Stress and Health Promotion Behaviors of Pregnant Women Attending Antenatal Care in the Tambon Health Promotion Hospital in the Municipality Udon Thani Province
Main Article Content
Abstract
This correlational research aimed to study stress levels, health promotion behaviors levels, and the relationship between stress and health promotion behaviors of pregnant women. Who attended antenatal care at Tambon Health Promotion Hospital, in the district of Mueang Udon Thani. The sample consisted of 167 pregnant women. Data were collected by the sample answer self-administered questionnaires. The research tools used including a stress assessment form, and a health promotion behavior assessment form, which passed the content validity check from experts and obtained a reliability value of .95 and .98, respectively. Data were analyzed using descriptive statistics, and correlation analysis using Pearson’s product-moment correlation coefficient.
The results showed that most of the subjects had stress moderate levels of 50.3%, followed by high levels of 33.5%, and severe levels of 6.0%. Overall health promotion behaviors were moderate levels of 47.9%, followed by good levels of 39.5%, and not good levels of 12.6%. The stress was a negatively statistically significant relationship with overall health promotion behavior (r-374, p< .001), and a negatively statistically significant relationship with each aspect, including responsibility for health (r-.306, p<.001), physical activity (r-.212, p<.01), interpersonal relationships (r- .302, p<.001), spiritual development (r-.368, p<.001) and stress management (r-.302, p<.001).
The studies show that when pregnant women experience increased stress, positive health promotion behaviors will decrease. Therefore, pregnant women should be screened for stress and health promotion behaviors. As well as emphasizing care to reduce stress triggers during pregnancy
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
Anusornteerakul, S., Sitti, K., Ounkaew, A., Harnklar, S. & Mokarat, P. (2022). The prevalence and coherence of stress, risk of depression, and depression among pregnant women. Journal of Nursing Science & Health, 45(3), 37-47. (in Thai).
Bloom, B.S. (1975). Taxonomy of education. New York: David McKay Company.
Boonyaporn, T. & Saetan, C. (2017). Nursing role: stress management of pregnant teenager. The Southern College Network Journal of Nursing and Public Health, 4(3), 271-281. (in Thai).
Bootsri, W. & Sirisophon, A. (2020). Predicting factors of promoting behaviors among pregnant women receiving antenatal care services at Community Hospital, Nakhon Sawan Province. Journal of Allied Health Sciences Suan Sunandha Rajabhat University, 5(1), 60-70. (in Thai).
Cochran, W.G. (1977). Sampling techniques. 3rd ed. Canada: John Wiley & Sons.
Disapirom, T., Chareonsanti, J. & Sriarporn, P. (2019). Factors related to health promotion behaviors regarding nutrition among adolescent pregnant women. Nursing Journal, 46(3), 157-168. (in Thai).
Junjongkon, N., Kongbamrung, D. & Khoka, A. (2021). Health-promoting behaviors of pregnant women attending the antenatal clinic at Banmanik and Si Sunthon Subdistrict Health Promotion Hospitals in Thalang District, Phuket Province between June and July 2020. Bulletin of the Department of Medical Sciences, 63(2), 287-300. (in Thai).
Kaeomaungfang, R. & Ratchaburi, C. (2022). Effects of nutrition and exercise health promotion programs on nutritional health behavior of pregnant women. Region 4-5 Medical Journal, 41(2), 209-219. (in Thai).
Karalai, S. & Sriratanaprapat, J. (2018). Relationships between social support and health promoting behavior among pregnant teenagers. The Journal of Faculty of Nursing Burapha University, 26(1), 1-10. (in Thai).
Kokkaew, A., Choolert, P. & Kulaphanich, M. (2022). The effects of a health promotion program on knowledge and self-care behavior for pregnant teenagers. Journal of MCU Nakhondhat, 8(9), 17-31. (in Thai).
