Adem Reyad Shek, Motuma Aboma, Ayele Behailu Hawulte
Amir Nur Woreda Health Office Harari Regional Health Office, Harar, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
SAGE Open Nurs. 2025 Aug 3;11:23779608251365331. doi: 10.1177/23779608251365331. eCollection 2025 Jan-Dec.
Physical activity is associated with a reduced risk of several adverse obstetric outcomes, including preterm birth, gestational diabetes, and preeclampsia, anxiety, and depression. However, the majority of women do not achieve recommended levels of physical activity in either time or intensity. It was less known among pregnant women in Ethiopia. This study assesses the knowledge, attitude, and practice of physical activity among pregnant women attending antenatal care in Harari regional state, eastern Ethiopia from December 15, 2023 to January 15, 2024.
An institution-based cross-sectional study was conducted among 435 participants. A random sampling method was deployed to select study participants. A pretested and structured questionnaire was used to collect the data through a face-to-face interview. Data were entered into EpiData version 3.1 and analyzed using SPSS 26.0 software. Binary logistic regression was used to identify factors associated with physical activity practice. Adjusted odds ratio (AOR) with a 95% confidence interval was used to report the association, and statistical significance was declared at p-value < 0.05.
The findings indicate that 50.1% (95% CI: 45.5-54.9%) of pregnant women were practice physical activity. Women attending health centers (AOR = 2.81, 95% CI: 1.85-4.26), aged 25-34 years (AOR = 1.94, 95% CI: 1.25-3.02), urban residence (AOR = 1.85, 95% CI: 1.17-2.91), and women with good perceived benefits (AOR = 4.78, 95% CI: 3.12-7.31) were significantly associated with physical activity.
The findings reveal that half of the study participants practice physical activity. Attending health centers, the age of women, residence, and positive perception of the benefit of physical activity were significantly associated with physical activity. Nurse practitioners should educate women about the benefits of regular physical activity and help them overcome the barriers to achieving recommended physical activity levels to improve perinatal outcomes.
身体活动与降低多种不良产科结局的风险相关，包括早产、妊娠期糖尿病、先兆子痫、焦虑和抑郁。然而，大多数女性在时间或强度上都未达到建议的身体活动水平。在埃塞俄比亚的孕妇中，这一点鲜为人知。本研究评估了2023年12月15日至2024年1月15日期间在埃塞俄比亚东部哈拉里地区州接受产前护理的孕妇对身体活动的知识、态度和实践情况。
对435名参与者进行了一项基于机构的横断面研究。采用随机抽样方法选择研究参与者。通过面对面访谈，使用经过预测试的结构化问卷收集数据。数据录入EpiData 3.1版本，并使用SPSS 26.0软件进行分析。采用二元逻辑回归来确定与身体活动实践相关的因素。使用调整后的比值比（AOR）和95%置信区间来报告关联，并在p值<0.05时声明具有统计学意义。
研究结果表明，50.1%（95%CI：45.5 - 54.9%）的孕妇进行身体活动。在健康中心就诊的女性（AOR = 2.81，95%CI：1.85 - 4.26）、年龄在25 - 34岁之间的女性（AOR = 1.94，95%CI：1.25 - 3.02）、城市居民（AOR = 1.85，95%CI：1.17 - 2.91）以及认为身体活动益处大的女性（AOR = 4.78，95%CI：3.12 - 7.31）与身体活动显著相关。
研究结果显示，一半的研究参与者进行身体活动。在健康中心就诊、女性年龄、居住地以及对身体活动益处的积极认知与身体活动显著相关。执业护士应向女性宣传定期进行身体活动的益处，并帮助她们克服障碍，以达到建议的身体活动水平，从而改善围产期结局。
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