Self-Care Experiences of Pregnant Women with Hypertensive Disorders
Keywords:
Pregnant Women, Hypertensive Disorders, Self-Care, ExperienceAbstract
This descriptive qualitative research aimed to study self-care experiences of pregnant women with hypertensive disorders at one regional hospital in Southern Thailand. Fifteen participants were recruited by purposive sampling method. Data were collected through in-depth individual interviews, and analyzed using content analysis. To establish credibility of the research, Lincoln and Guba criteria were used, along with confirmability of data from member checking as well as peer debriefing.
Findings showed that self-care experience of pregnant women with hypertensive disorders included the following themes: 1) perception that having hypertensive disorders may affect mother and child health, 2) behavioral modification towards health care, namely learning to adapt behaviors with existing health problems, and 2 following the advices of the health personnel team, 3) concern for mental health care, including stress and anxiety management and restraint with a child, and 4) self-care support from husband and relatives, as well as having access to useful resources.
The findings should be remembered as helpful information for healthcare providers in nursing care planning and caring for pregnant women with hypertensive disorders in order to prevent the severity and progression of the disease.
References
American College of Obstetricians and Gynecologists. (2019). Clinical Management Guidelines for Obstetrician-Gynecologists [Electronic Version]. ACOG Practice Bulletin, 133(1), 1-25.
An, L. B., Li, W. T., Xie, T. n., Peng, X. P., Li, B. L., Xie, S. H., et al. (2015). Calcium Supplementation Reducing the Risk of Hypertensive Disorders of Pregnancy and Related Problems: A Meta-Analysis of Multicenter Randomized Controlled Trials. International Journal of Nursing Practice, 21(2), 19-31.
Anansawas, S. (Ed.) (2017). Nursing Obstetrics. Nonthaburi: Yutharin. (in Thai)
Butalia, S., Audibert, F., Cote, A. M., Firoz, T., Logan, A. G., & Magee, L. A. (2018). Guidelines for the Management of Hypertension in Pregnancy. Can J Cardiol, 34(5), 526-531. doi: 10.1016/ j.cjca. 201802.021
Charles, A., Victor, P., Jonathan, K., & Ishaya, P. (2017). Eclampsia and Pregnancy Outcome at Jos University Teaching Hospital, Jos, Plateau State, Nigeria [Electronic version]. Journal of Gynecology and Obstetrics, 5(4), 46-49.
Chirawatkul, S. (2012). Qualitative Study in Nursing. Bangkok: Vithaya Pat Printing. (in Thai)
Gupta, A., Gaur, B. S., Mishra, K. B., & Dubey, I. (2018). A Comparison of Platelet Count in Severe Preeclampsia, Mild Preeclampsia and Normal Pregnancy. International Journal of Research in Medical Sciences, 6(2), 671-676.
Hobson, S. R., Gurusinghe, S., Lim, R., Alers, N. O., Miller, S. L., Kingdom, J. C., & Wallace, E. M. (2018). Melatonin Improves Endothelial Function in Vitro and Prolongs Pregnancy in Women with Early-Onset Preeclampsia. Journal of Pineal Research, 22, 1-14, doi: 10.1111/jpi.12508
Hussian, M. H., Fatin. A., & Saffar. A. A. (2016). Self-Care Management of Pregnancy Induced Hypertension for Pregnant Women Attending Primary Health Care Centers at Kirkuk City. Journal for Nursing Sciences, 6(2), 1-10.