Leelatiwanon, T., Chunuan, S. & Youngwanichsetha, S. (2018). Factors influencing eating behaviors among teenage pregnant women. Princess of Naradhiwas University Journal, 10(2), 25-37. (in Thai).
Lahukan, B., Suwanpakdee, W., Noonrat, T. & Buddum, M. (2020). Stress in preterm labor pain. Journal of MCU Nakhondhat, 7(10), 1-14. (in Thai).
Lowdermilk, D. L., Perry, S. E., Cashion, K., Alder, K. R. & Olshansky, E. F. (2020). Maternity & women’s health care. 12th ed. St. Loius, USA: Missouri.
Mahmoodi, H., Asghari-Jafarabadi, M., Babazadeh, T., Mohammadi, Y., Shirzadi, S., Sharifi-Saqezi, P. & Mulodi-Rad, N. (2015). Health-promoting behaviors in pregnant women admitted to the prenatal care unit of Imam Khomeini Hospital of Saqqez. Journal of Education and Community Health, 1(4), 58-65. doi: 10.20286/jech-010458
Mental Health Development Office, Department of Mental Health. Stress self-assessment form. Nonthaburi: Department of Mental Health, Ministry of Public Health. Retrieved (2022, June 5). from http://dmh-elibrary.org/itiems/show/141. (in Thai).
Murdaugh, C. L., Pearsons, M. A. & Pender, N. J. (2019). Health promotion in nursing practice. 8th ed. USA: Pearson Education.
Pancharern, S., Sangprasert, A. & Sanongkhun, P. (2023). Effects of an empowerment program on health-promoting behaviors and pregnancy outcomes among teenage pregnant women. Journal of Thailand Nursing and Midwifery Council, 38(1), 83-97. (in Thai).
Phonkusol, C. & Sangin, S. (2020). The factors predicting health behaviors among pregnant migrant women in Chon Buri Province. Journal of Thailand Nursing and Midwifery Council, 35(4), 128-144. (in Thai).
Pokras, S., Pimenta, J., Merinopoulou, E., & Lambrelli, D. (2018). Short and long-term costs among women experiencing preterm labour or preterm birth: the German experience. BMC Pregnancy and Childbirth, 18(1), 1-14.
Raburee, C., Kuasit, U. & Ketjirachot, R. (2022). Factors related to stress level in pregnant women with preterm labor while staying in hospital. Princess of Naradhiwas Uniersity Journal, 14(3), 267-281. (in Thai).
Saetan, C., Kala, S. & Youngwanichsetha, S. (2018). Effect of positive thinking and relaxation program on reducing stress among pregnant adolescents. Princess of Naradhiwas University Journal, 14(3), 27-39. (in Thai).
Seatang, O., Kewawjiboon, J. & Rueankul, T. (2021). Stress and factors related to stress among elderly pregnancy. Journal of Nursing and Health Research, 22(3), 71-83. (in Thai).
Suwanruangsri, S., Chunuan, S. & Chatchawet, W. (2015). The relationships among self-control, stress and life balance of teenage pregnant women. Princess of Naradhiwas University Journal, 7(3), 1-14. (in Thai).
Srisawad, K. & Panyapinitnukul, C. (2016). Stress among pregnant adolescents. Journal of the Royal Thai Army Nurses, 17(2), 7-11. (in Thai).
Srisawad, K., Panyapinitnukul, C. & Sonnark, N. (2018). Health-promoting behavior in pregnancy. Songklanagarind Journal of Nursing, 38(2), 95-109. (in Thai).
Tamteangtrong, R., Sangin, S. & Deoisres, W. (2017). Factors predicting nutritional health-promoting behaviors among pregnant adolescents. The Journal of Faculty of Nursing Burapha University, 25(1), 49-60. (in Thai).
Winalaivanakoon, C. (2017). Selected factors related to health responsibility behaviors among pregnant adolescents in Amnat Charoen Province. Journal of Nursing, Siam University, 20(39), 8-19. (in Thai).