Educational Intervention Based on PRECEDE Model: Impact on Knowledge, Practice, and Preeclampsia Prevention in High-Risk Pregnancy

Document Type : Original Article

Authors

1 lecturer of Maternal and Neonatal Health Nursing Department,, Faculty of Nursing,Tanta University

2 Assistant Professor Maternal and New Born Health Nursing. Faculty of Nursing,Cairo University. Egypt

3 Lecturer of Community Health Nursing, Faculty of Nursing, Mansoura University

4 Assistant Professor of Community Health Nursing , Faculty of Nursing, Mansoura University

5 Pediatric Nursing, Faculty of Nursing, Sohag University

6 Lecturer of Maternal and Neonatal Health Nursing Department, Faculty of Nursing,Tanta University

7 Assist prof Maternal and Neonatal Health Nursing, Faculty of Nursing, Modern university for technology and information

Abstract

Preeclampsia during pregnancy is regarded as one of the main obstetrical issues in underdeveloped nations that contributes to maternal death and preterm delivery globally. Aim: to determine the impact of educational intervention based on precede model on knowledge, practice, preeclampsia prevention in high risk pregnancy. Subjects and method: Design: Quasi-experimental research design pre-post-test was utilized in this research. Settings: The study was conducted at Sohag University Hospitals' prenatal outpatient clinics. Sample: From the chosen settings, a convenient sample of one hundred pregnant women at high risk was gathered. Tools: Four toolswere employed: (1) Predisposing, Enabling, and Reinforcing Questionnaire (PRECEDE model questionnaire); (2) Structured interviewing questionnaire; (3) Pregnant women's reported use of a preeclampsia prevention behavior tool; and (4) Pregnant women's attitude questionnaire about preeclampsia prevention. Results: Following the implementation of an educational intervention for two months, there was a statistically significant improvement in the mean score of knowledge, enabling factors, and reinforcing factors. Two months after the intervention, pregnant women's practices about preeclampsia prevention measures were good than those before the intervention. Two months after the intervention, pregnant women's attitudes regarding methods of preventing preeclampsia were more positive than they were before. The knowledge, enabling, and reinforcing factors scores and the practices scores of preeclampsia prevention measures were statistically significantly correlated over the course of the intervention phases. Conclusion: It was determined that educational intervention based on the preceding model was successful in enhancing high-risk pregnant women's knowledge, practices, and ability to prevent preeclampsia. Recommendations: Pregnant women in the study should receive prenatal care that incorporates the PRECEDE model-based educational intervention on preeclampsia prevention. To attain generalizability, it is advised that the current work be replicated using a larger probability sample.

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