Effect of an Educational Program based on PRECEDE-PROCEED Model on Sexual Function and Health Behaviors among Women with Gestational Diabetes.

Ebrahim Abdrabo Abdallah, Esraa; Abd Elhakeem Hasneen, Samia; Mohamed Salama, Amira; Kamal Ali, Fatma

doi:10.21608/jnsbu.2025.435270

Effect of an Educational Program based on PRECEDE-PROCEED Model on Sexual Function and Health Behaviors among Women with Gestational Diabetes.

Authors

¹ Nursing Teacher at Meet Kenana Secondary Nursing School

² Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing, Benha University, Egypt

³ Assist. Prof of Obstetrics and Gynecological Nursing, Faculty of Nursing, Benha University, Egypt

10.21608/jnsbu.2025.435270

Abstract

Background: Gestational diabetes mellitus is a disorder that develops during pregnancy. Sexual dysfunction is one of the important problems in gestational diabetes. Health behaviors modifications play an important role in management of GDM. Aim: The study aimed to evaluate the effect of an educational program based on PRECEDE- PROCEED model on sexual function and health behaviors among women with gestational diabetes. Design: Quasi- experimental design. Setting: Obstetrics and gynecological outpatient clinic, Benha University. Sample: A Purposive sample was used to conduct the study, included 140 pregnant woman who fulfill inclusion criteria. Tools of data collection: Four tools were used. Tool (1); A structured self-administered questionnaire that includes: general characteristics of the studied women, history of gestational diabetes and Obstetric history. Tool (2): The PRECEDE-PROCEED model construct (enabling, predisposing and reinforcing factor). Tool (3): Female Sexual Function Index. Tool (4): Health Promoting Lifestyle profile-II. Results: The results indicated that at pre-intervention phase, there were no statistical significant differences in the average scores of knowledge, attitude, enabling factors, reinforcing factors, sexual function, and health behaviors between both groups. However, statistical significant difference was noted at post-intervention phase (p<0. 001). Moreover, there was a highly statistically significant positive correlation between total sexual function score as well as total health-promoting lifestyle and (total knowledge, attitude, enabling factors and reinforcing factors) among both study and control groups at pre and post intervention phase (P <0.001**). Conclusion: The utilization of the PRECEED-PROCEED model had a significant effect in the improvement of sexual function, and health behaviors of gestational diabetic women as a consequence to increase their awareness. Recommendation: Applying ongoing educational programs based on PRECEDE- PROCEED model for gestational diabetic women to increase awareness about gestational diabetes and sexual problem.

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