Self-Management Model: Effect on Rural Women’s Reproductive Health Behaviors and their Satisfaction after Legal Abortion

Magdy Ashrey Elsehemy, Amira; E.S, Ashour; Abu Setta, Safaa

doi:10.21608/ejhc.2023.422259

Self-Management Model: Effect on Rural Women’s Reproductive Health Behaviors and their Satisfaction after Legal Abortion

Document Type : Original Article

Authors

¹ Lecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University.

² Assistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University

10.21608/ejhc.2023.422259

Abstract

Background: Legal abortion has implemented several advantageous measures to prevent the birth of fetuses with congenital problems and to safeguard the health of high-risk moms. The self-management model is a realistic, evidence-based approach created to modify behavior, achieve self-management, and enhance abortion outcomes. Aim to investigate the effect of a self-management model on rural women’s reproductive health behaviors and their satisfaction after legal abortion. Design: a quasi-experimental research design in which two groups were monitored both before and after interventions. Settings: The investigation was carried out at Menoufia University's Hospital and Shebin El-Koom Teaching Hospital. Sample: For this study, 140 rural women who had abortions were chosen as a purposive sample. Instruments: There were three instruments of data collection compromised by I: a structured interview questionnaire. II: reproductive health behavior questionnaire. III: patient satisfaction questionnaire. Results: The findings reveal that 87.1% of the study group had positive reproductive health behavior post-intervention compared to 28.6 % pre-intervention. In addition, 28.2% of the control group had positive reproductive health behavior post-intervention compared to 30% pre-intervention. Furthermore, 85.7% of the study group had greater satisfaction with model sessions for four weeks post-intervention compared to the control group. Conclusion: Rural women's reproductive health behaviors are positively impacted by the self-management model regarding legal abortion. Additionally, the rural women exhibited a higher satisfaction level regarding the self-management model after application of the self-management program. Recommendations: All aborted women should be given a brief Arabic handout detailing the advantages of a post-abortion care program based on the 5As management model at hospitals to minimize abortion-related morbidity and death.

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