Compliance of pregnancy induced hypertensive mothers to prenatal regimen in Barangay Gogon, Legazpi city
- Latonero, Kathleen Jem Z. Magbunag, Jefferson L Magabilin, Nia May S. Felonia, Rechilda H. October 2010
- 60 cm.
ABSTRACT
Kathleen Jem Z. Latonero , Jefferson I. Magbunag, Nia May S. Magabilin, Rechilda H. Felonia, “COMPLIANCE OF PREGNANCY INDUCED HYPERTENSIVE
MOTHERS TO PRENATAL REGIMEN OF BARANGAY GOGON, LEGAZPI CITY”(Unpublished Undergraduate Thesis, Aquinas University of Legazpi, College of
Nursing and Health Sciences, 2010).
The objective of the study practices of pregnancy induced hypertensive patients, their implications to nursing and nursing interventions that could be recommended to the pregnant mothers in Brgy. Gogon, Legazpi City. This is important at this time because pregnancy hypertension is the second leading study would serve as baseline data for the prevention of the complications and lessen the risk factors of pregnancy induced hypertension. Specifically, this study sought answers to the following questions: What is the profile of the respondents in terms of age, religion, occupation, educational attainment, civil status? What are the health beliefs and practices in relation of the Pregnancy Induced Hypertensive mothers, in terms of folk herbal and home remedies, craving (naglilihi) and immunization? What is the degree of performance of the health beliefs and practices in terms of prenatal, diet, sleeping pattern, exercise, fashion, social history, visit/consult folk healer, take herbal food supplements and lifestyle? What are the health problems encountered by the respondents with Pregnancy Induced Hypertensive mothers? What are the nursing measures to help prevent Pregnancy Induced Hypertension? was to determine the medical history, belief and induced cause of maternal death nationwide. Therefore, the Moreover, this study aimed to provide basic information that respondents cope up with their situation and to give ideas that on their own. There were a total of 30 mothers as respondents of the study can help the can lessen the risk factors.
This study made use of the descriptive type of research. The researchers structured a checklist questionnaire and supplemented with the personal interview of the respondents as the main data-gathering instrument . They were personally distributed, retrieved from the respondents and The respondents of this study were mainly the hypertensive pregnant mothers of Distribution and percentage of the data that were collected from the hypertensive mothers of Barangay Gogon. According to the gathered data, the following were the findings: Along the profile of the respondents, eight (8) or 26.67% of the mothers were between 18-21 years old, 10 or 33.33% were old 22-25 years old, one (1) or 3.33% was 26-29, five (5) or 16.67% 30-33 years old, three (3) or 10% were 34-37 years old, two (2) or 6.67% were 38- 41-45 years old and one (1) or 3.33% was 42-45 years old. The ages of the respondents ranged from 18 to 45 years old; The civil status of the respondents was the following: 13 or 43.33% were single, 17 or 56.67% were married. Along the religion of the respondents 29 or 96.67% were Roman Catholics and 1 or 33% was a Protestant. All the respondents had no occupation other than being housewives. The highest rated indicator was high school graduate of educational attainment
with a frequency of 11 or 36.37%. The second highest rated indicator was college graduate with a frequency of seven (7) or 23.33%. The least rated indicator was high school level with a frequency of one (1). Lack of education was viewed by the parents as the main socio-economic factor that contributed to the factor of pregnancy induced hypertension. Along the health beliefs and home remedies practiced by the hypertensive mothers were hot bath, cold bath, tali, anting-anting, pangontra, dark foods, tuob, hilot some were interviewed one on one by the researchers. Were And others, with ratings of 33.33%, 50%, 66.67%, 26.67%, 63.33%, 13.33%,76.67%,
86.67% and 6.67%, respectively.
