Effect of Intervention PRECEDE Model on Knowledge and Practice of Preventive Behaviors among High-Risk Pregnant Women regarding Gestational Diabetes | ||||
Egyptian Journal of Health Care | ||||
Article 117, Volume 13, Issue 1, March 2022, Page 1720-1734 PDF (539.33 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhc.2022.233173 | ||||
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Authors | ||||
Heba Ahmed Osman Mohamed1; Marwa Yehia Moustafa Sweelam2; Hanaa Kamal Helmy3; Amany Arafat Goda4; Noha Hassan AbdElfattah Mohamed5 | ||||
1Obstetric and Gynecological Department, Faculty of Nursing, Assiut University | ||||
2Maternity and Neonate Health Care Nursing Department, Faculty of Nursing, Fayoum University | ||||
3Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni- Suef University | ||||
4Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University | ||||
5Maternal and Neonatal Health Nursing Department, Faculty of Nursing Beni- Suef University. | ||||
Abstract | ||||
Because of its high prevalence and possible problems for pregnant women and their offspring, gestational diabetes is a global health concern. As a result, patient education is one of the most important factors in increasing women's knowledge and habits. Early detection of high-risk factors for gestational diabetes can be prevented by educational programs designed and implemented to decrease the high prevalence and prevent complications. Aim: To evaluate the effect of intervention PRECEDE model on knowledge and practice of preventive behaviors among high-risk pregnant women regarding gestational diabetes. Subjects and method: Design: Quasi-experimental research design pre-post-test was used to achieve the aim of this study. Settings: The study was applied in the antenatal outpatient clinics at Beni-Suef University Hospitals. Sample: A purposive sample of 200 pregnant women diagnosed as high-risk for gestational diabetes was recruited from the selected settings. Tools: Four tools were used: (1) a Structured interviewing questionnaire, (2) Predisposing, Enabling, and Reinforcing Questionnaire (PRECEDE model questionnaire), (3) a High-risk pregnant women’s reported practices questionnaire of gestational diabetes preventive behavior, and (4) High-risk pregnant women’s attitude questionnaire regarding gestational diabetes prevention. Results: The current results revealed that the mean score of knowledge, enabling factors, and reinforcing factors have been increased with statistical significance immediately and after one month of the intervention. High-risk pregnant women had adequate practices toward gestational diabetes preventive measures one-month post-intervention compared to pre-intervention. High-risk pregnant women had a positive attitude toward gestational diabetes preventive measures one-month post-intervention compared to pre-intervention. There was a statistically significant relationship between knowledge, enabling, reinforcing factors scores, and practices scores of gestational diabetes preventive measures throughout the intervention phases. Conclusion: It was concluded that implementing intervention based on PRECEDE model for high-risk pregnant women was effective in improving knowledge and practice regarding the prevention of gestational diabetes. Recommendation: The intervention based on PRECEDE model regarding gestational diabetes prevention should be integrated into the antenatal care for pregnant women in the different study settings. | ||||
Keywords | ||||
Intervention; Gestational diabetes; PRECEDE model; Knowledge and preventive behavior; Pregnant women | ||||
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