针对初产妊娠青少年的移动电子健康个人和家庭自我管理计划的有效性:准实验研究

IF 0.7 Q4 NURSING
Taevika Choakprasanchai, Srisamorn Phumonsakul, Bualuang Sumdeangrit, Noppawan Piaseu
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引用次数: 0

摘要

少女怀孕被认为是健康问题的高危人群,会损害她们的生活质量。此外,许多怀孕少女在怀孕期间的自我管理行为很可能不佳,从而影响她们的健康状况。这项准实验研究旨在确定移动电子健康个人和家庭自我管理计划对初产孕妇的有效性。在泰国曼谷附近一家省级医院产前门诊就诊的 70 名怀孕少女被分配到实验组(35 人)和对照组(35 人)。实验组接受干预计划和常规护理,对照组只接受常规护理。该项目在四周内分三次进行,分别在基线、完成项目后的两周(时间 1)和四周(时间 2)对结果进行了三次评估。数据收集工作于 2022 年 7 月至 12 月进行,使用了个人数据表、青少年孕妇孕期健康自我管理行为调查表、孕期健康状况记录表和 WHOQOL-BREF-Thai 问卷。研究结果表明,在项目完成四周后(时间 2),实验组和对照组的自我管理行为平均得分在统计学上有显著差异。不过,生活质量的平均得分在统计学上没有明显差异。此外,实验组的血红蛋白水平、血细胞比容水平和妊娠体重增加显著高于对照组。此外,实验组患尿路感染的人数低于对照组,而胎儿的平均体重增加则高于对照组。护士和助产士可将该计划用于青少年孕期,以改善自我管理行为、健康状况和生活质量。不过,在广泛应用之前,还需要进一步的测试。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of the Mobile e-Health Individual and Family Self-management Program for Primiparous Pregnant Adolescents: A Quasi-experimental Study
 Adolescent pregnancy is considered high-risk of health problems that impair their quality of life. Also, many pregnant adolescents are likely to have poor self-management behavior during pregnancy, affecting their health status. This quasi-experimental study aimed to determine the effectiveness of a mobile e-health individual and family self-management program for primiparous pregnant adolescents. Seventy pregnant adolescents who attended a prenatal clinic at a provincial hospital near Bangkok, Thailand, were assigned to the experimental (n = 35) and control group (n = 35). The experimental group received the intervention program and usual care, while the control group received only usual care. The program was held in three sessions over four weeks, and the outcomes were evaluated three times, at baseline, two weeks (time 1), and four weeks (time 2) after completing the program. Data collection took place from July to December 2022 using a personal data form, the Self-Management Behavior Questionnaire on Pregnancy Health of Adolescent Pregnant Women, the Pregnancy Health Status Record Form, and the WHOQOL-BREF-Thai questionnaire. Descriptive statistics, RM-ANCOVA, independent t-test, and chi-square analyzed the data. The findings revealed that four weeks after completion of the program (time 2), there was a statistically significant difference in the mean scores of self-management behavior between the experimental and control groups. Still, there was no statistically significant difference in the mean quality of life scores. In addition, the experimental group’s hemoglobin level, hematocrit level, and gestational weight gain were significantly higher than the control group’s. Moreover, the number of participants with urinary tract infections in the experimental group was lower, whereas the average fetal weight gain was higher than in the control group. Nurses and midwives can use this program for adolescent pregnancy to improve self-management behaviors, health status, and quality of life. However, further testing is needed before it is widely used.
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来源期刊
CiteScore
1.40
自引率
14.30%
发文量
3
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