The highest rated indicator in craving or “paglilihi” was “others” with a or things that the respondents crave or “pinaglilihian” were the following: Seven (7) or 23.33% crave for balot, three (3) or 10% of the respondents were craving for starches, one (1) or 3.33% is for shrimp, zero (0) or 0% for clay, zero (0) for rats, zero (0) or 0% for dirt, two (2) or 6.67% for crabs. There were 12 or 40% of the respondents who experienced cravings and five (5) or 16.67% did not have any cravings or “paglilihi.” percentage of 40%. Foods mThe respondents immunization were as follows: 25 or 83.33% of the respondents have taken Tetanous Toxoid 1 already, five (5) or 16.67 of them have not; 20 or 66.67% have taken Tetanous Toxoid 2, 10 or 33.33% have not; 12 or 40% have taken Tetanous Toxoid 3, 18 or 60% have not; six (6) or 20% have taken Tetanous Toxoid 4, 24 or 80% haven’t; three (3) or 10% have taken Tetanous Toxoid 5 and 27 or 90% haven’t. In terms of prenatal check-up 66.70% or twenty respondents complied in the first trimester, 17 or 57% of the respondents had their prenatal check up during the second trimester and 13 respondents or equivalent to 43% had their monthly check up during the third trimester of their pregnancy, while 40% had undergone urine exam and among the pregnant women, only 37% had their roll-over test and 90% had a monthly ultrasound. The diet of the respondents was foods rich in vitamins ADEK everyday with 73%. Respondents’ foods rich in Vitamins E1,B1,B2,B3,B6,B12 intake everyday were 37%. Iron rich foods were everyday taken with a percentage of 67, and 57% or 17 respondents have taken foods rich in Vitamin C everyday. A daily food intake of the correct calorie consumption had 30% of the respondents. Calcium-phosphorus daily intake of their diet o the respondents. The respondents were not aware that it will be bad for their health if their diet include the following foods: patis, toyo (soy sauce), tuyo or dried fish, soft drinks, ice cream, canned goods, fast foods, hipon and crab. Sleeping patterns of most of the respondents shows that they have enough sleep
everyday throughout the pregnancy having a percentage of 67 with 20 frequency counts. Sleeping early and a nap at afternoon got 50% or 15 of the respondents. Mostly wake up early with 40% or 12 rather than waking up late with 37% or 11 respondents. Exercise is a good form of strengthening the muscles during pregnancy; it was found out that walking has a greater percentage of 73% or 22 in terms of exercises the respondents usually practice. Kegel’s exercises were least done by the respondents having a frequency count of 20 or 67%. There were 73 respondents included never as practiced during pregnancy. Squatting was not also given emphasis in their planned activities. Wearing of loose shirts were really practiced by pregnant women having a percentage of 40 or 25 respondents, while other respondents didn’t wear fitted jeans and specific dress code with 50% or half of the total number of respondents, bestida and leggings were frequently used by the respondents everyday and thrice a week having 30% or nine (9) respondents. The social history of the respondents were the following: most of them were not
engaged in smoking and alcohol consumption having a percentage of 87% and 80% respectively, while some of the respondents had a history of such vices but taken once a month only. Other respondents included other social history as their response to the given questionnaire. No Along consultation to folk healer, 47% of the respondents had their visit to a hilot at least once a month, while others didn’t go to folk healers like her albulario and santigwar during their pregnancy. There were three (3) respondents who consulted other folk healers. Taking herbal food supplements with or without physician’s knowledge was not the priority practice of the respondents being the most answered indicator having a percentage of 77 and 67 respectively. Along the lifestyle of the respondents during their pregnancy, most of the respondents did not engage in vices like cigarettes and alcohol. Only few respondents smoke and drink alcohol having a frequency of five (5) and two (2), respectively. The health problems encountered by the respondents having pregnancy hypertension were as follows: Abdominal pains were experienced once a month by 11 or 37% of the respondents while others were moderate and never; Constipation was most likely not experienced by them having a percentage rank of 47. Other respondents experienced it twice a month; Headaches were experienced by the respondents thrice a week with a frequency of nine (9); A percentage rank of 80 or twenty four respondents said they never experienced vaginal bleeding; Dizziness was experienced at least twice a month by the respondents; Dysuria was not experienced by the respondents having 53% or 16; Health problem like hemorrhoids were experienced by the respondents maybe because of lesser cases of having constipation, experienced as revealed by 60% of the total number of respondents. Minimal cases of blurred vision with 57%, weight loss 90%, loss of appetite 60%,
87%, leg cramps 37%, and increases in varicose veins with 83% and edema in lower extremities 63% were less rated as never by the respondents. There were monthly weight gains by the respondents once a month having a frequency count of 23 while Excessive vomiting was never seizures others were twice and thrice a week Urinary frequency was present throughout the pregnancy almost everyday having 53% of the total number of respondents. Edema in lower extremities was not experienced by the pregnant women as answered by 93% or 28 of them. Based on the data and conclusions, the following were recommended: Regarding the profile of the respondents, it was recommended that pregnant women aged 22-25, prim gravidas, full time housewives and has family history of hypertension and heart disease would be the focus of the study since these comprises majority of the pregnant women to have pregnancy induced hypertension due to first exposure to chorionic villi; Folk herbal and home remedies, cholesterol rich foods, fitted jeans, vices, consultation to folk healer, herbal food supplements should be minimized from respondents’ beliefs and practices since it might trigger orl lead to severe eclampsia. Tetanus toxoid immunization, essential rich foods and exercises should be taught to the respondents regarding its benefits so that compliance of prenatal regimen will be improved. Strict prenatal program in the barangay should be improved to enhance the compliance of pregnant women. Health teachings by the clinical instructor and students during their exposure to community service during related learning experience should give more emphasis on the nursing management to help prevent pregnancy induced hypertension cases.
