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RİSKLİ GEBELERDE RİSK ALGISINI VE BİLGİ DÜZEYİNİ ARTIRMAK: BİR EĞİTİM MÜDAHALESİ ÇALIŞMASI

Year 2025, Volume: 88 Issue: 2, 108 - 117, 28.04.2025

Osman Küçükkelepçe , Hülya Doğan Tiryaki , Osman Kurt , Bengü Nehir Buğdaycı Yalçın , Erdoğan Öz

https://doi.org/10.26650/IUITFD.1554962

Abstract

Amaç: Bu çalışmada riskli gebelerin risk algılarını belirleme amaçlandı. Çalışma, verilecek eğitim sonrasında risk algısını tekrar değerlendirmeyi ve risk algısını geliştirmeyi amaçlamıştır.

Gereç ve Yöntem: Bu eğitim müdahale çalışmasında, Adıyaman’da riskli gebeliği olan 2.664 kadından en az 336'sına ulaşmak amaçlandı. Toplamda 444 kadın çalışmaya katıldı. Katılımcılara, sosyodemografik bilgilerini içeren anket ile birlikte gebelik risk algısı ve riskleri ile ilgili anketler uygulandı. Anketler, eğitim müdahalesinden önce ve müdahaleden 2-4 hafta sonra olmak üzere iki kez uygulanarak eğitimin risk algısı üzerinde etkinliği değerlendirildi.

Bulgular: Eğitim müdahalesinden sonra, katılımcıların risk bilgisi ve risk algısı puanlarında anlamlı bir artış görüldü (p<0.001). Ayrıca, bilgi puanları ile yaş (p<0.001) ve ilk gebelik yaşı (p<0.001) arasında pozitif bir korelasyon gözlemlendi, buna karşın gebelik haftası ile negatif bir korelasyon bulundu (p=0.003). Ek olarak, risk algısı puanı ile yaş (p = 0.008) ve obstetrik ziyaret sayısı (p=0.024) arasında pozitif bir korelasyon saptandı.

Sonuç: Gebe kadınların risk algısını artırmak için bu konuda onlara özel eğitim sağlamak çok önemlidir. Bu, yüksek riskli gebeliği olan her kadının sadece anne ölümlerine karşı savunmasız olmakla kalmayıp, aynı zamanda bebeğini de bebek ölümleri riski altında bırakması nedeniyle gereklidir.

Keywords

Risk algısı riskli gebelik eğitim müdahalesi anne sağlığı

References

  • Rajbanshi S, Norhayati MN, Nik Hazlina NH. Risk perceptions among high-risk pregnant women in Nepal: a qualitative study. BMC Pregnancy Childbirth 2021;21(1):1-8. [CrossRef] google scholar
  • Lennon SL. Risk perception in pregnancy: A concept analysis. J Adv Nurs 2016;72(9):2016-29. [CrossRef] google scholar
  • Lee S. Risk perception in women with high-risk pregnancies. Br J Midwifery 2014;22(1):8-13. [CrossRef] google scholar
  • World Health Organization. Maternal mortality. 2016. December 29, 2022. https://www.who.int/en/news-room/ fact-sheets/detail/maternal-mortality. google scholar
  • Holness N. High-risk pregnancy. Nurs Clin North Am 2018;53(2):241-51. [CrossRef] google scholar
  • Hacettepe University Institute of Population Studies, Ankara. Turkey Demographics and Health Survey, 2018. 29 Dec 2022. https://dhsprogram.com/pubs/pdf/FR372/FR372.pdf google scholar
  • Correa-de-Araujo R, Yoon SS. Clinical outcomes in high-risk pregnancies due to advanced maternal age. J Women Health 2021;30(2):160-67. [CrossRef] google scholar
  • Heaman M, Gupton A. Psychometric testing of the perception of pregnancy risk questionnaire. Res Nurs Health 2009;32:493-503. [CrossRef] google scholar
  • Evcili F, Dağlar G. Gebelikte Risk Algısı Ölçeği: Türkçe geçerlik ve güvenirlik çalışması. Cukurova Med J 2019;44(1):211-22. [CrossRef] google scholar
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  • Silva TV, Bento SF, Katz L, Pacagnella RC. “Preterm birth risk, me?” Women risk perception about premature delivery-a qualitative analysis. BMC Pregnancy and Childbirth 2021;21:633. [CrossRef] google scholar
  • Lee S, Ayers S, Holden D. Risk perception of women during high-risk pregnancy: a systematic review. Health Risk Soc 2012;14(6):511-31. [CrossRef] google scholar
  • Gerend MA, Aiken LS, West SG, Erchull MJ. Beyond medical risk: Investigating the psychological factors underlying women’s perceptions of susceptibility to breast cancer, heart disease, and osteoporosis. Health Psychol 2004;23(3):247-58. [CrossRef] google scholar
  • Kim C, McEwen LN, Piette JD, Goewey J, Ferrara A, Walker EA. Risk perception for diabetes among women with histories of gestational diabetes mellitus. Diabetes Care 2007;30(9):2281-6. [CrossRef] google scholar
  • Taghizadeh Z, Cheraghi MA, Kazemnejad A, Pooralajal J, Aghababaei S. Difference in perception of pregnancy risk in two maternal age groups. J Clin Diagn Res 2017;11(5):QC09-12. [CrossRef] google scholar
  • Maharramova A, Gur EY. The pregnant women’s perception of risks and pregnancy stress levels: a cross-sectional study from Turkey. Rev Assoc Med Bras (1992) 2024;70(6):e20231270. [CrossRef] google scholar
  • Papiernik E, Tafforeau J, Richard A, Pons JC, Keith LG. Perception of risk, choice of maternity site, and socio-economic level of twin mothers. J Perinat Med 1997;25(2):139-45. [CrossRef] google scholar
  • Şenol DK, Aydin Özkan S, Ağralı C. The effect of the training provided to primiparous pregnant women based on the model on pregnancy risk perception and health literacy. Women Health 2024;64(3):283-93. [CrossRef] google scholar
  • Adebayo AL, Davidson Mhonde R, DeNicola N, Maibach E. The effectiveness of narrative versus didactic ınformation formats on pregnant women’s knowledge, risk perception, self-efficacy, and Information seeking related to climate change health risks. Int J Environ Res Public Health 2020;17(19):6969. [CrossRef] google scholar
  • Shahnazi H, Sabooteh S, Sharifirad G, Mirkarimi K, Hassanzadeh A. The impact of education intervention on the Health Belief Model constructs regarding anxiety of nulliparous pregnant women. J Educ Health Promot 2015;4(1):27. [CrossRef] google scholar

