Effects of prenatal group program in rural Tanzania: A quasi-experimental study
Effects of prenatal group program in rural Tanzania: A quasi-experimental study
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坦桑尼亚农村地区产前团体计划的效果：一项准实验研究
DOI：
10.1111/jjns.12502
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发表时间：
2022
影响因子：
1.7
通讯作者：
Shigeko Horiuchi
中科院分区：
文献类型：
--
作者：
Miyuki Oka;Frida Madeni;Shigeko Horiuchi
在坦桑尼亚农村进行的这项研究检查了助产士领导的产前小组计划对以下方面的影响：（1）提高对妊娠生理症状的认识;（2）促进与妊娠相关的赋权;（3）增强自我护理行为的意愿，以实现更安全的分娩;（4）提高对妊娠的认识。以及（4）获得满意的产前保健访问。方法这项工作是一个准实验研究与对照组使用前-后研究设计进行在坦桑尼亚的两个地区医院数据收集从108分析孕妇产前组计划（n = 54）和控制程序（n = 54）使用问卷调查前（基线）和后（终点）的程序。该计划包括讲座，分享和审查会议。控制程序由相同的讲座组成。两个项目的内容均包括妊娠的生理症状和自我护理行为。主要结局是对妊娠常见症状的了解。次要结局为妊娠相关赋权量表评分、自我护理行为意愿和满意度。结果与对照组相比，干预组对妊娠常见症状的了解的主要结局显着增加（t= 2.677，p = .009）。与对照组相比，干预组孕妇相关赋权量表中关于助产士对妇女决定的尊重态度的次要结果显著增加（U= 2.076，p = 0.038）.结论妊娠期间的干预性产前小组计划在增加孕妇常见症状的知识和识别有利的助产士联系方面是有效的。
AimThis study conducted in rural Tanzania examined the effects of a midwife‐led prenatal group program on: (1) improvement of knowledge of the physiological symptoms of pregnancy; (2) promotion of pregnancy‐related empowerment; (3) enhancement of intention to self‐care behaviors for safer childbirth; and (4) gaining satisfaction with antenatal care visits.MethodsThis work was a quasi‐experimental study with a control group using a pre‐post study design conducted in two district hospitals in Tanzania. Data were collected from 108 analyzed pregnant women from the prenatal group program (n = 54) and control program (n = 54) using questionnaires before (baseline) and after (endline) the program. The program consisted of lecture, sharing, and review sessions. The control program consisted of the same lectures. The contents of both programs included physiological symptoms of pregnancy and self‐care behaviors. The primary outcome wasknowledge of common symptoms of pregnancy. The secondary outcomes werePregnancy‐Related Empowerment Scale score,intention to self‐care behaviors, andsatisfaction.ResultsThe primary outcome ofknowledge of common symptoms of pregnancywas significantly increased in the intervention group compared with the control group (t= 2.677,p= .009). The secondary outcome of one of the Pregnancy‐Related Empowerment Scale statements about midwife's respectful attitude toward women's decision was significantly increased in the intervention group compared with the control group (U= 2.076,p= .038).ConclusionsThe interventional prenatal group program during pregnancy was effective in increasingknowledge of common symptoms of pregnancyand in identifying favorable midwife connectedness.