Hussien Nahed Ahmed, Abd El-Fatah Hend Ali Mohamed, Zhang Zhenxiang, Abdel-Aziz Hassanat Ramadan, Saleh Ahmad Mahmoud, Dhakal Kamala, Mei Yongxia, Khatap Asmaa Morgan Farahat
Department of Community Nursing, School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China.
Department of Maternity, Obstetrics and Gynecological Nursing, Faculty of Nursing, Suez Canal University, Ismailia 41522, Egypt.
Healthcare (Basel). 2024 Sep 10;12(18):1810. doi: 10.3390/healthcare12181810.
To evaluate the effect of a comprehensive educational program on preeclamptic women's knowledge, risk perception of cardiovascular disease, self-efficacy, and adherence to healthy lifestyle behaviors.
This study employed a pretest-posttest design. One hundred and two women who previously had preeclampsia were enrolled from July 2022 to December 2022 from outpatient obstetrics, gynecology, and family planning clinics. The primary and secondary outcomes were measured at baseline, after eight weeks, and after three months of the educational intervention. The data were analyzed using SPSS version 23, descriptive and inferential statistics, specifically the Chi-square test, independent -tests, and repeated measures ANOVA.
A statistically significant difference was found between the two groups immediately post-intervention and the three-month follow-up, with a significant improvement among the intervention group than control group regarding cardiovascular disease knowledge ( < 0.001), risk perception ( < 0.001), self-efficacy ( < 0.001), and healthy lifestyle behaviors ( < 0.001). There was a statistically significant interaction between group and time regarding total cardiovascular disease risk perception (F = 203.67, < 0.001, η2 = 0.673), self-efficacy (F = 70.06, < 0.001, η2 = 0.405), and adherence to healthy lifestyle behaviors (F = 145.08, < 0.001, η2 = 0.597).
This study concluded that the comprehensive educational program had a positive effect on improving preeclamptic women's knowledge and risk perception of CVD, self-efficacy, and adherence to healthy lifestyle behaviors following preeclampsia.
评估一项综合教育计划对先兆子痫妇女的知识水平、心血管疾病风险认知、自我效能感以及对健康生活方式行为的依从性的影响。
本研究采用前测-后测设计。2022年7月至2022年12月,从门诊妇产科和计划生育诊所招募了102名曾患先兆子痫的妇女。在教育干预的基线、八周后和三个月后测量主要和次要结局。使用SPSS 23版进行数据分析,采用描述性和推断性统计,具体为卡方检验、独立样本t检验和重复测量方差分析。
在干预后立即和三个月随访时,两组之间存在统计学显著差异,干预组在心血管疾病知识(P<0.001)、风险认知(P<0.001)、自我效能感(P<0.001)和健康生活方式行为(P<0.001)方面比对照组有显著改善。在总心血管疾病风险认知(F = 203.67,P<0.001,η2 = 0.673)、自我效能感(F = 70.06,P<0.001,η2 = 0.405)和对健康生活方式行为的依从性(F = 145.08,P<0.001,η2 = 0.597)方面,组间和时间存在统计学显著交互作用。
本研究得出结论,综合教育计划对提高先兆子痫妇女对心血管疾病的知识和风险认知、自我效能感以及子痫前期后对健康生活方式行为的依从性有积极影响。