It is well known that bed rest at home or in hospital has many physical and psychosocial effects on pregnant women.
Objective: This study is type of an intervention study which has been conducted to determine bed rest related physical and psychosocial problems of hospitalized high-risk pregnant women and effectiveness of a comprehensive nursing care plan in solving to those problems.
Material and Method: The sample group was selected among high-risk pregnant women who were hospitalized in perinatology wards of three hospitals in Istanbul between June 2000 and June 2001. The sample consisted of 60 high-risk pregnant women (30 Intervention group, 30 control group) who have completed 20th gestational weeks and have had partial or complete bed rest in hospital for at least 10 day and did not have a systemic disease or fetal abnormality and were willing to participate in the study. Data collection was made by Patient Assessment Form, Antepartum Symptom Checklist and Antepartum Hospital Stressors Inventory. Control group were not implemented any intervention except for routine ward care. Intervention group with complete or partial bed rest were given comprehensive nursing care in order to ensure deal with problems that arise during the bed rest.
All participants filled out “Antepartum Symptom Checklist” and “Antepartum Hospital Stressors Inventory” in the end of bed rest. And body weight was followed in the beginning and end of the study. Data defining the number, percentage, mean, median and standard deviation values were used. The relative risk used in the evaluation of the risk. Analysis of the data, chi-square and Fisher's exact test for discrete variables, the Mann-Whitney U test was used for continuous variables.
Results: The control and Intervention groups were similar in manner of demographic and obstetric characteristics, high-risk status, type and duration of bed rest (p>0.05). It was found that Intervention group which was provided a comprehensive nursing care, education and counseling and were on partial or complete bed rest experienced less physical and psychological problems and hospital stressors (p
Key words: High risk pregnancy, bed rest, education, counseling, nursing care Article Language: Turkish English
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