Factors related to health promoting behaviors and gestational age at birth of pregnant women at risk of preterm birth

Main Article Content

Arthitaya Kaeonoi Srisamorn Phumonsakul Sailom Gerdprasert

Abstract

This descriptive research was conducted with the objective of examining the correlations between perceived benefits of action, perceived barriers to action, perceived self-efficacy, spouse support, nurse support and health-promoting behavior and gestational age at birth in pregnant women at risk for preterm birth. The sample was composed of 162 pregnant women at risk for preterm birth receiving services in the antenatal care departments of Nopparatrajathanee Hospital and Bhumibol Adulyadej Hospital between January 2017 and May 2018.  The sample was selected by purposive sampling based on set inclusion criteria.  Data were analyzed by using descriptive statistics and determining correlations among the variables with Pearson's Correlation Coefficient and Spearman’s rank correlation. According to the findings, women at risk for preterm birth perceived benefits of action, perceived self-efficacy, spouse support, nurse support and health promoting behavior in preventing preterm birth were high, while perceived barriers were low.  Perceived benefits of action, perceived barriers to action, perceived self-efficacy, spouse support and nurse support were correlated with health promoting behaviors with statistical significance. And, perceived benefits of action, perceived barriers to action, perceived self-efficacy, spouse support, nurse support and health promoting behaviors were correlated with gestational age at birth in pregnant women at risk for preterm birth with no statistical significance. Therefore, the hypothesis that practicing health promoting behavior and its antecedents positively correlated gestational age at birth was not supported.  Hence, additional studies should be conducted in this area.

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How to Cite
1.
Kaeonoi A, Phumonsakul S, Gerdprasert S. Factors related to health promoting behaviors and gestational age at birth of pregnant women at risk of preterm birth. Ramathibodi Nursing Journal [Internet]. 7Jan.2019 [cited 21Apr.2019];24(3):264-78. Available from: https://www.tci-thaijo.org/index.php/RNJ/article/view/141659
Section
บทความวิจัย

References

1. World Health Organization. Preterm birth; 2015 [cited 2017 May 15]. Available from: http://who.int/mediacentre/factsheets/fs363/en/

2. Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, Narwal R, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet. 2012;379:2162-72.

3. Pramana IA, Latzin P, Schlapbach LJ, Hafen G, Kuehni CE, Nelle M, et al. Respiratory symptoms in preterm infants: burden of disease in the first year of life. Eur J Med Res. 2011; 16(5):223–30.

4. Ralser E, Mueller W, Haberland C, Fink FM, Gutenberger KH, Strobl R. Rehospitalization in the first 2 years of life in children born preterm. Acta Paediatr. 2012;101(1):e1–e5.

5. Murphy JH, Rubin DO. Psychosocial implications of high risk pregnancy. Philadelphia: W.B. Saunders; 1993.

6. Kraikul S, Chaimongkol N, Phaktoop M. Relationships between parental stress and parent-child attachment in sick children who admitted in intensive care unit. Journal of Boromarajonani College of Nursing, Chonburi. 2009;22(1):19-28. (in Thai)

7. Sopajaree C, Ratchukul S. Anxiety of frist-time expectant parents in hight-risk pregnancy. Journal of Nursing Science Chulalongkorn University. 2002;14(3):1-12. (in Thai)

8. Creasy RK, Gummer BA, Nzrn, Liggins GC. System for predicting spontaneous preterm birth. Obstet Gynecol. 1980;55:692-5.

9. Pender NJ, Murdaugh CL, Parson MA. Health promotion in nursing practice. 5th ed. Upper Saddle River, NJ: Prentice Hall; 2006.

10. Chen W, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. Teenage pregnancy and adverse birth outcome: a large population based retrospective cohort study. Int J Epidemiol. 2007; 36:368-73.

11. Derakhshi B, Esmailnasab N, Ghaderi E, Hemmatpour S. Risk factor of preterm labor in the West of Iran: a case-control study. Iran J Public Health. 2014;43(4):499-506.

12. Hantanong, B. Incidence and risk factors of preterm delivery at Ramathibodi hospital 2005-2006 [thesis]. Nakhon Prathom: Mahidol University; 2007.

13. Wisavapaisan W, Srithammasak B, Nakkrasae S. Factor affecting the prediction of gravid women giving preterm birth at police general hospital. Journal of The Police Nurse . 2016;8(2):83-90. (in Thai)

14. Ip M, Peyman E, Lohsoonthorn V, Williams MA. A case-control study of preterm delivery risk factors according to clinical subtypes and severity. J Obstet Gynaecol Res. 2010;36(1):34-44.

15. Swingle H, Colaizy T, Zimmerman M, Morriss F. Abortion and the risk of subsequent preterm birth: a systematic review with meta-analyses. J Reprod Med. 2009;54(2):95-108.

16. Edwards DV, Baird D, Hasan R, Savitz D, Hartmann K. First-trimester bleeding characteristics associate with increased risk of preterm birth: Data from a prospective pregnancy cohort. Hum Reprod. 2012;1:54-60.

