Ignite Creation Date:
2024-06-16 @ 11:48 AM
Last Modification Date:
2024-10-26 @ 3:30 PM
Study NCT ID:
NCT06428305
Status:
RECRUITING
Last Update Posted:
2024-05-29
First Post:
2024-05-20
Brief Title:
Providing Hygiene Education Using the Teach-back Method to Pregnant Women Diagnosed With Urinary Tract Infections
Sponsor:
KTO Karatay University
Organization:
KTO Karatay University
Study Overview
Official Title:
The Effect of Hygiene Education Given Using the Teach-Back Method to Pregnant Women Diagnosed With Urinary Tract Infections on Hygiene Behaviors and Symptoms A Randomized Controlled Trial
Status:
RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study proves that the hygiene education given to pregnant women diagnosed with tract infection by explaining what they have learned increases the duration of genital health thus ensuring the positive health development of women and protecting and improving their health At the same time it is aimed to inform the professional tell what you have learned method and to guide the practices of those working in the field of health The research will be conducted in a randomized control design with a pretest-posttest control group The population of the research will consist of pregnant women who were followed up in the relevant hospital and who met the inclusion criteria on the dates the research was conducted The number of samples for the study was determined as 70 participants 35 in each group While hygiene training will be given to the intervention group using the tell-what-you-learned method no training will be given to the control group Personal Information Form and Genital Hygiene Behavior Scale will be used as data collection tools in the research Data will be collected at the first encounter day 7 day 21 and day 30 In evaluating the data the suitability of the variables to normal distribution will be examined using visual analytical methods When comparing application results within and between groups parametric or nonparametric tests will be used depending on whether they show a normal distribution or not and t test or Mann-Withney U Test will be used to compare the difference between two groups Wilcoxon test will be used to analyze pre- and post-intervention results within the same group Statistical significance level will be accepted as p005 When the literature is examined there are studies on different health education plans for women diagnosed with urinary tract infection during pregnancy but since there is no research on the tell-what-you-learned method it is an original study and at the same time the previous knowledge levels of pregnant women diagnosed with UTI were learned and the effect of the education given on their behavior was examined It is thought that this teaching method will contribute positively to the knowledge level and behavior of women
Detailed Description:
Urinary tract infection in women is the second most common discomfort after anemia that occurs during certain periods of life during pregnancy and is also one of the most common bacterial infections Fihn 2003 Griebling 2005 Czajkawski Bras-Konopeielka and Teliga-Czajkowska 2021 About 50 of women have urinary tract infections at least once in their lifetime Gilbert Obien Hutgen et al 2013 In the presence of urinary tract infection painful urination is usually observed frequent emergency toilet trips while other symptoms include lower abdominal or pelvic pain and pressure blood in the urine milky cloudy or pinkred urine color fever heavily scented urine nausea vomiting and diarrhea Habak and Griggs Dec 2023 Pregnancy number of pregnancies age diabetes mellitus urethrogenital anomalies genetic and behavioral factors hygiene deficiency anemia history of urinary system infection Bekzac Orgul Tanacan et al 2019 factors such as low socio-economic level inadequate perineal hygiene vaginal douching long-term use of antibiotics and steroids smoking alcohol consumption and immune deficiencies increase the incidence Özdemir Ortabağ Tosun et al 2012 Ejder Apay Özdemir Nazik et al 2014 Karahan 2017 The frequency of sexual experience the number of sexual partners current or previous years not urinating after sexual intercourse the direction of wiping the perineum after the toilet urine retention daily insufficient water consumption also play an important role Seid Markas Aklilu et al 2023
Physiological anatomical and hormonal changes experienced during pregnancy increase the predisposition to urinary tract infection Helli Dolapçıoğlu and Hammer 2011 Urinary tract infection has a prevalence rate of 20 among pregnant women Abdel- Deciz Elzayat Barnett-Vanes Dabour et al 2013 Salari Khoshbakht Hemmati et al 2023 Approximately 5-12 of pregnant women are affected by asymptomatic bacteria while 30 of women with symptoms may develop cystitis or 50 pyelonephritis Asymptomatic bacteriuria can lead to many undesirable maternal and neonatal problems if left untreated De Oliveira Neto et al 2021 Preeclampsia can cause undesirable consequences such as hypertensive diseases pyelonephritis permanent kidney damage anemia premature rupture of membranes premature birth threat low birth weight fetal deaths and cesarean section Lawani Alade and Oyelaran 2015 Willy Wanyoike and Mugo 2015 These are conditions that cause many physiological and anatomical damages and are