Ulloa Sabogal Iliana Milena, Arias Rojas Mauricio
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.
Invest Educ Enferm. 2025 Apr;43(1). doi: 10.17533/udea.iee.v43n1e14.
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".
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.
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).
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.
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。
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。
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）。
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。
