The Factors Predicting Self-Care Behaviors Among Adolescent Pregnant Women in Provinces in the 7th Health Region
Keywords:
Adolescent pregnant women, Self-care behaviorAbstract
The numbers of adolescent pregnant women are currently rising, and these women require close monitoring and supervision. The purpose of this predictive correlational study was to study the self-care behaviors and the factors predicting self-care behaviors among adolescent pregnant women in provinces in the 7th health region. The participants included 324 adolescent pregnant women attending antenatal care at Roi Et, Khon Kaen, Maha- sarakham, and Kalasin hospitals. Data were collected using two questionnaires: a demo- graphic questionnaire and the Self-care Behavior Questionnaire of Adolescent Pregnant Women. Data were analyzed using descriptive statics, and predictive power was obtained using a stepwise multiple regression analysis.
The results showed that the participants had a good level of overall self-care behaviors (Mean = 3.12, SD = 0.31). When considering each aspect, participants had the highest level of health deviation for the self-care requisites (Mean = 3.53, SD = 0.56). The gestational age, education level, and planning of pregnancy could together predict self-care behaviors of adolescent pregnant women at 6.9%.
Regarding recommendations from this study, nurses should establish guidelines to promote self-care behaviors in adolescent pregnant women, considering planning of pregnancy, gestational age, and educational levels.
References
Ampiah, M. K. M., Kovey, J. J., Apprey, C., & Annan, R. A. (2019). Comparative analysis of trends and determinants of anemia between adult and teenage pregnant women in two rural districts of Ghana. BMC Public Health, 19(1379), 1-7.
Boonyakiat, S., & Junyam, P. (2017). Self-care behavior of nutrition among pregnant women at prenatal care clinic of Chaopaya Apaipubejhr Hospital, Prachinburi Province. The Journal of Prapokklao Hospital Clinical Medical Education Center, 34(4), 270–281. (in Thai)
Bootsri, W., & Sirisophon, A. (2020). Predicting factors of promoting behaviors among pregnant women receiving antenatal care services at community hospital, Nakhonsawan Province. Journal of Allied Health Sciences Suan Sunandha Rajabhat University, 5(1), 60-70. (in Thai)
Bureau of Reproductive Health, Department of Health, Ministry of Public Health, Thailand. (2020). Teenage pregnancy. Retrieved from https://rh.anamai.moph.go.th/th/cms-of-1
Eliner, Y., Gulersen, M., Kasar, A., Lenchner, E., Grunebaum, A., Chervenak, F. A., & Bornstein, E. (2022). Maternal and neonatal complications in teen pregnancy: A comprehensive study of 661,062 patients. Journal of Adolescent Health, 70(2022), 922-927.
Exarchos, L. M., Markantes, G. K., Stamou, M. I., Michail, G., Androutsopoulos, G., Kaponis, A., … Georgopoulos, N. A. (2021). Teenage pregnancies in Western Greece: Experience from a university hospital setting, Hormones 21, 127–131.
Honboonherm, P. (2010). Orem's nursing theory concept and application (2th ed.). Mahasarakham: Apichat. (in Thai)
Kritcharoen, S., Phon-In, K., Duenke, J. K., & Uttasuradee, M. (2021). Physical activity among pregnant women in Songkhla Province. Songklanagarind Journal Nursing, 41(3), 50-59. (in Thai)
Luchacam, T., Hingkanont, P., Santayakorn, C., & Prachanban, P. (2012). The factors influencing to self-care behaviors in teenage pregnancy. Journal of Nursing and Health Sciences, 6(2), 25-34. (in Thai)
Maslowsky, J., Stritzel, H., Hamoodah, L. A., Hendrick, C. E., Powers, D., Gutierrez, T. B., … Santelli, J. (2020). Health behaviors and prenatal health conditions in repeat versus first–time teenage mothers in the United State: 2015-2018. Journal of Pediatric and Adolescent Gynecology, 34(1), 47-53
Nurhasanah, R., Masrul, M., Malini, H., & Tarawan, V. M. (2020). A structure equation model examining self-care behavior toward pregnancy-related complication and their associated factors among women in Indonesia. Journal of Medical Sciences, 8(B), 1047-1052.
Orem, D. E. (2001). Nursing concepts of practice (6th ed.). St. Louis, MO: Mosby.
Phumesawat, S., Suvithayasiri, K., & Chaisup, V. (2013). Perceived benefits and health promoting behaviors in pregnant women at antenatal clinic of Rajavithi hospital. Journal of Boromarajonani College of Nursing, 29(2), 80-94. (in Thai)
Polit, D., & Beck, C. (2016). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Lippincott Williams & Wilkings.
Rongluen, S., Talengjit, P., & Siriborirak, S. (2012). Unwanted pregnancies in Teenagers: A survey of problems and needs for health care support. Siriraj Nursing Journal, 3(2), 14-28. (in Thai)
Rubin, R. (1976). Attainment of maternal role. Part I: Process. Nursing Research, 16(3), 237-245.
Saengthongrungjeorn, P., & Viboowathhankitt, R. (2011). A study about the relationship between the perceived benefit of health promotion and health promoting behaviors among pregnant women. Journal of Nursing and Health Sciences, 5(1), 21-27. (in Thai)
Sanmongkol, S. (2016). Health perception, social and self-care behaviors among adolescent pregnant in Phuket Province. Region 11 Medical Journal, 30(2), 105-114. (in Thai)
Sinsuksai, N., Phancharoenworakul, K., & Choprapawan, C. (2008). Factors affecting health practice of pregnant women. Journal of Nursing Science, 26(1), 69-76.
Srisawad, K., Panyapinitnukul, C., & Sonnark, N. (2018). Health promoting behavior in pregnancy. Songklanagarind Journal of Nursing, 38(2), 95-109. (in Thai)
Vorapongsathorn, T. (1998). Public health research (4th ed.). Bangkok: Chulalongkorn University. (in Thai)
Winalaivanakoon, C. (2019). Selected factors related to health responsibility behaviors among pregnant adolescents in Amnat Charoen Province. Journal of Nursing Siam University, 20(39), 8-19. (in Thai)
Wutti, R., Imnam, P., Koonyodying, P., Tulapan, P., Surinprateep, P., & Panyaso, K. (2020). Study of problems, needs and self–care behavior of pregnant teenagers in Lampang Province. Journal of Health Sciences Scholarship, 7(2), 58-75. (in Thai)
Xavier, C. G., Brown, H. K., & Benoit, A. C. (2018). Teenage pregnancy and long-term mental health outcomes among Indigenous women in Canada. Archives of Women, s Mental Health, 21, 333-340.
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