ABSTRACT
Kathleen Jem Z. Latonero , Jefferson I. Magbunag, Nia May S. Magabilin, Rechilda H. Felonia, “COMPLIANCE OF PREGNANCY INDUCED HYPERTENSIVE
MOTHERS TO PRENATAL REGIMEN OF BARANGAY GOGON, LEGAZPI CITY”(Unpublished Undergraduate Thesis, Aquinas University of Legazpi, College of
Nursing and Health Sciences, 2010).
The objective of the study practices of pregnancy induced hypertensive patients, their implications to nursing and nursing interventions that could be recommended to the pregnant mothers in Brgy. Gogon, Legazpi City. This is important at this time because pregnancy hypertension is the second leading study would serve as baseline data for the prevention of the complications and lessen the risk factors of pregnancy induced hypertension. Specifically, this study sought answers to the following questions: What is the profile of the respondents in terms of age, religion, occupation, educational attainment, civil status? What are the health beliefs and practices in relation of the Pregnancy Induced Hypertensive mothers, in terms of folk herbal and home remedies, craving (naglilihi) and immunization? What is the degree of performance of the health beliefs and practices in terms of prenatal, diet, sleeping pattern, exercise, fashion, social history, visit/consult folk healer, take herbal food supplements and lifestyle? What are the health problems encountered by the respondents with Pregnancy Induced Hypertensive mothers? What are the nursing measures to help prevent Pregnancy Induced Hypertension? was to determine the medical history, belief and induced cause of maternal death nationwide. Therefore, the Moreover, this study aimed to provide basic information that respondents cope up with their situation and to give ideas that on their own. There were a total of 30 mothers as respondents of the study can help the can lessen the risk factors.
This study made use of the descriptive type of research. The researchers structured a checklist questionnaire and supplemented with the personal interview of the respondents as the main data-gathering instrument . They were personally distributed, retrieved from the respondents and The respondents of this study were mainly the hypertensive pregnant mothers of Distribution and percentage of the data that were collected from the hypertensive mothers of Barangay Gogon. According to the gathered data, the following were the findings: Along the profile of the respondents, eight (8) or 26.67% of the mothers were between 18-21 years old, 10 or 33.33% were old 22-25 years old, one (1) or 3.33% was 26-29, five (5) or 16.67% 30-33 years old, three (3) or 10% were 34-37 years old, two (2) or 6.67% were 38- 41-45 years old and one (1) or 3.33% was 42-45 years old. The ages of the respondents ranged from 18 to 45 years old; The civil status of the respondents was the following: 13 or 43.33% were single, 17 or 56.67% were married. Along the religion of the respondents 29 or 96.67% were Roman Catholics and 1 or 33% was a Protestant. All the respondents had no occupation other than being housewives. The highest rated indicator was high school graduate of educational attainment
with a frequency of 11 or 36.37%. The second highest rated indicator was college graduate with a frequency of seven (7) or 23.33%. The least rated indicator was high school level with a frequency of one (1). Lack of education was viewed by the parents as the main socio-economic factor that contributed to the factor of pregnancy induced hypertension. Along the health beliefs and home remedies practiced by the hypertensive mothers were hot bath, cold bath, tali, anting-anting, pangontra, dark foods, tuob, hilot some were interviewed one on one by the researchers. Were And others, with ratings of 33.33%, 50%, 66.67%, 26.67%, 63.33%, 13.33%,76.67%,
86.67% and 6.67%, respectively.
