Perceived Risks of Pregnancy, Health Behaviors, and Demand for Holistic Health Services among Women of Advanced Maternal Age in Nakhon Si Thammarat Provinceand Holistic Health Service Needs Among Women of Advanced Maternal Age at Khanom Hospital, Khanom District, Nakhon Si Thammarat Province
Keywords:
Perception of pregnancy risk, Health behavior, Holistic health service needs, Women of advanced maternal ageAbstract
This descriptive research aimed to: 1) study the perceived risks of pregnancy on health behaviors and 2) explore factors related to perceived risk of pregnancy, health behaviors and demand for holistic health services among women of advanced maternal age. The sample population was 32 pregnant women aged 35 years and over who received antenatal care and ultrasound clinic at Khanom Hospital of Nakhon Si Thammarat Province. Systematic random sampling was applied. Data were collected between 19 January - 2 February 2023. The research tool used was an interview form comprising three parts. Its reliability was tested, obtaining values of.90, .92, .94, respectively. Data were analyzed by Fisher's Exact Test.
The results of the research showed that the pregnant women had a moderate level of perception of pregnancy risks (M = 390.31, S.D. = 193.32), and most of their health behaviors were at a very good level (71.88%). The demand for holistic health services was at a high level (71.88%). Level of education was correlated with health behaviors and the demand for holistic health services (p= .004 and .005).
The findings can be used to develop the health service system model from the antenatal clinic. In addition, there should be a one-stop system of health services in the antenatal clinic to ensure safety and satisfaction with the holistic health service system.
References
Bayrampour, H., Heaman, M., Duncan, K. A., & Tough, S. (2012). Comparison of perception of pregnancy risk of nulliparous women of advanced maternal age and younger age. Journal of Midwifery & Women’s Health, 57(5), 445-453.
Cunningham, F. G., Leveno, K. J., Bloom, S. L., Dashe, J. S., Hoffman, B. L., Casey, B.M., & Spong, C. Y. (2018). Williams obstetrics (25th ed.). New York: McGraw-Hill Education.
Department of Health. (2022). A guide to antenatal care for health workers. Ministry of Public Health: Nonthaburi. (in Thai)
Hattakit, U. & Thanoi, W. (2011). Holistic nursing and integrated healthcare : integration into the concept of nursing education management. Journal of the Nursing Council, 27(Special), 5-17.
Issarapukdee, P. & Pewnil, T. (2017). Pregnancy quality among Thai women of reproductive age During the year 1998-2015. Nakhon Pathom: Institute for Population and Social Research. Mahidol University. (in Thai)
Jantakad, P. (2012). Health promoting behaviors of pregnant woman in antenatal care clinics, Chinagkham hospital, Chiangkham district, Phayao province. Independent study Master of Public Health, University of Phayao. (in Thai)
Islam, M. M. & Bakheit, C. S. (2015). Advanced maternal age and risks for adverse pregnancy outcomes: a population-based study in Oman. Health Care for Women International, 36(10), 1081-103.
Kaewpoung, S., Deoisres, W., & Suppaseemanont, W. (2018). Influencing of perception of pregnancy risk, knowledge, and attitude on preconception health behaviors among pregnant women. The Journal of Faculty of Nursing Burapha University, 26(2), 57-66.
Khanom Hospital. (2022). Annual report, 2022. Nakhon Si Thammarat Provincial Public Health Office. (in Thai)
Krejcie, R. V. & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30, 607-610.
Martin, J. A., Hamilton, B.E., Osterman, M. J. K., Driscoll A. K., & Mathews, T. J. (2017). Births: final data for 2015. National Vital Statistics Reports, 66(1). Hyattsville, MD: National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf - PDF.
Pangsuwan, P. & Srisuphandit, K. (2017). Pregnancy in advanced maternal age. Obstetrics and gynaecology Changmai University. (in Thai)
Phonkusol, C. & Sangin, S. (2021). Relationships between personal factors, perceptions of pregnancy risk and health behaviors among women of advanced maternal age. The Journal of Faculty of Nursing Burapha University, 29(2), 24-35.
Saengin, S. & Pholkuso, C. (2018). Perceptions of pregnancy risk, health behaviors and holistic health service needs among women of advanced maternal age. Research Report; Burapha University (in Thai)
Thaewpia, S., Howland, L. C., Clark, M. J., & James, K. S. (2013). Relationships among health promoting behaviors and maternal and infant birth outcomes in older pregnant Thais. Pacific Rim International Journal of Nursing Research, 17(1), 28-38.
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