Jitnawee, W., Sagultep, B., Vutichan, D., & Sungsuwan, B. (2017). The Effect of Discharge Planning in Maternal Postpartum Severe Preeclampsia. Region 11 Medical Journal, 31(1), 166-170. (in Thai)
Keawpimon, P., Samankasikorn, W., Lawantrakul, J., Boonsin, K., & Nayai, U. (2015). The Development of the Reiki Therapeutic Nursing Model for Promoting the Holistic Health in Pregnant Women with Hypertension: the Pilot Study. Songklanagarind Journal of Nursing, 35(3), 73-90. (in Thai)
Ketjirachot, R., Hornboonherm, P., Thongsomboon, R., & Supathaweewat, S. (2017). Pregnancy Outcomes in Pregnant Women with Preeclampsia who Delivered at Mahasarakham Hospital. Journal of Nursing and Health Care, 35(4), 104-112. (in Thai)
Khashan, A. S., Evans, M., Kublickas, M., McCarthy, F. P., Kenny, L. C., Stenvinkel, et al. (2019). Preeclampsia and Risk of End Stage Kidney Disease: A Swedish Nationwide Cohort Study, Plos Medicine, 16(7), doi: 10.1371/journal.pmed.1002875
Lahti-Pulkkinen, M., Girchenko, P., Tuovinen, S., Sammallahti, S., Reynolds, R. M., Lahti, J., et al. (2020). Maternal Hypertensive Pregnancy Disorders and Mental Disorders in Children. AHA Journals. Advance Online Publication. Doi: 10.1161/HYPERTENSIONAHA. 119.14140.
Limsiri, P. (2019). Eclampsia In Wittaya, T., Tripop, L., & kanokwaroon, V. (Eds.), Obstetric Crisis, pp. 161-171. Bangkok: P. A. Living. (In Thai)
Lincoln, S. Y., & Guba, G. E. (1985). Naturalistic Inquiry. Newbury Park: SAGE.
Maitreechit, D., Sangin, S., & Siriarunrat, S. (2020). Relationships Between Health Care Behaviors, Anxiety, Social Support and Quality of Life among Pregnant Women with Pregnancy Induced Hypertension. Chula Med Bull, 2(1), 39-47.
Mcelligott, D. (2013). The Nurse as an Instrument of Healing. In C.C. Barrere & M. B. Helming (Eds.), Holistic Nursing: A Handbook for Practice (pp. 827-842). Burlington: Jones & Bartlett Learning.
Mill, C. S. (2012). A Comparision of Relaxation Techniques on Blood Pressure Reactivity and Recovery Assessing the Moderating Effect of Anger Coping Style. Doctoral Dissertation Old Dominon University, Norfolk.
Nathan, H. L., Duhig, K., Hezelgrave, N. L., Chappell, L. C., & Shennan, A. H. (2015). Blood Pressure Measurement in Pregnancy [Electronic Version]. The Obstetrician & Gynaecologist, 17(2), 91-98.
Orem, D. E., Taylor, S. G., & Renpenning, K. M. (2001). Nursing: Concepts of Practice (6th ed.). St.Louis, Missouri: Mosby-Year Book.
Osman, O. M., Gaafar, T., Eissa, T. S., Abdella, R., Ebrashy, A., & Ellithy, A. (2020). Prevalence of Vitamin D Deficiency in Egyptian Patients with Pregnancy-Induced Hypertension. J Perinat Med, Advance Online Publication. Doi: 10.1515/jpm-2020-0055.
Paauw, N. D., Graaf, A. M., Bozoglan, R. B., Ham, D. P., Navis, G., Groen, H., & Lely, A. T. (2018). Kidney Function After a Hypertensive Disorder of Pregnancy: A Longitudinal Study [Electronic Version]. American Journal of Kidney Diseases, 71(5), 619-626.