common requiring urgent treatment Sevil Özdemir Aleattin et al 2013 Apay Özdemir Nazik et al 2014 Karahan 2017 In addition more than half of the patients complain of clinical depression and 385 of them complain of anxiety It is reported that significant improvement in quality of life has been observed after appropriate treatment and prophylaxis Renard Ballarini Mascarenhas et al 2015 It is an important public health problem and can negatively affect the life of women and families causing deterioration of the quality of life Sevil Özdemir Aleattin et al 2013 Apay Özdemir Nazik et al 2014 Karahan 2017 It causes a significant financial impact of up to billions of dollars on both the health system and society Akram Shahid and Khan 2007 Martini Horner Roehrs et al 2007 De Oliveira Neto et al 2021 Therefore it is important to plan and implement initiatives aimed at improving and preventing urinary tract infections
When the studies were examined it was found that incorrect incomplete or faulty hygiene behaviors increased the incidence of urinary tract infections Özdemir et al 2012 Sevil et al 2013 Karahan 2017 In urinary tract infections it is necessary to determine the wrong behaviors first about hygiene and to provide permanent and positive behavioral changes by providing trainings for them Karahan 2017
Genital hygiene behaviors are an important factor in the formation and prevention of urinary tract infections Öner and Çeber Turfan 2020 stated that in addition to medical treatment urinary tract infection symptoms can be prevented with hygiene education and that it also positively affects genital hygiene behaviors Öner and Çe October Turfan 2020 Regarding the educational methods Sinan et al A study conducted by 2020 concluded that genital infection awareness training based on the knowledge-motivation-behavior skills model increases womens knowledge level and positively reinforces womens hygiene behaviors Sinan Kaplan Sahin et al 2020 In another study conducted on genital hygiene behavior training given using audiovisual and brochure it was found that the intervention group developed more positive behaviors than the control group Hayati et al 2018 Parlas and Eryilmaz 2023 It is stated that the knowledge attitudes and behaviors of women who receive education based on the PRECEDE-PROCEED model are positively affected Parlas Eryilmaz 2023 In particular in another study it is stated that planned education and home visits on genital hygiene have a positive effect Abic Yatmaz Altınışık et al 2024 In addition web-based genital hygiene education has a positive effect on self-care power and genital hygiene behaviors Gül and Yağmur 2023 peer education provided under the guidance of the health improvement model is effective and increases the knowledge levels of young October adults about genital hygiene behaviors Polat Küçükkelepçe et al 2022 is stated Another study conducted to determine the effect of genital hygiene education given by three different methods oral education after medical curettage education with written material and just demonstration on genital hygiene behaviors found that oral education alone is not effective in providing and developing genital hygiene behaviors and the demonstration method is more effective than oral and written education methods Uzun and Göktaş 2022 As a result of the current literature review although the importance of genital hygiene education is emphasized it is clear that there is a need for teaching techniques that will provide permanent behavioral changes Midwives who are in contact the most during the pregnancy period and conduct face-to-face interviews undertake the most important task in teaching genital hygiene behaviors effectively and correctly Ünsal Özyazıcıoğu Sezgin et al 2010 For this reason midwives should plan training with a permanent teaching technique that fills in gaps in the lack of knowledge can get feedback can be evaluated while advising pregnant women diagnosed with urinary tract infection on genital hygiene behaviors
The teach back method is a method used for the education learning evaluation and development of personal care behaviors of individuals This approach provides an opportunity for individuals to understand educational materials improve their level of retention in mind and evaluate themselves One of the important advantages is that the educational content is presented as simply as possible free from medical terms and that the clients repeat the practices at the end of the training Ahmed Abd El- hamed 2023 The practice involves asking patients by a health professional to explain in their own sentences what they have just been told If there is any misunderstanding it is clarified by the health professional and the understanding status is evaluated by checking again This condition continues until the patient tells the truth and remembers the information given to him Farris 2015 Talevski Wong Shee Rasmussen et al 2020 The patients learning about issues related to health information can be improved through continuous feedback It is stated that this method-based communication approach helps patients to better understand their own medical conditions and health information and provides benefits in improving their skills of remembering and applying medical information Tamura 2013 Laws 2018 Cheng Chen 2023The Tell what you have learned method provides positive effects on information acquisition remembering keeping in mind as well as health behavior management personal care behavior development hospitalization quality of life and patient satisfaction Yen and Leasure 2019 Talevski et al 2020 Cheng et al 2023 In addition it is stated that self-care increases strength and comfort reduces the cost of health care Badeczewski et al 2017 Imanipour Molazem Rakhshan et al 2022 For this reason midwives can use the tell what youve learned method which is a permanent teaching technique that fills in gaps in the lack of information can be reversed evaluated while advising pregnant women diagnosed with urinary tract infection on genital hygiene behaviors
