Abstract
Purpose
The purpose of this study was to implement and evaluate health training guidance using the self-monitoring method in order to improve self-care behavior among Primiparae.
Method
Intervention consisted of establishing two groups consisting of an interview group who self-monitored daily self-care behavior and were interviewed by midwife nurses (17 subjects) and a recording group who only performed self-monitoring (20 subjects), and intervening for 20 weeks from week 15 to week 34 of pregnancy. A control group was also established consisting of pregnant women who did not undergo intervention (18 subjects). Evaluation indices consisted of apprehension, intention to implement self-care behavior, and practical application status of self-care behavior, and these indices were measured in weeks 15, 26 and 36 of pregnancy.
Results and Discussion
In the recording group, 25% of the subjects withdrew from the program by the second evaluation. When analyzed using a repetitive two-factor analysis of variance, apprehension was observed for the main effect of the group (p<.01), a significant interaction (p<.05) was observed between the group and time in diet and daily activities with respect to the intention to implement self-care behavior, and with respect to practical application of self-care behavior, the main effect of the group was observed for prevention and early detection of abnormalities (p<.05). Self-monitoring serves to alleviate apprehension and bring about the effect of enhancing the intention to implement self-care behavior, and the combined use of interviews by midwife nurses was suggested to enhance the practical application of self-care behavior.
