ผลของโปรแกรมส่งเสริมการรับรู้สมรรถนะแห่งตนต่อพฤติกรรมป้องกันการคลอดก่อนกำหนด ของหญิงตั้งครรภ์ที่มีภาวะเสี่ยงต่อการเจ็บครรภ์คลอดก่อนกำหนด

Varisara Phongchayuda; Nittaya Panngam; Sutin Chanaboon

Authors

Varisara Phongchayuda Faculty of Nursing, Khon Kaen University
Nittaya Panngam Faculty of Nursing, Khon Kaen University
Sutin Chanaboon Sirindhorn College of Public Health, Khon Kaen Province,Faculty of Public Health and Allied Health Sciences, PraBoromrajchanok Institute

Keywords:

preterm delivery, preventive behaviors for preterm delivery, self - efficacy

Abstract

Introduction: Uninhibited preterm labor is a significant factor contributing to preterm birth. Moreover, preterm birth is the leading cause of neonatal mortality and morbidity. Thus, promoting self - efficacy in pregnant women is essential to preventive behaviors to prevent preterm labor.

Research objectives: To investigate the effects of self - efficacy promotion program on preterm birth preventive behaviors among pregnant women at risk of preterm delivery.

Research methodology: This research study was a quasi - experimental design with pretest - posttest groups. The sample consisted of 60 pregnant women at risk of preterm delivery. These sample were divided into an experimental and a control group, including 30 pregnant women for each group. Participants were selected by purposive sampling based on specified characteristics. The research instrument was self - efficacy enhancing program with a Content Validity Index (CVI) of .96. Data were collected using a behavioral questionnaire to prevent preterm labor, which had a CVI of .98 and a Cronbach's alpha reliability coefficient of .82. Paired t - test was used to test the study hypotheses.

Results: The research results showed that the experimental group was statistically significant higher behavioral scores on preventing preterm delivery than the control group. Both in comparison to their pre-intervention scores (p < .001) and higher than (p < .001).

Conclusion: The self - efficacy enhancing program effectively increases preterm labor preventive behaviors in pregnant women at risk of preterm labor.

Implications: This study emphasizes on the importance of incorporating self - efficacy enhancing program into antenatal care protocols. Furthermore, such integration may effectively promote preventive behaviors prevent preterm delivery, potentially reducing its incidence among high - risk pregnant women.

Downloads

Download data is not yet available.

References

World Health Organization. Preterm birth [Internet]. 2023 [cited 2023 Oct 10]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/preterm-birth

World Health Organization. Launch of the WHO recommendations for care of the preterm or low birth weight infant [Internet]. 2022 [cited 2023 Oct 10]. Available from: https://www.who.int/news-room/events/detail/2022/11/17/default-calendar/launch-of-the-who-recommendations-for-care-of-the-preterm-or-low-birth-weight-infant

World Health Organization. 152 million babies born preterm in the last decade [Internet]. 2023 [cited 2023 Oct 10]. Available from: https://www.who.int/news/item/09-05-2023-152-million-babies-born-preterm-in-the-last-decade

Health Data Center. Percentage of Thai women who is preterm birth in the year [Internet]. 2022 [cited 2022 Oct 30]. Available from: https://hdcservice.moph.go.th/hdc/reports/report.php?cat_id=1ed90bc32310b503b7ca9b32af425ae5&id=ecdbfc8b4725386c34623ce99f0f4b8d

The Royal Thai College of Obstetricians and Gynaecologists. Management of preterm labor and preterm prelabor rupture of membranes. RTCOG Clinical Practice Guideline 2023;1:9-36. (in Thai)

American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins-Obstetrics. Practice Bulletin No. 171: Management of Preterm Labor. Obstetrics and gynecology.2016 Oct;128(4):e155-64. doi: 10.1097/AOG.0000000000001711. PMID: 27661654.

Phonthong Hospital. Statistics on labor room department, Phonthong Hospital, fiscal year 2020-2022. Roi Et: Phonthong Hospital; 2022. (in Thai)

Bandura A. Self-efficacy: The exercise of control. New York: Freeman and company; 1997.

Khoonboonyung P, Chalermpolprapa V. The effectiveness of implementing clinical practice guidelines for prevention of preterm labor at the antenatal care unit, Nakhonpathom Hospital. Journal of Health and Nursing Research 2020;36(2):212-24. Available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/244651/165975 (in Thai)

Japa A. Effectiveness of program of care for pregnant women at risk for preterm labor on the rates of preterm labor and preterm birth in Pathum Rat hospital, Roi-Et. Journal of Research and Health Innovative Development 2020;1(3):219–28. Available from: https://he01.tci-thaijo.org/index.php/jrhi/issue/view/17191/4404 (in Thai)

Puttisawong W, Chunuan S, Kala S. The effect of self-efficacy enhancement with husband support program on food consumption behavior among pregnant adolescents. Princess of Naradhiwas University Journal 2017;9(3):12-24. Available from: https://li01.tci-thaijo.org/index.php/pnujr/article/view/99130/77097 (in Thai)

Suwanpakdee W, Youngwanichsetha S, Shunuan S. Effects of a self-efficacy enhancement program on dietary and exercise behaviors among pregnant women with gestational diabetes mellitus. The Southern College Network Journal of Nursing and Public Health 2019;(6)1:39-50. Available from: https://www.nur.psu.ac.th/researchdb/file_warasarn/15285journal2.pdf (in Thai)

Cohen J. The t test for means. In: Statistical power analysis for the behavioral sciences. 2nd ed. New York: Routledge; 1997. p. 19-74. Available from: https://www.utstat.toronto.edu/~brunner/oldclass/378f16/readings/CohenPower.pdf

Houngsuksakul N, Huaisai W, Kamkaew J, Wongyai S, Srimarit K, Jaunchaiyaphum P, et al. Associated factor of self-care behavior of pregnant women to prevent preterm birth among Nonkoh Subdistrict, Siridhorn District, Ubon Ratchathani Province. Journal of Allied Health Sciences Suan Sunandha Rajabhat University 2024;9(1):1-14. Available from: https://he04.tci-thaijo.org/index.php/JAHS/article/view/744/736 (in Thai)

Suwannasan A, Rujiraprasert N. Perception and preventive behaviors of recurrent preterm labour among pregnant women after hospital discharge. Journal of Nursing and Health Care 2019;37(2):93-102. Available from: https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/200791/140373 (in Thai)

Jaru A, Chatchawet W, Kritcharoen S. Factors predicting self-care behaviors among pregnant women with successful inhibition of preterm labor. Songklanagarind Journal of Nursing 2019;39(1):79-92. Available from: https://he02.tci-thaijo.org/index.php/nur-psu/article/view/181310/128581 (in Thai)

Suwanrat P, Boonyaporn T, Kumpan S. Effects of empowerment program for pregnant women at risk of preterm labor on the prevalence of preterm labour and preterm delivery. Nursing, Health, and Education Journal 2022;5(3):81-91. Available from: https://he02.tci-thaijo.org/index.php/NHEJ/article/view/259766/178105 (in Thai)

Kaeonoi A, Phumonsakul S, Gerdprasert S. Factors related to health promoting behaviors and gestational age at birth of pregnant women at risk of preterm birth. Ramathibodi Nursing Journal 2018;24(3):265-78. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/141659/119681 (in Thai)