A Structure Equation Model Examining Self-care Behavior toward Pregnancy-related Complication and Their Associated Factors among Women in Indonesia

Rika Nurhasanah; Masrul Masrul; Hema Malini; Vita Murniati  Tarawan

doi:10.3889/oamjms.2020.5109

Authors

Rika Nurhasanah Faculty of Medicine, Universitas Andalas, Padang, West Sumatera, Indonesia; Department of Midwifery, Institute of Health Sciences Jendral Achmad Yani, West Java, Indonesia
Masrul Masrul Department of Nutrition, Faculty of Medicine, Universitas Andalas, Padang, West Sumatera, Indonesia
Hema Malini Faculty of Nursing, Universitas Andalas, Padang, West Sumatera, Indonesia
Vita Murniati Tarawan Department of Biomedical Science, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.5109

Keywords:

Pregnant, Complication, Self-care behavior, Self-efficacy, Social support, Empowerment

Abstract

BACKGROUND: Maternal mortality rate is commonly caused by pregnancy-related complications. Performing adequate self-care could reduce maternal and child mortality, improve quality of life, and reduce health-care expenses. Few studies exploring factors associated with self-care behaviors toward pregnancy-related complications using the basis of Orem’s theory.

AIM: This study aimed to investigate the self-care behaviors pregnancy-related complications and their associated factors among women in Indonesia.

METHOD: This study was used a cross-sectional design. A multistage random sampling of 320 pregnant women was recruited from four Public Health Centre in West Java, Indonesia. Participants were 18 years old or older and trimester II and III. Structural equation modeling was used for analysis.

RESULTS: The mean age of the mother was 27 years (SD = 6.03) and gestational age was 26 months (SD = 9.17). A pregnant woman has moderate self-care behaviors with a mean of 156.5 (SD = 16.91). Path analysis revealed that knowledge, self-efficacy, and social support have both direct and indirect effects through empowerment on self-care behaviors toward pregnancy-related complications.

CONCLUSION: This finding provides an initial understanding of basic conditioning factors on self-care behaviors and the mediating role of empowerment. This study also provides a significant contribution for clinical practice as basic data to establish future intervention to promote empowerment to achieve optimal self-care behaviors in pregnant women to prevent a complication.

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References

Fahey JO, Shenassa E. Understanding and meeting the needs of women in the postpartum period: The perinatal maternal health promotion model. J Midwifery Womens Health. 2013;58(6):613-21. https://doi.org/10.1111/jmwh.12139 PMid:24320095

UNICEF. Maternal Mortality Declined by 38 Percent Between 2000 and 2017. United States: UNICEF; 2019.

World Health Organization. Maternal Mortality. Geneva, Switzerland: World Health Organization; 2019.

Cameron L, Suarez DC, Cornwell K. Understanding the determinants of maternal mortality: An observational study using the Indonesian population census. PLoS One. 2019;14(6):1-18. https://doi.org/10.1371/journal.pone.0217386

PMid:31158243

United Nation. About the Sustainable Development Goals. United States: United Nation; 2020.

Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death: A WHO systematic analysis. Lancet Glob Health. 2014;2(6):323-33. https://doi.org/10.1016/s2214-109x(14)70227-x PMid:25103301

Kemenkes RI. Laporan Hasil Riset Kesehatan Dasar (Risksdas) Tahun 2015. New Delhi: Ministry of Health; 2015.

Purba DM, Adisasmita AC. Faktor-faktor yang Berhubungan dengan Kejadian Komplikasi Kehamilan dan Persalinan di Rumah Sakit Umum Daerah (RSUD) Kota Depok Tahun 2012. 2012. https://doi.org/10.31227/osf.io/u8mq9

UNFPA. Maternal Mortality in Humanitarian Crises and in Fragile Settings. United States: UNFPA; 2015. p. 1-2.

Orem D. Nursing: Concepts of Practice. 6th ed. United States: Mosby; 2001.

Bakhshian F, Jabbari H. Effectiveness of health services for mothers in iran health system. Iran J Nurs. 2009;22(58):43-54.

Emamiafshar N, Jalilvand P, Doaei SH, Delavar B, Aremikhah A, Motlagh MS. Health Mother Integrated Cares. New Delhi: Ministry of Health Treatmen Medical Education; 2006.

