ElShabory Nor El-Hoda Mohamed El-Sayed, Abdel-Gawad Reda Abdallah Abdel-Aziz, Mohammed Hanan Salem Sanad, Shehata Azhar Abdel-Fatah Mohamed, Ibrahim Esraa Mostafa Abd El-Aty
Maternity, Gynecology and Obstetrics Nursing, Faculty of Nursing, Port-Said University, Port-Said, Egypt.
Psychiatric and Mental Health Nursing, Faculty of Nursing, Minia University, Minia, Egypt.
BMC Pregnancy Childbirth. 2025 Apr 23;25(1):468. doi: 10.1186/s12884-025-07447-w.
Unfavorable fetal, neonatal, and maternal outcomes are more likely to occur in pregnancies complicated by hypertension. The degree of awareness regarding health circumstances and locus of control on health is a highly significant component in determining the effectiveness of adherence to therapy, which is influenced by determinant factors.
Assess the effectiveness of nursing intervention session on health locus of control and self efficacy for women with preeclampsia.
Two group quasi-experimental study design was used in outpatient units of all Port Said City obstetric hospitals that adhere to the comprehensive health insurance. A purposive non-probability sample of one hundred and fifty pregnant women. A structured self administered questionnaire, the multidimensional health locus of control scale and general self efficacy scale.
Following nursing intervention sessions, pregnant women with preeclampsia in study group obtain higher mean score of internal, external powerful others of locus control on health and self efficacy (22.373 ± 9.316, 24.866 ± 7.323 & 15.640 ± 5.116) compared to the control group (20.866 ± 9.969, 23.640 ± 8.105 &12.080 ± 6.803) who didn't not take part in nurse intervention sessions, with a statistically significant difference (p = 0.000) between the groups under study. Moreover, the study group's external chance of health locus control mean scores were greater (21.013 ± 9.047) than the control group (19.946 ± 10.628) with none a noticeable difference between the groups under study.
In women with preeclampsia, nursing intervention can have a positive impact on all aspects of locus of control over health and self efficacy.
The study protocol was registered by the Research Ethics Committee of the Faculty of Nursing, Port Said University with code number: NUR27on 9/7/2023.
在并发高血压的妊娠中，更有可能出现不良的胎儿、新生儿和产妇结局。对健康状况的认知程度以及对健康的控制源是决定治疗依从性有效性的一个非常重要的因素，而治疗依从性又受多种决定因素的影响。
评估护理干预对先兆子痫妇女健康控制源和自我效能的效果。
在塞得港所有坚持综合医疗保险的产科医院门诊采用两组准实验研究设计。选取150名孕妇作为目的抽样非概率样本。采用结构化自填问卷、多维健康控制源量表和一般自我效能量表。
经过护理干预后，研究组先兆子痫孕妇在健康控制源的内在、外在强大他人以及自我效能方面的平均得分（22.373±9.316、24.866±7.323和15.640±5.116）高于未参加护理干预的对照组（20.866±9.969、23.640±8.105和12.080±6.803），研究组间差异有统计学意义（p = 0.000）。此外，研究组健康控制源外在机遇的平均得分（21.013±9.047）高于对照组（19.946±10.628），但研究组间无显著差异。
对于先兆子痫妇女，护理干预可对健康控制源和自我效能的各个方面产生积极影响。
该研究方案已由塞得港大学护理学院研究伦理委员会注册，代码为：NUR27，于2023年7月9日注册。