Panpob, R. (2016). Outcome of Expectant and Aggressive Management in Pregnancy with Severe Preeclampsia. Region 11 Medical Journal, 30(1), 7-14. (in Thai)
Phoodaangau, B., & Deoisres, W., Chunlestskul, K. (2013). Maternity Experience: A New Role of Unexpectedly Pregnant Students. Thai Journal of Nursing Coun, 28(2), 58-74. (in Thai)
Phumonsakul, S., Pongrua, P., & Wattanapaisit, K. (2011). Family Well-Being, Social Support, Self-Esteem, Perceived Health, and Marital Relationship. Ramathibodi Nursing Journal, 17(3), 382-395. (in Thai)
Plodpluang, U., Boonyarat Kanhadilok, S., Lukin, P., Uthaithum, N., Pomphayoon, P., & Intana, J. (2019). Path Analysis of Factors Affecting Quality of Life of Pregnant Women, Nursing Journal of The Ministry of Public Health, 27(3), 42-56. (in Thai)
Pongpattaraporm, R. (2015). Case Studies: Nursing Care of Patient with Superimposed Preeclampsia on Chronic Hypertension and Acute Kidney Injury. Journal of Preventive Medicine Association of Thailand, 5(1), 94-102. (in Thai)
Preechapornprasert, A., & Chanrachakul, B. (2015). Modern Trend in Pregnancy Induced Hypertension. In
Wiboon, R., Boonsri, J., Pathama, p., Tongta, N., & Malee, K (Eds.), Safe Practice in Maternal and Fetal Medicine (137-139). Bangkok: Union Creation. (in Thai)
Ricci, S. S., Kyle, T., & Carman, S. (2013). Maternity and Pediatric Nursing. (2nd ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Sawangtook, S. (2015). Modern Trend in Pregnancy Induced Hypertension. In Ruangchainikom, W., Chanratchakun, B., Promsonthi, P., Nantakomoi, D., & Geounuppakul, M. (Eds.), Safe Practice in Maternal and Fetal Medicine (141-149). Bangkok: Union Creation Public. (in Thai).
Say, L., Chou, D., Gemmill, A., Tuncalp, O., Moller, A., Daniels, J. et al. (2014). Global Causes of Maternal Death: a WHO Systematic Analysis. Lancet Global Health, 2, 323-333. doi: org/ 10.1016/s2214-109x
Senthiri, P., Srisong, S., Prompakai, R., Sroisuwan, P., & Koponrat, K. (2017). Development of the Care Model for Women with Hypertensive Disorder in Pregnancy. Medical Journal of Srisaket Surin Buriram Hospitals, 32(2), 117-129. (in Thai)
Sheppard, J. P., Schwartz, C. L., Tucker, K. L., & McManus, R. J. (2016). Modern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-Care. Annals of Global Health, 82(2), 274-287.
Slater, E. (2013). Energy healing. In B.M. Dossey, C.C. Barrere, L. Keegen, & M. B. Helming (Eds.), Holistic Nursing: A Handbook for Practice (pp. 751-774). Burlington: Jones & Bartlett Learning.
Sonmongkol, S. (2016). Health Perception, Social Support and Self-Care Behaviors among Adolescent Pregnant in Phuket Province. Region 11 Medical Journal, 30(2), 105-114. (in Thai)
Strategy and Planning Division. (2019). Public Health Statistics A.D.2018. Public Health Statistics A.D. 2018. Retrieved from http://bps.moph.go.th /new_bps/ sites/default/files/ statistic%2061.pdf. (in Thai)
Suttijumnong, J., Kala, S., & Kritcharoen, S. (2016). Nursing Care Needs of Hospitalized Pregnant Women with Pregnancy Induced Hypertension for Overcoming a Crisis. Songklanagarind Journal of Nursing, 36(Special edition), 132-144 (in Thai)
Suzuki, S., Shinmura, H., & Kato, M. (2015). Maternal Uncontrolled Anxiety Disorders Are Associated with the Increased Risk of Hypertensive Disorders in Japanese Pregnant Women. Journal of Clinical Medicine Research, 7(10), 791-794.
Tang, R., Tang, I. C., Henry, A., & Welsh, A. (2015). Limited Evidence for Calcium Supplementation in Preeclampsia Prevention: a Meta-Analysis and Systematic Review. Hypertension in Pregnancy, 34(2), 181-203.
Techawathakul, S. (2015). Nursing Roles for Preventing Preeclampsia. Kuakarun. Journal of Nursing, 22(2), 7-19. (in Thai)
Thadakant, S., Pruksacheva, T., & Jaovisidha, A., (2010). Gestational Diabetes and/or Hypertension Toward Themselvesand Their Fetuses. Ramathibodi Nursing Journal, 16(2), 185-199. (in Thai)
World Health Organization. (2019). Trends in Maternal Mortality 2000 to 2017. Retrieved from https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
Youssef, G. S. (2019). Hypertension in Pregnancy. European Society of Cardiology, 22(17), Retrieved from https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/ Volume-17/hypertension-in-pregnancy
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