Maternal and Child Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Department of Maternal, Child and Family Health Nursing, Faculty of Nursing, Hashemite University, Zarqa, Jordan.
Int Nurs Rev. 2020 Dec;67(4):501-511. doi: 10.1111/inr.12626. Epub 2020 Sep 22.
To examine the effects of an interventional programme about preeclampsia on high-risk preeclampsia Jordanian women's awareness and pregnancy outcomes.
Preeclampsia is a leading cause of maternal death and illness globally, and has a high rate in Jordan compared to other countries. Increasing preeclampsia awareness is recommended to prevent its serious complications.
A randomized controlled trial was conducted at a public hospital in Jordan. A consecutive sample of 113 pregnant high-risk preeclampsia women was recruited and divided randomly into interventional and control groups. A questionnaire comprising seven terms on demographics and 51 questions assessing women's awareness on preeclampsia was used. The intervention group received a 2-h educational programme about preeclampsia with self-monitoring of blood pressure and urine protein and routine care, while the control group received a 2-h educational programme relevant to urinary tract infection and received routine care. A pretest was carried out at baseline and 2 weeks after the intervention, a post-test was performed for the two groups.
The results revealed a significant difference in mean scores for awareness of preeclampsia in the interventional group compared to the control group after conducting the education programme. A significant difference was also found between both groups in terms of Apgar scores at 1st min and 5th min and mean diastolic BP. CONCLUSION AND IMPLICATIONS FOR NURSING, HEALTH AND EDUCATION POLICY: Preeclampsia educational programme is effective in improving preeclampsia awareness and some pregnancy outcomes. Midwifery and nursing educators are highly encouraged to train midwives and nurses to be effective health professionals. Health educational programmes need to be designed by professionals based on an updated evidence and women's needs. It is of importance that these programmes focus on involving women in their health care by self-monitoring and providing women with the necessary resources to improve pregnancy outcomes.
探讨关于子痫前期的干预方案对约旦高危子痫前期妇女的意识和妊娠结局的影响。
子痫前期是全球孕产妇死亡和发病的主要原因之一，在约旦的发病率高于其他国家。提高子痫前期的认识被认为是预防其严重并发症的一种方法。
本研究在约旦的一家公立医院进行了一项随机对照试验。连续招募了 113 名高危子痫前期孕妇，将其随机分为干预组和对照组。使用一份包含七个人口统计学术语和 51 个问题的问卷来评估妇女对子痫前期的认识。干预组接受了 2 小时的子痫前期教育计划，包括自我监测血压和尿液蛋白以及常规护理，而对照组接受了 2 小时与尿路感染相关的教育计划，并接受了常规护理。在基线和干预后 2 周进行了预测试，对两组进行了后测试。
在实施教育计划后，干预组的子痫前期意识平均得分明显高于对照组。两组在第 1 分钟和第 5 分钟的阿普加评分和平均舒张压方面也存在显著差异。
结论和对护理、健康和教育政策的影响：子痫前期教育计划可有效提高子痫前期的认识和一些妊娠结局。助产士和护理教育工作者应鼓励培训助产士和护士，使他们成为有效的卫生专业人员。卫生教育计划需要由专业人员根据最新的证据和妇女的需求来设计。这些计划的重点应该是让妇女参与自己的医疗保健，通过自我监测并为妇女提供必要的资源来改善妊娠结局。
