Abstract

Background: Physical activity behaviour during the postpartum period is very important to improve maternal health and prevent complications both in the short and long term. This study aims to evaluate the effect of a trans-theoretical model based intervention on physical exercises behaviour among postpartum women at Benha City, Egypt. Methods: A quasi-experimental design was utilized. The study was conducted at family planning outpatient clinic affiliated to Benha teaching hospital. A purposive sample of 86 postpartum women were included in the present study. Three tools were used for data collection; first tool: structured interviewing schedule to collect data about the subjects' demographic characteristics, medical and obstetric history and knowledge towards postpartum exercises. Second tool; the trans-theoretical model of behaviour change questionnaire, it composed of the four main dimensions that are stage of change, self-efficacy, decisional balance (pros and cons), experiential and behavioural process of change. Third tool; international physical activity questionnaire short-form to assess the postpartum physical activity level. Results: The mean age of the studied women was 28.885.89 years. There were statistically significant improvements (PConclusion: The trans-theoretical based intervention was efficient in improving women's knowledge, postpartum exercise behaviour. This was observed in increasing women's self-efficacy, decisional balance pros, experimental and behavioural processes of change. While reducing decisional balance cons. Recommendation: The nurse should implement trans-theoretical model based interventions for postpartum women to promote postpartum exercise behaviour.

Highlights

  • The postpartum period is the six weeks after child birth, in which the body undergoes major physiological changes

  • Postpartum physical exercises is the physical activity done after childbirth

  • It has revealed positive effects on individuals with different risk behaviours related to non-communicable diseases. [33,34] With regard to the low level of physical activity in females and the role of theoretical Model (TTM) in determining effective factors behind behaviour, there should be an attempt to develop continuous and organized educational interventions to enhance physical exercise in women by using the TTM

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Summary

Introduction

The postpartum period is the six weeks after child birth, in which the body undergoes major physiological changes It is an important evolution time for women affecting specially her physical and mental health. This study aims to evaluate the effect of a trans-theoretical model based intervention on physical exercises behaviour among postpartum women at Benha City, Egypt. There were statistically significant improvements (P

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