Pregnant women diagnosed with urinary tract infection have been given trainings on genital hygiene behaviors in many different methods in the literature but when the trainings given were examined it was determined that teaching techniques aimed at improving the education learning level evaluation and personal care behaviors of individuals are needed It is thought that using the tell what you have learned method in order to fill these gaps in education will be beneficial In this context the fact that there are no studies on the subject in our country the fact that evidence-based teaching techniques are tried in new areas constitutes the original value of the project and our main motivation The project has unique value for a sustainable future in terms of its effects on pregnant women in particular and qualified midwifery care at the social level in general It will also enable data to be obtained for comparing innovative educational methods with traditional educational methods Thus it will help to improve organize or develop capacity for future initiatives
Hypotheses
1 The education given to pregnant women who have been diagnosed with urinary tract infection by the tell me what you have learned method positively affects genital hygiene behavior
2 Education given to pregnant women who have been diagnosed with urinary tract infection by the tell-what-you-learned method reduces the level of symptoms
Physiological anatomical and hormonal changes experienced during pregnancy increase the predisposition to urinary tract infection Helli Dolapçıoğlu and Hammer 2011 Urinary tract infection has a prevalence rate of 20 among pregnant women Abdel- Deciz Elzayat Barnett-Vanes Dabour et al 2013 Salari Khoshbakht Hemmati et al 2023 Approximately 5-12 of pregnant women are affected by asymptomatic bacteria while 30 of women with symptoms may develop cystitis or 50 pyelonephritis Asymptomatic bacteriuria can lead to many undesirable maternal and neonatal problems if left untreated De Oliveira Neto et al 2021 Preeclampsia can cause undesirable consequences such as hypertensive diseases pyelonephritis permanent kidney damage anemia premature rupture of membranes premature birth threat low birth weight fetal deaths and cesarean section Lawani Alade and Oyelaran 2015 Willy Wanyoike and Mugo 2015 These are conditions that cause many physiological and anatomical damages and are common requiring urgent treatment Sevil Özdemir Aleattin et al 2013 Apay Özdemir Nazik et al 2014 Karahan 2017 In addition more than half of the patients complain of clinical depression and 385 of them complain of anxiety It is reported that significant improvement in quality of life has been observed after appropriate treatment and prophylaxis Renard Ballarini Mascarenhas et al 2015 It is an important public health problem and can negatively affect the life of women and families causing deterioration of the quality of life Sevil Özdemir Aleattin et al 2013 Apay Özdemir Nazik et al 2014 Karahan 2017 It causes a significant financial impact of up to billions of dollars on both the health system and society Akram Shahid and Khan 2007 Martini Horner Roehrs et al 2007 De Oliveira Neto et al 2021 Therefore it is important to plan and implement initiatives aimed at improving and preventing urinary tract infections
When the studies were examined it was found that incorrect incomplete or faulty hygiene behaviors increased the incidence of urinary tract infections Özdemir et al 2012 Sevil et al 2013 Karahan 2017 In urinary tract infections it is necessary to determine the wrong behaviors first about hygiene and to provide permanent and positive behavioral changes by providing trainings for them Karahan 2017
Genital hygiene behaviors are an important factor in the formation and prevention of urinary tract infections Öner and Çeber Turfan 2020 stated that in addition to medical treatment urinary tract infection symptoms can be prevented with hygiene education and that it also positively affects genital hygiene behaviors Öner and Çe October Turfan 2020 Regarding the educational methods Sinan et al A study conducted by 2020 concluded that genital infection awareness training based on the knowledge-motivation-behavior skills model increases womens knowledge level and positively reinforces womens hygiene behaviors Sinan Kaplan Sahin et al 2020 In another study conducted on genital hygiene behavior training given using audiovisual and brochure it was found that the intervention group developed more positive behaviors than the control group Hayati et al 2018 Parlas and Eryilmaz 2023 It is stated