Effectiveness of a Nurse-led Program to Enhance Self-efficacy of Pregnant Adolescents and Reduce their Fear of Childbirth: A Randomized Controlled Trial.

Fear of childbirth is a common feeling experienced by pregnant women, and it can occur before, during, or after childbirth. Intense fear has a detrimental effect on physical and psychological statuses of the pregnant women. The aim of this randomized controlled trial was to examine the effectiveness...

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Publicado en:Pacific Rim International Journal of Nursing Research Vol. 27; no. 1; pp. 4 - 18
Autores principales: Bussayamas Nooied, Sopen Chunuan, Sasitorn Phumdoung
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Thailand Nursing & Midwifery Council Jan-Mar2023
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Thailand Nursing & Midwifery Council
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        atl: Effectiveness of a Nurse-led Program to Enhance Self-efficacy of Pregnant Adolescents and Reduce their Fear of Childbirth: A Randomized Controlled Trial.
      aug:
        au:
          Bussayamas Nooied
          Sopen Chunuan
          Sasitorn Phumdoung
        affil: RN, Master's degree student, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand
      sug:
        subj:
          Nursing Interventions In Pregnancy
          Self-Efficacy In Adolescence
          Childbirth Psychosocial Factors
          Fear Prevention and Control
          Program Evaluation
          Mobile Applications
          Maternal Attitudes
          Human
          Randomized Controlled Trials
          Random Assignment
          Comparative Studies
          Pretest-Posttest Design
          Pregnancy
          Female
          Prenatal Care
          Thailand
          Sociodemographic Factors
          Questionnaires
          Clinical Assessment Tools
          Paired T-Tests
          Convenience Sample
          Summated Rating Scaling
          Descriptive Statistics
          Adolescence
          Chi Square Test
          Young Adult
          Funding Source
          Adolescent: 13-18 years
          Female
      ab: Fear of childbirth is a common feeling experienced by pregnant women, and it can occur before, during, or after childbirth. Intense fear has a detrimental effect on physical and psychological statuses of the pregnant women. The aim of this randomized controlled trial was to examine the effectiveness of a nurse-led program together with the mobile phone application to enhance pregnant adolescents' childbirth self-efficacy and reduce their fear of childbirth. The sample was pregnant adolescents receiving antenatal care in a regional hospital in Southern Thailand. Using the minimization procedure, pregnant adolescents were assigned to either an experimental group receiving the program (n = 64) or a control group receiving routine care (n = 64). The instruments used for data collection consisted of a demographic characteristics form, the Fear of Childbirth in the Third Trimester Questionnaire, and the Thai Childbirth Self-Efficacy Inventory. Data were analyzed using descriptive statistics, paired t-test, and independent t-test. The results showed that after completion of the intervention program, the participants in the experimental group had a significantly higher mean score on childbirth self-efficacy and lower fear of childbirth than before the intervention. When comparing the two groups after completion of the program, results showed a significantly higher childbirth self-efficacy mean score, and lower fear of childbirth mean score in the experimental group than those in the control group. The results indicate that application of childbirth self-efficacy enhancement program can increase self-efficacy and reduce fear of childbirth in pregnant adolescents. Therefore, it is a promising program for caring pregnant adolescents but needs to be tested with other samples before implementation in practice.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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