The highest rated indicator in craving or “paglilihi” was “others” with a or things that the respondents crave or “pinaglilihian” were the following: Seven (7) or 23.33% crave for balot, three (3) or 10% of the respondents were craving for starches, one (1) or 3.33% is for shrimp, zero (0) or 0% for clay, zero (0) for rats, zero (0) or 0% for dirt, two (2) or 6.67% for crabs. There were 12 or 40% of the respondents who experienced cravings and five (5) or 16.67% did not have any cravings or “paglilihi.” percentage of 40%. Foods mThe respondents immunization were as follows: 25 or 83.33% of the respondents have taken Tetanous Toxoid 1 already, five (5) or 16.67 of them have not; 20 or 66.67% have taken Tetanous Toxoid 2, 10 or 33.33% have not; 12 or 40% have taken Tetanous Toxoid 3, 18 or 60% have not; six (6) or 20% have taken Tetanous Toxoid 4, 24 or 80% haven’t; three (3) or 10% have taken Tetanous Toxoid 5 and 27 or 90% haven’t. In terms of prenatal check-up 66.70% or twenty respondents complied in the first trimester, 17 or 57% of the respondents had their prenatal check up during the second trimester and 13 respondents or equivalent to 43% had their monthly check up during the third trimester of their pregnancy, while 40% had undergone urine exam and among the pregnant women, only 37% had their roll-over test and 90% had a monthly ultrasound. The diet of the respondents was foods rich in vitamins ADEK everyday with 73%. Respondents’ foods rich in Vitamins E1,B1,B2,B3,B6,B12 intake everyday were 37%. Iron rich foods were everyday taken with a percentage of 67, and 57% or 17 respondents have taken foods rich in Vitamin C everyday. A daily food intake of the correct calorie consumption had 30% of the respondents. Calcium-phosphorus daily intake of their diet o the respondents. The respondents were not aware that it will be bad for their health if their diet include the following foods: patis, toyo (soy sauce), tuyo or dried fish, soft drinks, ice cream, canned goods, fast foods, hipon and crab. Sleeping patterns of most of the respondents shows that they have enough sleep
everyday throughout the pregnancy having a percentage of 67 with 20 frequency counts. Sleeping early and a nap at afternoon got 50% or 15 of the respondents. Mostly wake up early with 40% or 12 rather than waking up late with 37% or 11 respondents. Exercise is a good form of strengthening the muscles during pregnancy; it was found out that walking has a greater percentage of 73% or 22 in terms of exercises the respondents usually practice. Kegel’s exercises were least done by the respondents having a frequency count of 20 or 67%. There were 73 respondents included never as practiced during pregnancy. Squatting was not also given emphasis in their planned activities. Wearing of loose shirts were really practiced by pregnant women having a percentage of 40 or 25 respondents, while other respondents didn’t wear fitted jeans and specific dress code with 50% or half of the total number of respondents, bestida and leggings were frequently used by the respondents everyday and thrice a week having 30% or nine (9) respondents. The social history of the respondents were the following: most of them were not
engaged in smoking and alcohol consumption having a percentage of 87% and 80% respectively, while some of the respondents had a history of such vices but taken once a month only. Other respondents included other social history as their response to the given questionnaire. No Along consultation to folk healer, 47% of the respondents had their visit to a hilot at least once a month, while others didn’t go to folk healers like her albulario and santigwar during their pregnancy. There were three (3) respondents who consulted other folk healers. Taking herbal food supplements with or without physician’s knowledge was not the priority practice of the respondents being the most answered indicator having a percentage of 77 and 67 respectively. Along the lifestyle of the respondents during their pregnancy, most of the respondents did not engage in vices like cigarettes and alcohol. Only few respondents smoke and drink alcohol having a frequency of five (5) and two (2), respectively. The health problems encountered by the respondents having pregnancy hypertension were as follows: Abdominal pains were experienced once a month by 11 or 37% of the respondents while others were moderate and never; Constipation was most likely not experienced by them having a percentage rank of 47. Other respondents experienced it twice a month; Headaches were experienced by the respondents thrice a week with a frequency of nine (9); A percentage rank of 80 or twenty four respondents said they never experienced vaginal bleeding; Dizziness was experienced at least twice a month by the respondents; Dysuria was not experienced by the respondents having 53% or 16; Health problem like hemorrhoids were experienced by the respondents maybe because of lesser cases of having constipation, experienced as revealed by 60% of the total number of respondents. Minimal cases of blurred vision with 57%, weight loss 90%, loss of appetite 60%,
87%, leg cramps 37%, and increases in varicose veins with 83% and edema in lower extremities 63% were less rated as never by the respondents. There were monthly weight gains by the respondents once a month having a frequency count of 23 while Excessive vomiting was never seizures others were twice and thrice a week Urinary frequency was present throughout the pregnancy almost everyday having 53% of the total number of respondents. Edema in lower extremities was not experienced by the pregnant women as answered by 93% or 28 of them. Based on the data and conclusions, the following were recommended: Regarding the profile of the respondents, it was recommended that pregnant women aged 22-25, prim gravidas, full time housewives and has family history of hypertension and heart disease would be the focus of the study since these comprises majority of the pregnant women to have pregnancy induced hypertension due to first exposure to chorionic villi; Folk herbal and home remedies, cholesterol rich foods, fitted jeans, vices, consultation to folk healer, herbal food supplements should be minimized from respondents’ beliefs and practices since it might trigger orl lead to severe eclampsia. Tetanus toxoid immunization, essential rich foods and exercises should be taught to the respondents regarding its benefits so that compliance of prenatal regimen will be improved. Strict prenatal program in the barangay should be improved to enhance the compliance of pregnant women. Health teachings by the clinical instructor and students during their exposure to community service during related learning experience should give more emphasis on the nursing management to help prevent pregnancy induced hypertension cases.