Effectiveness of nursing intervention session on health locus of control and self efficacy for women with preeclampsia

BMC Pregnancy Childbirth. 2025 Apr 23;25(1):468. doi: 10.1186/s12884-025-07447-w.

Abstract

Background: Unfavorable fetal, neonatal, and maternal outcomes are more likely to occur in pregnancies complicated by hypertension. The degree of awareness regarding health circumstances and locus of control on health is a highly significant component in determining the effectiveness of adherence to therapy, which is influenced by determinant factors.

Aim: Assess the effectiveness of nursing intervention session on health locus of control and self efficacy for women with preeclampsia.

Method: Two group quasi-experimental study design was used in outpatient units of all Port Said City obstetric hospitals that adhere to the comprehensive health insurance. A purposive non-probability sample of one hundred and fifty pregnant women. A structured self administered questionnaire, the multidimensional health locus of control scale and general self efficacy scale.

Results: Following nursing intervention sessions, pregnant women with preeclampsia in study group obtain higher mean score of internal, external powerful others of locus control on health and self efficacy (22.373 ± 9.316, 24.866 ± 7.323 & 15.640 ± 5.116) compared to the control group (20.866 ± 9.969, 23.640 ± 8.105 &12.080 ± 6.803) who didn't not take part in nurse intervention sessions, with a statistically significant difference (p = 0.000) between the groups under study. Moreover, the study group's external chance of health locus control mean scores were greater (21.013 ± 9.047) than the control group (19.946 ± 10.628) with none a noticeable difference between the groups under study.

Conclusion: In women with preeclampsia, nursing intervention can have a positive impact on all aspects of locus of control over health and self efficacy.

Trial registration number: The study protocol was registered by the Research Ethics Committee of the Faculty of Nursing, Port Said University with code number: NUR27on 9/7/2023.

Keywords: Health locus of control; Nursing intervention; Preeclampsia; Self efficacy.

MeSH terms

  • Adult
  • Female
  • Humans
  • Internal-External Control*
  • Pre-Eclampsia* / nursing
  • Pre-Eclampsia* / psychology
  • Pregnancy
  • Self Efficacy*
  • Surveys and Questionnaires
  • Young Adult