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护理干预“EducaTHE”对改善妊娠期高血压疾病孕妇知识水平和自我护理行为的影响:一项随机对照试验性研究

Nursing Intervention "EducaTHE" to Improve Knowledge and Self-care Behaviors for Hypertensive Disorders in Pregnant Women: a Randomized Controlled Pilot Study.

作者信息

Ulloa Sabogal Iliana Milena, Arias Rojas Mauricio

机构信息

RN, M.Sc., Ph.D., Professor, School of Nursing, Universidad Pedagógica y Tecnológica de Colombia, Tunja, Colombia.

RN, M.Sc., Ph.D., Associate Professor, Faculty of Nursing, Universidad de Antioquia, Medellín, Colombia.

出版信息

Invest Educ Enferm. 2025 Apr;43(1). doi: 10.17533/udea.iee.v43n1e14.

Abstract

OBJECTIVE

This work sought to determine the feasibility, acceptability, and potential effect of the nursing intervention "Knowledge and self-care behaviors of pregnant women in the face of hypertensive disorders of pregnancy - EducaTHE".

METHODS

This study is a pilot randomized controlled trial. Sixty pregnant women who were enrolled in the antenatal care program of a health institution participated. They were selected via simple random sampling and assigned to the experimental group (n = 30) and control group (n = 30). The intervention consisted of four educational sessions once a week, while the control group received usual antenatal care. Recruitment, follow-up, and dropout rates were assessed, as well as participant satisfaction. Both groups completed the "Knowledge and Self-Care Behaviors - CoNOCiTHE" and "Determinants of Behavior" scales before and four weeks after the intervention to assess impact.

RESULTS

The recruitment rate was 75.94%, 90% at follow-up and 10% dropouts. Overall satisfaction was 4.82 out of 5. The effect of the intervention showed a significant increase in the level of knowledge and behaviors in the experimental group compared to the control group (77 vs. 69; p< 0.001) and in the determinants of behavior (159 vs. 154; p=0.066), and a large effect size (d-Cliff = 0.7517). These changes were not significant in the control group (p≥0.05).

CONCLUSION

This study shows the feasibility and acceptability of the intervention in the maternal population, as well as the potential ef-fect of improving knowledge and self-care behaviors in the face of hypertensive disorders of pregnancy. Therefore, it is rec-ommended to use these types of educational interventions in maternal and perinatal nursing care.

摘要

目的

本研究旨在确定护理干预措施“妊娠期高血压疾病孕妇的知识与自我护理行为——EducaTHE”的可行性、可接受性及潜在效果。

方法

本研究为一项试点随机对照试验。60名参加某医疗机构产前保健项目的孕妇参与其中。通过简单随机抽样选取她们,并分为实验组(n = 30)和对照组(n = 30)。干预措施包括每周一次共四次的教育课程,而对照组接受常规产前护理。评估招募率、随访率和失访率以及参与者满意度。两组在干预前及干预四周后均完成“知识与自我护理行为——CoNOCiTHE”量表和“行为决定因素”量表以评估干预效果。

结果

招募率为75.94%,随访率为90%,失访率为10%。总体满意度为4.82(满分5分)。干预效果显示,与对照组相比,实验组的知识水平和行为水平显著提高(77对69;p<0.001),行为决定因素也有所提高(159对154;p = 0.066),且效应量较大(d-Cliff = 0.7517)。对照组的这些变化不显著(p≥0.05)。

结论

本研究表明该干预措施在孕产妇群体中的可行性和可接受性,以及在妊娠期高血压疾病方面改善知识和自我护理行为的潜在效果。因此,建议在孕产妇和围产期护理中采用这类教育干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fa8/12085266/a1aa8680dd47/2216-0280-iee-43-01-e14-gf1.jpg

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