ENHANCING RISK PERCEPTIONS AND KNOWLEDGE IN WOMEN WITH RISK PREGNANCIES: EDUCATIONAL INTERVENTION

Year 2025, Volume: 88 Issue: 2, 108 - 117, 28.04.2025

Osman Küçükkelepçe , Hülya Doğan Tiryaki , Osman Kurt , Bengü Nehir Buğdaycı Yalçın , Erdoğan Öz

https://doi.org/10.26650/IUITFD.1554962

Abstract

Objective: We aimed to determine the risk perceptions of women with risky pregnancies. This study aimed to enhance and reevaluate their risk perceptions after providing education about their risks.

Material and Methods: This educational intervention study aimed to engage 336 pregnant women out of a 2,664 population with high-risk pregnancies in Adıyaman, Türkiye. In total, 444 pregnant women participated in the study. Participants completed the sociodemographic questionnaires, a pregnancy risk perception assessment, and a knowledge assessment related to pregnancy risks. The questionnaires were administered twice: once before the educational intervention and again 2-4 weeks after the intervention, allowing us to measure the effectiveness of the education.

Results: After the educational intervention, pregnant women demonstrated a significant increase in both their risk knowledge and risk perception scores (p<0.001). Furthermore, we observed a positive correlation between knowledge scores and age (p<0.001) as well as first gestational age (p<0.001), while a negative correlation was found with gestational age (p=0.003). Additionally, a positive correlation emerged between the risk perception score and age (p=0.008) and the number of obstetrician visits (p=0.024).

Conclusion: To enhance the risk perception, it is crucial to provide them with specialised education on this subject. This is imperative because every woman with a high-risk pregnancy is not only vulnerable to maternal mortality but also places her infant at a higher risk of infant mortality.

Keywords

Risk perception risky pregnancy educational intervention maternal health

Ethical Statement

Bu çalışmanın, özgün bir çalışma olduğunu; çalışmanın hazırlık, veri toplama, analiz ve bilgilerin sunumu olmak üzere tüm aşamalarından bilimsel etik ilke ve kurallarına uygun davrandığımı; bu çalışma kapsamında elde edilmeyen tüm veri ve bilgiler için kaynak gösterdiğimi ve bu kaynaklara kaynakçada yer verdiğimi; kullanılan verilerde herhangi bir değişiklik yapmadığımı, çalışmanın Committee on Publication Ethics (COPE)' in tüm şartlarını ve koşullarını kabul ederek etik görev ve sorumluluklara riayet ettiğimi beyan ederim. Herhangi bir zamanda, çalışmayla ilgili yaptığım bu beyana aykırı bir durumun saptanması durumunda, ortaya çıkacak tüm ahlaki ve hukuki sonuçlara razı olduğumu bildiririm.

