Nor Azura Ismail, Azlina Ishak, Rosnani Zakaria, Norhayati Mohd Noor
Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Malays J Med Sci. 2020 May;27(3):84-92. doi: 10.21315/mjms2020.27.3.9. Epub 2020 Jun 30.
Because of their frequent, regular contact with antenatal mothers, healthcare providers play an important role in promoting the health benefits of antenatal exercise. This study aimed to determine the effectiveness of an antenatal-exercise counseling module on knowledge and self-efficacy of staff nurses.
A quasi-experimental design was conducted. The intervention and control groups consisted of 66 nurses randomly selected from the Tumpat and Pasir Mas districts, respectively, in Kelantan. The intervention group received an antenatal-exercise counseling module, and the control group performed counseling based on self-reading. Knowledge and self-efficacy were assessed at the baseline and at week 4. Analysis of variance and repeated measure analysis of covariance were performed using SPSS.
There was a significant difference in the knowledge scores [estimated marginal mean (95% confidence interval, CI): 33.9 (33.29, 34.53) versus 27.4 (26.52, 28.29); < 0.001)] and the self-efficacy scores [estimated marginal mean (95% CI): 31.3 (30.55, 32.03) versus 27.4 (26.03, 28.74); = 0.005)] between intervention and control groups at week 4 after adjusting for duration of practice and formal training.
The antenatal-exercise counseling module is recommended for use in routine counseling in health centers to promote healthy lifestyles among pregnant women.
由于医护人员与产前孕妇频繁且定期接触，他们在促进产前运动对健康有益方面发挥着重要作用。本研究旨在确定产前运动咨询模块对护士知识和自我效能的有效性。
采用准实验设计。干预组和对照组分别由从吉兰丹州通帕和巴西马地区随机选取的66名护士组成。干预组接受产前运动咨询模块，对照组进行基于自我阅读的咨询。在基线和第4周时评估知识和自我效能。使用SPSS进行方差分析和重复测量协方差分析。
在调整实践时长和正规培训后，干预组和对照组在第4周时的知识得分[估计边际均值(95%置信区间，CI)：33.9(33.29, 34.53)对27.4(26.52, 28.29)；<0.001]和自我效能得分[估计边际均值(95%CI)：31.3(30.55, 32.03)对27.4(26.03, 28.74)；=0.005]存在显著差异。
建议在健康中心的常规咨询中使用产前运动咨询模块，以促进孕妇的健康生活方式。
