The supportive-educative Nursing system in the promotion of self-care among high-risk pregnant women

Integrative Review

Authors

  • Ryanne Carolynne Marques Gomes Mendes Universidade Federal de Pernambuco - UFPE, Centro de Ciências da Saúde - CCS, Departamento de Enfermagem. Recife, PE - Brasil. https://orcid.org/0000-0001-7554-2662
  • Priscila Cabral Melo Holanda Universidade Federal de Pernambuco - UFPE, Centro de Ciências da Saúde - CCS, Departamento de Enfermagem. Recife, PE - Brasil. https://orcid.org/0000-0002-6105-2248
  • Cleide Maria Pontes Universidade Federal de Pernambuco - UFPE, Centro de Ciências da Saúde - CCS, Departamento de Enfermagem. Recife, PE - Brasil. https://orcid.org/0000-0003-4707-6873
  • Suzana de Oliveira Mangueira Universidade Federal de Pernambuco - UFPE, Centro de Ciências da Saúde - CCS, Departamento de Enfermagem. Recife, PE - Brasil. https://orcid.org/0000-0003-0931-8675
  • Francisca Márcia Pereira Linhares Universidade Federal de Pernambuco - UFPE, Centro de Ciências da Saúde - CCS, Departamento de Enfermagem. Recife, PE - Brasil. https://orcid.org/0000-0001-9778-5024

DOI:

https://doi.org/10.35699/reme.v27i.38505

Keywords:

Self Care, Nursing Care, Prenatal Care, Health Education, Pregnancy, High-Risk, Health Promotion

Abstract

Objective: to analyze the supportive-educative Nursing system actions proposed by Dorothea Orem’s Theory of Nursing Systems in promoting self-care among high-risk pregnant women based on Nursing diagnoses of NANDA-I taxonomy. Method: integrative review conducted on the following databases: CINAHL, Medline/Pubmed, Scopus, Web of Science, Embase, Science Direct, Cochrane Library, SciELO Library, and Virtual Health Library. Results: the sample comprised 17 papers reporting that the actions are implemented through guidance focused on the care plan, healthy lifestyle, the need to stop using drugs, disease control, and the need to maintain bonds with the Primary Health Care (PHC) service. Conclusion: the main supportive-educative Nursing system actions in promoting self-care among high-risk pregnant women were implemented through Nursing interventions to provide guidance regarding the importance of attending prenatal care and acquiring healthy habits during pregnancy. These actions benefited high-risk pregnant women and are common to most Nursing diagnoses identified in the study population.

References

Mirzakhani K, Ebadi A, Faridhosseini F, Khadivzadeh T. Well-being in high-risk pregnancy: an integrative review. BMC Pregnancy Childbirth [Internet]. 2020[citado em 2021 jan. 5];20(1):1-14. Disponível em: https://doi.org/10.1186/s12884-020-03190-6

Setyowati T, Nuryan E, Rajiani I. Effectiveness of the one nursing student one client assistance in reducing high-risk pregnancy. Int J Med Biol Stud. [Internet]. 2020[citado em 2021 jan. 5];4(2):206-9. Disponível em: https://doi.org/10.32553/ijmbs.v4i2.972

Orem DE. Nursing: concepts of practice. 6ª ed. Estados Unidos: Mosby Year Book Inc; 2001.

Can HO, Akmese ZB, Kocak YC, Ocalan D, Dal NA, Sevil U. Factors Affecting Perceived Stress and Self-Care Agency Pregnant Women. J Health Med Nurs. [Internet]. 2019[citado em 2021 jan. 5];59(1):46-51. Disponível em: https://doi.org/10.7176/JHMN/59-07

Motlagh AE, Babazadeh R, Akhlaghi F, Esmaily H. Effect of an educational intervention program based on bandura's self-efficacy theory on self-care, self-efficacy, and blood sugar levels in mothers with pre-diabetes during pregnancy. Evid Based Care J. [Internet]. 2019[citado em 2021 jan. 5];9(2):53-64. Disponível em: https://doi.org/10.22038/EBCJ.2019.37173.1959

Herdman TH, Kamitsuru S, Lopes CT. Diagnósticos de Enfermagem da NANDA: definições e classificação 2021- 2023. 12ª ed. Porto Alegre: Artmed; 2021.