Supporting Institution

destekleyen kurum ya da kuruluş bulunmamaktadır.

References

  • Rajbanshi S, Norhayati MN, Nik Hazlina NH. Risk perceptions among high-risk pregnant women in Nepal: a qualitative study. BMC Pregnancy Childbirth 2021;21(1):1-8. [CrossRef] google scholar
  • Lennon SL. Risk perception in pregnancy: A concept analysis. J Adv Nurs 2016;72(9):2016-29. [CrossRef] google scholar
  • Lee S. Risk perception in women with high-risk pregnancies. Br J Midwifery 2014;22(1):8-13. [CrossRef] google scholar
  • World Health Organization. Maternal mortality. 2016. December 29, 2022. https://www.who.int/en/news-room/ fact-sheets/detail/maternal-mortality. google scholar
  • Holness N. High-risk pregnancy. Nurs Clin North Am 2018;53(2):241-51. [CrossRef] google scholar
  • Hacettepe University Institute of Population Studies, Ankara. Turkey Demographics and Health Survey, 2018. 29 Dec 2022. https://dhsprogram.com/pubs/pdf/FR372/FR372.pdf google scholar
  • Correa-de-Araujo R, Yoon SS. Clinical outcomes in high-risk pregnancies due to advanced maternal age. J Women Health 2021;30(2):160-67. [CrossRef] google scholar
  • Heaman M, Gupton A. Psychometric testing of the perception of pregnancy risk questionnaire. Res Nurs Health 2009;32:493-503. [CrossRef] google scholar
  • Evcili F, Dağlar G. Gebelikte Risk Algısı Ölçeği: Türkçe geçerlik ve güvenirlik çalışması. Cukurova Med J 2019;44(1):211-22. [CrossRef] google scholar
  • Bayrampour H, Heaman M, Duncan KA, Tough S. Predictors of perception of pregnancy risk among nulliparous women. J Obstet Gynecol Neonatal Nurs 2013;42(4):416-27. [CrossRef] google scholar
  • Ralston ER, Smith P, Chilcot J, Silverio SA, Bramham K. Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis. PLoS One 2021;16(7):e0254956. [CrossRef] google scholar
  • Silva TV, Bento SF, Katz L, Pacagnella RC. “Preterm birth risk, me?” Women risk perception about premature delivery-a qualitative analysis. BMC Pregnancy and Childbirth 2021;21:633. [CrossRef] google scholar
  • Lee S, Ayers S, Holden D. Risk perception of women during high-risk pregnancy: a systematic review. Health Risk Soc 2012;14(6):511-31. [CrossRef] google scholar
  • Gerend MA, Aiken LS, West SG, Erchull MJ. Beyond medical risk: Investigating the psychological factors underlying women’s perceptions of susceptibility to breast cancer, heart disease, and osteoporosis. Health Psychol 2004;23(3):247-58. [CrossRef] google scholar
  • Kim C, McEwen LN, Piette JD, Goewey J, Ferrara A, Walker EA. Risk perception for diabetes among women with histories of gestational diabetes mellitus. Diabetes Care 2007;30(9):2281-6. [CrossRef] google scholar
  • Taghizadeh Z, Cheraghi MA, Kazemnejad A, Pooralajal J, Aghababaei S. Difference in perception of pregnancy risk in two maternal age groups. J Clin Diagn Res 2017;11(5):QC09-12. [CrossRef] google scholar
  • Maharramova A, Gur EY. The pregnant women’s perception of risks and pregnancy stress levels: a cross-sectional study from Turkey. Rev Assoc Med Bras (1992) 2024;70(6):e20231270. [CrossRef] google scholar
  • Papiernik E, Tafforeau J, Richard A, Pons JC, Keith LG. Perception of risk, choice of maternity site, and socio-economic level of twin mothers. J Perinat Med 1997;25(2):139-45. [CrossRef] google scholar
  • Şenol DK, Aydin Özkan S, Ağralı C. The effect of the training provided to primiparous pregnant women based on the model on pregnancy risk perception and health literacy. Women Health 2024;64(3):283-93. [CrossRef] google scholar
  • Adebayo AL, Davidson Mhonde R, DeNicola N, Maibach E. The effectiveness of narrative versus didactic ınformation formats on pregnant women’s knowledge, risk perception, self-efficacy, and Information seeking related to climate change health risks. Int J Environ Res Public Health 2020;17(19):6969. [CrossRef] google scholar
  • Shahnazi H, Sabooteh S, Sharifirad G, Mirkarimi K, Hassanzadeh A. The impact of education intervention on the Health Belief Model constructs regarding anxiety of nulliparous pregnant women. J Educ Health Promot 2015;4(1):27. [CrossRef] google scholar
There are 21 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section RESEARCH
Authors

