The Effects of Individual Factors and Health Promotion During Pregnancy on Maternal-Infant Health
dc.contributor.author | Hatmaker, Debra D | |
dc.date.accessioned | 2019-06-13T00:01:57Z | |
dc.date.available | 2019-06-13T00:01:57Z | |
dc.date.issued | 1993-09 | |
dc.identifier.uri | en | |
dc.identifier.uri | http://hdl.handle.net/10675.2/622391 | |
dc.description.abstract | The purpose of this study was to examine selected individual fact·ors which may influence the pregnant woman's engagement in health-promotion behaviors and maternal-infant health. The theoretical framework evolved from the Health Promotion Model (Pender, 1987) and the cognitive-transactional theory' of stress and coping (Lazarus & Folkman, 1984). A convenience sample of 63 low-risk and 53 high-risk pregnant women was selected for this study. The concept of high-risk in this study was na'rrowed to those women undergoing home uterine activity monitoring who were at risk for pr~term delivery. Individual factors included self-efficacy, degree of threat, perceived social support, and perceived health status. The construct of reported health-promoting behaviors was used to describe an active approach toward improved well-being. As outcome measures of health, three concepts were used as an overall index of maternal-infant health: subjective wellbeing (positive and negative affect), maternal weight gain, and infant birth weight. Regression analyses revealed that women who reported fewer negative health symptoms and a higher number of health behaviors reported higher positive affect. The change in positive affect over time for the high-risk group reflected an increase in positive mood and social engagement. A high-risk status, high degree of threat, high perceived conflict, and a higher number of negative health symptoms we're predictive of higher negative affect. Negative mood and anxiety for the high-risk group were reflected in their higher scores. The high-risk group felt greater threat from their pregnancy status, had a more negative outlook for their pregnancy, and felt less in control of the situation than did the low-risk group. While the two groups did not differ on overall reported health-promoting behaviors, the high-risk group scored significantly higher on health responsibility and lower on exercise than the low-risk group. Significant implications for nurses working with pregnant women and their families include: awareness of the need for prenatal assessment of anxiety and the meaning of the highris~ label, the need for ·improved risk assessment, continued education regarding expected physical and psychological changes "during pregnancy, and education regarding positive health behaviors. | en_US |
dc.rights | Copyright protected. Unauthorized reproduction or use beyond the exceptions granted by the Fair Use clause of U.S. Copyright law may violate federal law. | en_US |
dc.subject | Weight | en_US |
dc.subject | Infant Health | en_US |
dc.subject | Outcome Assesment | en_US |
dc.subject | cognition | en_US |
dc.title | The Effects of Individual Factors and Health Promotion During Pregnancy on Maternal-Infant Health | en_US |
dc.type | Dissertation | en_US |
dc.type | Dissertation | en |
dc.contributor.department | School of Nursing | en_US |
dc.description.advisor | Chair: Kemp, Virginia | en_US |
dc.description.degree | Doctor of Philosophy | en_US |
dc.description.committee | N/A | en_US |
refterms.dateFOA | 2019-06-13T00:01:57Z |
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Theses and Dissertations [1565]