Effect of Guided Instructions Using Bundle of Care on Knowledge and Compliance with Treatment among Pregnant Women High Risk for Preeclampsia | ||||
| Egyptian Journal of Health Care | ||||
| Article 27, Volume 13, Issue 1, March 2022, Page 365-382 PDF (1 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.218303 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Shaimaa Fouad Mohammed1; Samia I Hassan1; Afaf Hassan Ahmed2; Amany S. Badawy3 | ||||
| 1Woman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, Egypt | ||||
| 2Obstetric and Gynecologic Nursing Department, Faculty of Nursing, Alexandria University, Egypt | ||||
| 3Obstetric and Gynecologic Nursing Department, Faculty of Nursing, Zagazig University, Egypt | ||||
| Abstract | ||||
| Background: Early detection and prevention of preeclampsia (PE) are very important to avoid morbidity and mortality associated with them. Recent efforts have focused on the selection of high risk women and increasing their awareness and compliance with effective interventions as early as it is possible. Aim: This study aimed to assess the effect of guided instructions using bundle of care on knowledge and compliance with treatment among pregnant women high risk for preeclampsia. Design: A quasi-experimental design was utilized in this study. Setting: This study was carried out at the antenatal outpatient clinics of Mansoura University Hospitals, Egypt. Study subjects: Anon probability purposive sample of 108 pregnant women was allocated either to the control group who received the routine antenatal care and the intervention group who received preeclampsia bundle of care intervention. Tools: A structured interview questionnaire to cover data related to general characteristics and obstetric history; pregnant women knowledge regarding preeclampsia questionnaire and compliance with preeclampsia treatment questionnaire. Results: The present study results showed that there was a highly statistical significant increase (p < 0.001) in total knowledge score post intervention compared to pre intervention among pregnant women in both groups and a statistical significant increase in total score of pregnant women compliance with preeclampsia treatment in the intervention group compared to the control group post-intervention ( p < 0.05), only (27.8%) of women in the intervention group compared to half (50%) in the control group developed preeclampsia with statistical significant difference among both groups ( p < 0.05). Conclusion: The current study hypothesis were accepted where applying guided instructions using bundle of care was an effective intervention for improving knowledge and compliance with treatment among pregnant women high risk for preeclampsia in the intervention group compared to the control group. Recommendation: The current study recommended integrating guided instructions using bundle of care as a nursing intervention into the routine antenatal care in the study setting. | ||||
| Keywords | ||||
| Bundle of Care; High risk pregnant women; Knowledge and compliance; Nursing intervention; Preeclampsia prevention | ||||
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