Whittemore R, Knafl K. The integrative review: update methodology. J Adv Nurs. [Internet]. 2005[citado em 2021 jan. 5];52(5):546-53. Disponível em: https://doi.org/10.1111/j.1365-2648.2005.03621.x

Cardoso V, Trevisan I, Cicolella DDA, Waterkemper R. Systematic review of mixed methods: method of research for the incorporation of evidence in nursing. Texto & Contexto Enferm [Internet]. 2019[citado em 2021 jan. 5];28(1):e20170279. Disponível em: https://doi.org/10.1590/1980-265x-tce-2017-0279

Bramer WM, Milic J, Mast F. Reviewing retrieved references for inclusion in systematic reviews using EndNote. J Med Libr Assoc. [Internet]. 2017[citado em 2021 jan. 5];105(1):84-7. Disponível em: https://doi.org/10.5195/jmla.2017.111

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev [Internet]. 2016[citado em 2021 jan. 5];5(210):1-10. Disponível em: https://doi.org/10.1186/s13643-016-0384-4

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. PLoS Med [Internet]. 2009[citado em 2021 jan. 5];6(7):e1000100. Disponível em: https://doi.org/10.1371/journal.pmed.1000100

Aromataris E, Munn Z. JBI Manual for Evidence Synthesis. Adelaide: JBI; 2020[citado em 2021 jan. 5]. Disponível em: https://synthesismanual.jbi.global

Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice. 3ª ed. Baltimare: LWW; 2011.

Critical Appraisal Skills Programm. Critical Appraisal Checklists. Oxford: CASP; 2021[citado em 2021 jan. 5]. Disponível em: https://casp-uk.net/casp-tools-checklists/

Alnuaimi K, Abuidhail J, Abuzaid H. The effects of an educational programme about preeclampsia on women's awareness: a randomised control trial. Int Nurs Rev. [Internet]. 2020[citado em 2021 jan. 5];1(1):1-11. Disponível em: https://doi.org/10.1111/inr.12626

Oliveira DC, Mandú ENT. Susceptibilities and health problems of pregnant women: care adopted in the family health strategy. J Nus UFPE On Line [Internet]. 2017[citado em 2021 jan. 5];11(5):1798-809. Disponível em: https://doi.org/10.5205/reuol.11077-98857-1-SM.1105201707

Grzeskowiak LE, Smith B, Roy A, Dekker GA, Clifton VL. An observational study of the impact of an antenatal asthma management service on asthma control during pregnancy. Eur J Obstet Gynecol Reprod Biol. [Internet]. 2019[citado em 2021 jan. 5];197(1):48-53. Disponível em: https://doi.org/10.1016/j.ejogrb.2015.11.038

Higgins PG, Clough DH, Frank B, Wallerstedt C. Changes in health behaviors made by pregnant substance users. Int J Addict [Internet]. 1995[citado em 2021 jan. 5];30(10):1323-33. Disponível em: https://doi.org/10.3109/10826089509105137

Kemp VH, Maker DD. H. Health practices and anxiety in low-income, high-and low-risk pregnant women. J Obstet Gynecol Neonatal Nurs. [Internet]. 1993[citado em 2021 jan. 5];22(3):266-72. Disponível em: https://doi.org/10.1111/j.1552-6909.1993.tb01808.x

Luciano MP, Silva EF, Cecchetto FH. Orientations of nursing in the high risk gestation: the pregnant perceptions. J Nurs UFPE On Line [Internet]. 2011[citado em 2021 jan. 5];5(5):1261-6. Disponível em: https://doi.org/10.5205/01012007

Rahim SH, Gabatz RIB, Soares TMS, Milbrath VM, Schwartz E. HIV-positive pregnant and puerperal women and their interfaces of care. J Nurs UFPE On Line [Internet]. 2017[citado em 2021 jan. 5];11(10):4056-64. Disponível em: https://doi.org/10.5205/reuol.10712-95194-3-SM.1110sup201707