17. Facchinetti F, Ottolini F, Fazzio M, Rigatelli M, Volpe A. Psychosocial factors associated with preterm uterine contractions. Psychother Psychosom. 2007;76:391-94.

18. Araksomboon, O. Factors associated with preterm labour at Prachuapkhirikhan hospital [thesis]. Nakhon Prathom: Mahidol University; 2001.

19. Ariyadej S. Risk factors predicting preterm labours in Rayong hospital. Health. 2001;24(4):92-103.

20. Niedhammer I, O’Mahony D, Daly S, Morrison JJ, Kelleher CC. Occupational predictors of pregnancy outcomes in Irish working women in the lifeways cohort.BJOG. 2009;116(7):943-52.

21. Nirattharadorn M. The study of perceived benefits, perceived barriers to health promoting behaviors and health promoting behaviors in adolescent pregnant women [thesis]. Nakhon Prathom: Mahidol University; 1996. (in Thai)

22. Lonuch S, Nirattharadorn M, Khampalikit S. Predicting factors of nutritional promoting behaviors among pregnant women over 35 years of age. J Nurs Educ. 2011;4(2):79-93. (in Thai)

23. Wongchantara T. Self-esteem, perceived benefits, and health promoting behaviors in diabetic pregnant women [thesis]. Nakhon Prathom: Mahidol University; 2000. (in Thai)

24. Panyapisit, R. Perceived benefits of action, perceived barriers to action, and health promoting behaviors during pregnancy of mothers experiencing preterm delivery [thesis]. Nakhon Prathom: Mahidol University; 2002.

25. Thaewpia S, Clark MJ, Howland LC, James KS. Factor predicting health promoting behaviors among older pregnant Thai. Pac  Rim  Int J Nurs Res Thail. 2012; 16(2):113-23.

26. Chumsri T. Relationships between personal factors, perceived benefits, perceived barriers, perceived self-efficacy, interpersonal influences and health promoting behaviors of pregnant adolescents, southern region [thesis]. Bangkok: Chulalongkorn University; 2005. (in Thai)

27. Yusumran C, Kongjira A, Sirisomboon R, Pimon K, Chalermchokcharernkit A. Social support knowledge and self-efficacy in pregnant women preterm labour. Thai Journal of Nursing Council. 2007;22(1):60-72. (in Thai)

28. Choijorhor R, Serisathien Y, Ratinthorn A, Kovavisarach E. The effects of nursing therapeutics on preventive management of preterm labor, readmission and gestational age at birth in pregnant women with preterm labor. J Nurs Sci. 2009;27(2):39-48. (in Thai)

29. Nuiman T. Effect of empowerment program on behaviors for prevention of preterm labour among Muslim teenage pregnant women. Thai J Nurs. 2011;60(2):22-30. (in Thai)

30. Wirifai S. The effects of structured information on perceived self-efficacy, outcome expectation of health behaviors and outcome of pregnancy in pregnant women with premature labor pain [thesis]. Nakhon Prathom: Mahidol University; 2004.

31. Pinkaeo S. The effect of care for pregnant women at risk for preterm labor. The Journal of Faculty of Nursing Burapha University. 2014;22(4):58-70. (in Thai)

32. Sensiri P. Development of the nursing model for pregnant women to prevent preterm labour. J Nurs  Health Care. 2016; 34(2):166-3. (in Thai)

33. Orathai P, Phumonsakul S. Power analysis and sample size estimation using G*Power program. Bangkok: Pimdee; 2013. (in Thai)

34. Patanavanichnun, N. Perceived self-efficacy and health promoting behaviors among pregnant industrial workers [thesis]. Nakhon Prathom: Mahidol University; 2000.

35. Tumgunma O. Spouse support and health-promoting behavior in high risk pregnant women [thesis]. Nakhon Prathom: Mahidol University; 1997. (in Thai)

36. Picharn S. Support from nurses and health behaviors of persons with hypertension at Doisaket hospital, Chiang Mai Province [thesis]. Chiang Mai: Chiang Mai University; 2004. (in Thai)

37. Eliyahu S, Weiner E, Nachum Z, Shalev E. Epidemiologic risk factors for preterm delivery. Isr Med Assoc J. (2002); 4:1115-7.

38. Office of the National Economics and Social Development Board. 2016: Thailand [cited 2018 May 12]. Available from: http://social.nesdb.go.th/SocialStat/StatReport_Final (in Thai)

39. Muhlenkamp AF, Sayles JA. Self-esteem, social support and positive health practice. Nurs Res. 1986;35(11):334-8.

40. Phumesawat S, Suvithayasiri K, Chaisup W. Perceived benefits and health promoting behaviors in pregnant women at antenatal clinic of Rajavithi hospital. Journal of Boromarajonani College of Nursing, Bangkok. 2013;29(2):80-94. (in Thai)

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