Zhianian A, Zareban I, Ansari-Moghaddam A, Rahimi SF. Improving self-care behaviours in pregnant women in Zahedan: Applying self-efficacy theory. Casp J Health Res. 2015;1(1):18-26. https://doi.org/10.18869/acadpub.cjhr.1.1.18

Kordi M, Heravan MB, Asgharipour N, Akhlaghi F, Mazloum SR. Does maternal and fetal health locus of control predict self-care behaviors among women with gestational diabetes? J Educ Health Promot. 2017;6:73. PMid:28852663

Mahadew EP, Nadhiroh M, Heryana A. Relationship between knowledge on pregancy warning sign nd social support with adherence to antenatal care among pregnant women in trimester III in Serang. Jurnal Keperawatan UMJ. 2016; 2 (1);67.

Panthumas S, Kittipichai W, Pitikultang S, Chamroonsawasdi K. Self-care behaviors among Thai primigravida teenagers. Glob J Health Sci. 2012;4(3):139. https://doi.org/10.5539/gjhs.v4n3p139 PMid:22980240

Puspita T, Jerayingmongkol P, Sanguanprasit B. Factors predicting self-care behaviors among pregnant women in Garut district, West Java Province, Indonesia. ASEAN/Asian Acad Soc Int Conf Proc Ser. 2015;2015:107-11. https://doi.org/10.15294/ ujph.v0i0.27862

Alisjahbana AS, Yusuf AA, Anna Z, Hadisoemarto PF, Kadarisman A, Maulana N, et al. Menyongsong SDGs Kesiapan Daerah-daerah di Indonesia. Indonesia: Unpad Press; 2018.

Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods Psychol Res Online. 2003;8(2):23-74.

Zewdie T, Azale T, Shimeka A, Lakew AM. Self-medication during pregnancy and associated factors among pregnant women in Goba town, Southeast Ethiopia: A community based cross sectional study. BMC Res Notes. 2018;11(1):1-6. https://doi.org/10.1186/s13104-018-3821-8 PMid:30305180

Lertsakornsiri M. Factors Relating to Health Promoting Behaviors in Pregnant Adolescents in Antenatal Clinics. Thailand: Bangkok Metropolis; 2010.

Lee YJ, Shin SJ, Wang RH, Lin KD, Lee YL, Wang YH. Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with Type 2 diabetes mellitus. Patient Educ Couns. 2016;99(2):287-94. https://doi.org/10.1016/j.pec.2015.08.021 PMid:26341940

Herlina SM. Pelaksanaan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dalam Menurunkan Angka Kematian Ibu di Puskesmas Imogiri 1 Bantul Yogyakarta, Thesis Thesis. Indonesia: Universitas Aisyiyah Yogyakarta; 2017. https://doi.org/10.30787/gaster.v16i1.245

Mariani P, Widarini P, Pangkahila A. Laporan hasil penelitian Hambatan dalam implementasi program perencanaan persalinan dan pencegahan komplikasi (P4K) di Kabupaten Badung. Public Health Prev Med Arch. 2013;1(2):109. https://doi.org/10.15562/phpma.v1i2.172

Djawa O, Prihatiningsih D. Analisis Faktor-faktor Ekstrinsik Yang Mempengaruhi Self Care Pada Pasien Diabetes Melitus Tipe II Di Puskesmas Depok Iii Sleman Yogyakarta. Indonesia: DSpace UNISA Yogyakarta; 2018. https://doi.org/10.32834/gg.v13i1.27

Wise NJ, Arcamone AA. Survey of adolescent views of healthy eating during pregnancy. MCN Am J Matern Child Nurs. 2011;36(6):381-6. https://doi.org/10.1097/nmc.0b013e31822f4778 PMid:22019918

Callaghan D. Basic conditioning factors’ influences on adolescents’ healthy behaviors, self-efficacy, and self-care. Issues Compr Pediatr Nurs. 2006;29(4):191-204. https://doi.org/10.1080/01460860601087156 PMid:17190774

Shaw BA, Gallant MP, Riley-Jacome M, Spokane LS. Assessing sources of support for diabetes self-care in urban and rural underserved communities. J Community Health. 2006;31(5):393-412. https://doi.org/10.1007/s10900-006-9018-4 PMid:17094647