Shobeiri F, Doosti F, Oshvandi K, Soltanian A. The Effect of Orem's Self Care Model on Control of Preeclampsia in Pregnant Women: a randomized clinical trial. Res J Pharm Biol Chem Sci. [Internet]. 2019[citado em 2021 jan. 5];7(4):1383-9. Disponível em: https://www.rjpbcs.com/pdf/2016_7(4)/[178].pdf

Stark MA, Brinkley RL. The relationship between perceived stress and health-promoting behaviors in high-risk pregnancy. J Perinat Neonatal Nurs. [Internet]. 2007[citado em 2021 jan. 5];21(4):307-14. Disponível em: https://doi.org/10.1097/01.JPN.0000299788.01420.6e

Boonpongmanee C, Zauszniewski JA, Morris DL. Resourcefulness and self-care in pregnant women with HIV. West J Nurs Res. [Internet]. 2003[citado em 2021 jan. 5];25(1):75-92. Disponível em: https://doi.org/10.1177/0193945902238837

Kim HJ, Kang HS. Mobile Web-based Education: Engagement and Satisfaction with HiChart among Pregnant Women. Child Health Nurs Res. [Internet]. 2019[citado em 2021 jan. 5];25(3):303-11. Disponível em: https://doi.org/10.4094/chnr.2019.25.3.303

Kolivand M, Keramat A, Rahimi M, Motaghi Z, Shariati M, Emamian M. Self-care education needs in gestational diabetes tailored to the Iranian culture: a qualitative content analysis. Iran J Nurs Midwifery Res. [Internet]. 2018[citado em 2021 jan. 05];23(3):222-9. Disponível em: https://doi.org/10.4103/ijnmr.IJNMR_108_17

Birati Y, Bloch JR, McKeever A, Chiatti BD. Relationships Among Neighborhood Poverty, Access to Healthy Food, and Diabetes Self-Management in Women Who Received Perinatal Nurse Home Visits. J Obstet Gynecol Neon Nurs. [Internet]. 2022[citado em 2022 jan. 11];51(1):41-52. Disponível em: https://doi.org/10.1016/j.jogn.2021.10.004

Meng Y. Effects of comprehensive nursing intervention on maternal and infant outcomes for gestational diabetes mellitus patients. Int J Diabetes Dev Ctries [Internet]. 2021[citado em 2022 jan. 11];41:650-6. Disponível em: https://doi.org/10.1007/s13410-020-00816-5

Mohamed AMAM, Mohamed HSE, Ahmed NME, Ahmed EAG. Effect of Tele-nursing Guidelines on Health Lifestyle and Self-Efficacy among Women with Gestational Diabetes during COVID-19 Pandemic Neuro Quantology [Internet]. 2022[citado em 2022 nov. 9];20(6):7390-410. Disponível em: https://doi.org/10.14704/nq.2022.20.6.NQ22741

Chen L, Zhang W, Fu A, Zhou L, Zhang S. Effects of WeChat platform-based nursing intervention on disease severity and maternal and infant outcomes of patients with gestational diabetes mellitus. Am J Transl Res. [Internet]. 2022[citado em 2022 nov. 9];14(5):3143-53. Disponível em: https://doi.org/10.1007/s00404-021-05984-1

Rezaeean SM, Abedian Z, Latifnejad-Roudsari R, Mazloum SR, Abbasi Z. The Effect of Prenatal Self Care Based on Orem’s Theory on Preterm Birth Occurrence in Women at Risk for Preterm Birth. Iran J Nurs Midwifery Res [Internet]. 2020[citado em 2021 nov. 09];25(3):242-8. Disponível em: https://doi.org/10.4103/ijnmr.IJNMR_207_19

Lima THB, Amorim MM, Kassar SB, Katz L. Maternal near miss determinants at a maternity hospital for high-risk pregnancy in northeastern Brazil: a prospective study. BMC Pregnancy Childbirth [Internet]. 2019[citado em 2021 jan. 5];19(271):1-10. Disponível em: https://doi.org/10.1186/s12884-019-2381-9