that the knowledge attitudes and behaviors of women who receive education based on the PRECEDE-PROCEED model are positively affected Parlas Eryilmaz 2023 In particular in another study it is stated that planned education and home visits on genital hygiene have a positive effect Abic Yatmaz Altınışık et al 2024 In addition web-based genital hygiene education has a positive effect on self-care power and genital hygiene behaviors Gül and Yağmur 2023 peer education provided under the guidance of the health improvement model is effective and increases the knowledge levels of young October adults about genital hygiene behaviors Polat Küçükkelepçe et al 2022 is stated Another study conducted to determine the effect of genital hygiene education given by three different methods oral education after medical curettage education with written material and just demonstration on genital hygiene behaviors found that oral education alone is not effective in providing and developing genital hygiene behaviors and the demonstration method is more effective than oral and written education methods Uzun and Göktaş 2022 As a result of the current literature review although the importance of genital hygiene education is emphasized it is clear that there is a need for teaching techniques that will provide permanent behavioral changes Midwives who are in contact the most during the pregnancy period and conduct face-to-face interviews undertake the most important task in teaching genital hygiene behaviors effectively and correctly Ünsal Özyazıcıoğu Sezgin et al 2010 For this reason midwives should plan training with a permanent teaching technique that fills in gaps in the lack of knowledge can get feedback can be evaluated while advising pregnant women diagnosed with urinary tract infection on genital hygiene behaviors
The teach back method is a method used for the education learning evaluation and development of personal care behaviors of individuals This approach provides an opportunity for individuals to understand educational materials improve their level of retention in mind and evaluate themselves One of the important advantages is that the educational content is presented as simply as possible free from medical terms and that the clients repeat the practices at the end of the training Ahmed Abd El- hamed 2023 The practice involves asking patients by a health professional to explain in their own sentences what they have just been told If there is any misunderstanding it is clarified by the health professional and the understanding status is evaluated by checking again This condition continues until the patient tells the truth and remembers the information given to him Farris 2015 Talevski Wong Shee Rasmussen et al 2020 The patients learning about issues related to health information can be improved through continuous feedback It is stated that this method-based communication approach helps patients to better understand their own medical conditions and health information and provides benefits in improving their skills of remembering and applying medical information Tamura 2013 Laws 2018 Cheng Chen 2023The Tell what you have learned method provides positive effects on information acquisition remembering keeping in mind as well as health behavior management personal care behavior development hospitalization quality of life and patient satisfaction Yen and Leasure 2019 Talevski et al 2020 Cheng et al 2023 In addition it is stated that self-care increases strength and comfort reduces the cost of health care Badeczewski et al 2017 Imanipour Molazem Rakhshan et al 2022 For this reason midwives can use the tell what youve learned method which is a permanent teaching technique that fills in gaps in the lack of information can be reversed evaluated while advising pregnant women diagnosed with urinary tract infection on genital hygiene behaviors
Pregnant women diagnosed with urinary tract infection have been given trainings on genital hygiene behaviors in many different methods in the literature but when the trainings given were examined it was determined that teaching techniques aimed at improving the education learning level evaluation and personal care behaviors of individuals are needed It is thought that using the tell what you have learned method in order to fill these gaps in education will be beneficial In this context the fact that there are no studies on the subject in our country the fact that evidence-based teaching techniques are tried in new areas constitutes the original value of the project and our main motivation The project has unique value for a sustainable future in terms of its effects on pregnant women in particular and qualified midwifery care at the social level in general It will also enable data to be obtained for comparing innovative educational methods with traditional educational methods Thus it will help to improve organize or develop capacity for future initiatives
Hypotheses
1 The education given to pregnant women who have been diagnosed with urinary tract infection by the tell me what you have learned method positively affects genital hygiene behavior
2 Education given to pregnant women who have been diagnosed with urinary tract infection by the tell-what-you-learned method reduces the level of symptoms
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None