Effect of Health Promotion Model and Self-Determination Theory Based Intervention on Preeclampsia Prevention among Pregnant Women at Beni-Suef Governorate

Abstract

Pre-eclampsia is the greatest common hypertensive disorder of pregnancy, It is a major cause of maternal mortality and morbidity, preterm birth, intrauterine growth restriction, and perinatal death worldwide. It has been predictable that preeclampsia complicates 2-8% of pregnancies globally, and is considered to be the third cause of maternal death. Aim of this study was to determine the effect of the health promotion model and self-determination theory-based intervention on preeclampsia prevention among pregnant women. Subjects and method: A quasi-experimental design was conducted at the antenatal clinic at Beni-Suef University Hospital, Egypt. A purposive sample of 60 pregnant women was included in the study, they were divided into study and control groups from June 2019, until December 2019. Tools: Data were collected through three main tools: A Structured interviewing questionnaire, The questions about pre-eclampsia prevention knowledge, and the health promotion model. Results: The results of this study revealed there was a significant difference (p < 0.05) in all variables after the implementation of an intervention and the average score of the various variables in the intervention group was greater than that of the control group (p < 0.05). Conclusion: The application of the health promotion model and self-determination theory-based intervention on preeclampsia prevention in pregnant women had an effective improvement of pregnant women's knowledge change behavior, and dietary practices were also improved in the study group compared to the control group. Recommendations: The intervention of management of PE with the pregnancy based on HPM and self-determination theory should be integrated into the ANC program at the study setting and similar ones