การบูรณาการความรอบรู้ด้านสุขภาพและสุขภาพดิจิทัลกับการป้องกันการตั้งครรภ์ซ้ำในมารดาวัยรุ่นหลังคลอด : การทบทวนวรรณกรรมเชิงพรรณนา

Rukrung Gojuntak

Authors

Rukrung Gojuntak Boromarajonani College of Nursing, Phra-Putthabat, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

health literacy, digital health, contraception, repeat pregnancy, postpartum adolescents

Abstract

This narrative review aimed to 1) synthesize empirical evidence on the associations between health literacy, digital health, and contraceptive behaviors among postpartum adolescents, and 2) propose nursing guidelines to prevent repeat pregnancy in this population. The review was conducted following PRISMA guidelines, with searches in six databases: PubMed, Scopus, CINAHL, Web of Science, Google Scholar, and ThaiJO, covering publications from 2015 to 2025. A total of 3,076 studies were identified. After eligibility screening and quality appraisal using the Joanna Briggs Institute (JBI) critical appraisal tools, 24 studies met the inclusion criteria, including one umbrella review, four systematic/scoping reviews, four randomized controlled trials (RCTs)/cluster-RCTs, four quasi-experimental studies, one single-group experimental study, eight descriptive/cross-sectional/validation studies, and two mixed-methods/qualitative studies. Among these, 12 studies focused specifically on postpartum adolescents, and 12 studies addressed adolescents in general sexual and contraceptive health contexts. Studies were categorized by primary focus: 10 on health literacy, 13 on digital health, and one examining both variables.
The synthesis revealed that interactive and critical health literacy were consistently associated
with the continuous use of highly effective contraceptive methods, particularly long-acting reversible contraception (LARC). Digital health tools, including decision-support systems, monitoring platforms, and interactive media, supported learning, enhanced self-efficacy, and promoted the continuity of contraceptive service use among postpartum adolescents. However, most evidence was derived from international studies, which may differ contextually from Thai postpartum adolescents, and long-term follow-up beyond 12 months was limited.
Integrating digital health interventions (DHIs) with the promotion of interactive and critical health literacy is a key approach to enable postpartum adolescents to access, appraise, compare options, and make informed contraceptive decisions based on valid empirical evidence. Furthermore, the continuous development of nurses’ digital competencies is essential to support postpartum adolescents in making appropriate contraceptive choices and sustainably preventing repeat pregnancy.

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