and Foundations

First Advisor

Radhi Al- Mabuk, Chair

Second Advisor

Catherine Zeman, Co-Chair

Date Original


Object Description

1 PDF file (xiv, 230 pages)



File Format