Dlamini N J
Nursing Science Department, University of Zululand.
Curationis. 1997 Dec;20(4):16-22.
This is a descriptive, exploratory study which aimed at identifying the factors that are associated with pre-eclampsia in teenagers. The study also aimed at assessing the quality of midwifery care during labour in teenagers with pre-eclampsia so that recommendations can be made based on empirical findings. The study was done within Health Region H of KwaZulu-Natal Province in South Africa. A structured interview schedule was designed to tap information from pre-eclamptic teenagers in an attempt to identify factors associated with pre-eclampsia. A checklist was also designed and administered to assess the care of a pre-eclamptic teenager during labour. The study revealed that factors like age, nulliparity and socio-economic status were associated with pre-eclampsia. In as far as the rest of the factors, there was no relationship as indicated in previous studies. The study also revealed that teenagers affected by pre-eclampsia delayed in attending the antenatal clinic resulting in the control of the disease being difficult. In as far as midwifery care, the study revealed that psychological and social care, as well as the hygienic state of patients was not satisfactory. Based on the findings of the study, it is recommended that health education on prevention of pre-eclampsia should be done on an ongoing process, while carers for teenage mothers should be given inservice education programmes on psychosocial care. The physical environment for maternity units must be improved.
这是一项描述性探索性研究，旨在确定与青少年子痫前期相关的因素。该研究还旨在评估子痫前期青少年分娩期间的助产护理质量，以便根据实证研究结果提出建议。该研究在南非夸祖鲁 - 纳塔尔省的H健康区开展。设计了一份结构化访谈提纲，以获取子痫前期青少年的信息，试图确定与子痫前期相关的因素。还设计并实施了一份清单，以评估子痫前期青少年分娩期间的护理情况。研究表明，年龄、未生育和社会经济地位等因素与子痫前期有关。至于其他因素，与先前研究表明的情况并无关联。研究还表明，受子痫前期影响的青少年延迟就诊产前诊所，导致疾病难以控制。就助产护理而言，研究表明心理和社会护理以及患者的卫生状况并不令人满意。基于该研究的结果，建议持续开展子痫前期预防的健康教育，同时应为青少年母亲的护理人员提供心理社会护理方面的在职教育项目。产科病房的物理环境必须加以改善。