Osman Küçükkelepçe 0000-0002-7138-692X

Hülya Doğan Tiryaki 0000-0001-8974-8944

Osman Kurt 0000-0003-4164-3611

Bengü Nehir Buğdaycı Yalçın 0000-0002-5243-9790

Erdoğan Öz 0000-0002-6785-6896

Publication Date April 28, 2025
Submission Date September 24, 2024
Acceptance Date March 8, 2025
Published in Issue Year 2025 Volume: 88 Issue: 2

Cite

APA Küçükkelepçe, O., Doğan Tiryaki, H., Kurt, O., Buğdaycı Yalçın, B. N., et al. (2025). ENHANCING RISK PERCEPTIONS AND KNOWLEDGE IN WOMEN WITH RISK PREGNANCIES: EDUCATIONAL INTERVENTION. Journal of Istanbul Faculty of Medicine, 88(2), 108-117. https://doi.org/10.26650/IUITFD.1554962
AMA Küçükkelepçe O, Doğan Tiryaki H, Kurt O, Buğdaycı Yalçın BN, Öz E. ENHANCING RISK PERCEPTIONS AND KNOWLEDGE IN WOMEN WITH RISK PREGNANCIES: EDUCATIONAL INTERVENTION. İst Tıp Fak Derg. April 2025;88(2):108-117. doi:10.26650/IUITFD.1554962
Chicago Küçükkelepçe, Osman, Hülya Doğan Tiryaki, Osman Kurt, Bengü Nehir Buğdaycı Yalçın, and Erdoğan Öz. “ENHANCING RISK PERCEPTIONS AND KNOWLEDGE IN WOMEN WITH RISK PREGNANCIES: EDUCATIONAL INTERVENTION”. Journal of Istanbul Faculty of Medicine 88, no. 2 (April 2025): 108-17. https://doi.org/10.26650/IUITFD.1554962.
EndNote Küçükkelepçe O, Doğan Tiryaki H, Kurt O, Buğdaycı Yalçın BN, Öz E (April 1, 2025) ENHANCING RISK PERCEPTIONS AND KNOWLEDGE IN WOMEN WITH RISK PREGNANCIES: EDUCATIONAL INTERVENTION. Journal of Istanbul Faculty of Medicine 88 2 108–117.
IEEE O. Küçükkelepçe, H. Doğan Tiryaki, O. Kurt, B. N. Buğdaycı Yalçın, and E. Öz, “ENHANCING RISK PERCEPTIONS AND KNOWLEDGE IN WOMEN WITH RISK PREGNANCIES: EDUCATIONAL INTERVENTION”, İst Tıp Fak Derg, vol. 88, no. 2, pp. 108–117, 2025, doi: 10.26650/IUITFD.1554962.
ISNAD Küçükkelepçe, Osman et al. “ENHANCING RISK PERCEPTIONS AND KNOWLEDGE IN WOMEN WITH RISK PREGNANCIES: EDUCATIONAL INTERVENTION”. Journal of Istanbul Faculty of Medicine 88/2 (April 2025), 108-117. https://doi.org/10.26650/IUITFD.1554962.
JAMA Küçükkelepçe O, Doğan Tiryaki H, Kurt O, Buğdaycı Yalçın BN, Öz E. ENHANCING RISK PERCEPTIONS AND KNOWLEDGE IN WOMEN WITH RISK PREGNANCIES: EDUCATIONAL INTERVENTION. İst Tıp Fak Derg. 2025;88:108–117.
MLA Küçükkelepçe, Osman et al. “ENHANCING RISK PERCEPTIONS AND KNOWLEDGE IN WOMEN WITH RISK PREGNANCIES: EDUCATIONAL INTERVENTION”. Journal of Istanbul Faculty of Medicine, vol. 88, no. 2, 2025, pp. 108-17, doi:10.26650/IUITFD.1554962.
Vancouver Küçükkelepçe O, Doğan Tiryaki H, Kurt O, Buğdaycı Yalçın BN, Öz E. ENHANCING RISK PERCEPTIONS AND KNOWLEDGE IN WOMEN WITH RISK PREGNANCIES: EDUCATIONAL INTERVENTION. İst Tıp Fak Derg. 2025;88(2):108-17.
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