Fadilah N, McKenna L. New nurses and community maternal care education: a qualitative study. Nurse Educ Prac. [Internet]. 2019[citado em 2021 jan. 5];34(1):139-44. Disponível em: https://doi.org/10.1016/j.nepr.2018.11.011

Rizk SA, Ghaly AS, Youssef HI. Self-Care Practices Utilized By Yemeni Pregnant Womenin Hodeida City. J Nurs Health Scienc. [Internet]. 2019[citado em 2021 jan. 5];8(4):32-50. Disponível em: https://doi.org/10.9790/1959-0804083250

Obasohan PE, Gana P, Mustapha MA, Umar AE, Makada A, Obasohan DN. Decision making autonomy and maternal healthcare utilization among Nigerian Women. Int J MCH AIDS [Internet]. 2019[citado em 2022 nov. 10];8(1):1-11. Disponível em: https://doi.org/10.21106/ijma.264

Gomes CBDA, Dias RDS, Silva WGB, Pacheco MAB, Sousa FGMD, Loyola CMD. Prenatal nursing consultation: Narratives of pregnant women and nurses. Texto & Contexto Enferm. [Internet]. 2019[citado em 2021 jan. 5];28:e20170544. Disponível em: https://doi.org/10.1590/1980-265x-tce-2017-0544

Motahari-Tabari NS, Faramarzi M, Shirvani MA, Bakhtiari A, Omidvar S, Nasiriamiri F. The effectiveness of Information-Motivation and Behavioral skills (IMB) model of self-care in early pregnancy to prevent gestational diabetes mellitus in Iranian overweight and obese women: A Randomized Controlled Trial. Res Square. [Internet]. 2020[citado em 2021 jan. 5];3(1):1-18. Disponível em: https://doi.org/10.21203/rs.2.24420/v3

Hany AM, Abdellah AH, Mohammed AH. Outcome of antenatal care at high risk pregnancy in Qena University Hospitals. Int J Med Sci. [Internet]. 2018[citado em 2021 jan. 5];1(1):46-53. Disponível em: https://doi.org/10.21608/SVUIJM.2018.120564

Sanine PR, Venancio SI, Silva FLGD, Aratani N, Moita MLG, Tanaka OY. Atenção ao pré-natal de gestantes de risco e fatores associados no Município de São Paulo, Brasil. Cad Saúde Pública [Internet]. 2019[citado em 2021 jan. 5];35(10):e00103118. Disponível em: https://doi.org/10.1590/0102-311X00103118

Funaki S, Ogawa K, Ozawa N, Okamoto A, Morisaki N, Sago H. Differences in pregnancy complications and outcomes by fetal gender among Japanese women: a multicenter cross-sectional study. Sci Rep. [Internet]. 2020[citado em 2021 jan. 5];10(1):1-8. Disponível em: https://doi.org/10.1038/s41598-020-75969-8

Hill B, Skouteris H, Boyle JA, Bailey C, Walker R, Thangaratinam S, et al. Health in Preconception, Pregnancy and Postpartum Global Alliance: International Network Pregnancy Priorities for the Prevention of Maternal Obesity and Related Pregnancy and Long-Term Complications. J Clin Med. [Internet]. 2020[citado em 2021 jan. 5];8(12):2119. Disponível em: https://doi.org/10.3390/jcm9030822

Assanangkornchai S, Saingam D, Apakupakul N, Edwards JG. Alcohol consumption, smoking, and drug use in pregnancy: prevalence and risk factors in Southern Thailand. Asia Pac Psychiatry [Internet]. 2017[citado em 2021 jan. 5];9(1):e12247. Disponível em: https://doi.org/10.1111/appy.12247

Published

2023-05-11

Issue

Section

Review

How to Cite

1.
The supportive-educative Nursing system in the promotion of self-care among high-risk pregnant women: Integrative Review. REME Rev Min Enferm. [Internet]. 2023 May 11 [cited 2025 Oct. 8];27. Available from: https://periodicos-des.cecom.ufmg.br/index.php/reme/article/view/38505

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