Abstract
The situation of teenage pregnancy in Chawang district, Thailand has become a significant problem and of social concern. Teenage pregnant women who lack resilience are more likely to face adversity, including the risks and complications associated with physical and mental health.
A quasi-experimental one group pre-post test repeated measures design was used to test the effects of a resilience enhancing nursing program on resilience, knowledge of contraception, and the decision-making of contraceptive use during the postpartum among pregnant teenagers, Chawang district, Nakhon Si Thammarat, Thailand. Purposive sampling was used to select 20 adolescent pregnancies based on the inclusion criteria. The program consisted of establishing a trusting relationship, improving resilience, monitoring and encouraging the resilience practice, and knowledge of contraception. All the activities in the program were used 4 times with about 45 minutes spent on each activity face-to-face and during the follow-up via telephone. The instruments for data collection consisted of the demographic data form, the resilience scale, the knowledge of contraception questionnaire, and the postpartum contraception decision-making questionnaire. The program and all the instruments were content validated by three experts. Reliability was examined with twenty teenage pregnancies using KR-20 for the knowledge of contraception questionnaire which was equal to 0.83. Cronbach's alpha coefficient was used for the resilience scale and the postpartum contraception decision-making questionnaire which were equal to 0.94 and 0.83, respectively. Data were analyzed using descriptive statistics, a Friedman test, and a Wilcoxon Matched Pairs Signed Rank test.
The findings revealed that there were significant differences in the overall mean ranks of resilience, knowledge of contraception, and postpartum contraception decision-making at baseline, week 12, week 20, week 32, and the postpartum period (p< .001). A Wilcoxon signed rank test revealed a significant difference in the resilience rating, knowledge of contraception, and postpartum contraception decision-making between the baseline, week 12, week 20, week 32, and the postpartum period (p< .01)
The results can contribute to guiding nurses to enhance the resilience of pregnant teenagers in the early first trimester and provide appropriate interventions for teenage mothers in all periods until postpartum.
Notes
References:
1. Bureau of Reproductive Health, Ministry of Public Health. (2017). Teenage Pregnancy Surveillance Report. Nonthaburi: Department of Health, Ministry of Public Health. (in Thai)
2. Bureau of Reproductive Health, Ministry of Public Health. (2020). Handbook of Family Planning for Public Health Personal. Bangkok: Veterans Organization. (In Thai)
3. Data center of Chawang Crown Prince Hospital. Pregnant Teenagers data. Nakhon Si Thammarat: Chawang Crown Prince Hospital; 2023. (in Thai)
4. Ganchimeg, T., Ota, E., Morisaki, N., Laopaiboon, M., Lumbiganon, P., Zhang, J…. et al.(2014). Pregnancy and childbirth outcomes among adolescent mothers: A World Health Organization multicountry study. Bjog. 121(S Suppl 1):40-8.
5. Grotberg, E. H. (2003). What is resilience? How do you promote it? How you do useit? Westport: CT: Prager.
6. Grotberg, E. H. (1995). A guide to promoting resilience in children: Strengthening thehuman spirit. Retrieved from http://resilnet.uiuc.edu/library/grotb95b.html
7. Kuasit U., Chunuan, S. Hatthakit, U., & Bullock L. F. C. (2018). The effects of the resilience-enhancing nursing program on life goals among pregnant teenagers: A randomized controlled trial. Songklanagarind Journal of Nursing, 38(1), 35-45.
8. Kuasit, U., Chunuan, S., Hatthakit, U., & Bullock, L. F. C. (2020). The effects of the resilience enhancing nursing program on depression among pregnant teenagers. Walailak Journal of Science and Technology (WJST), 17(8). Retrieved fromhttp://wjst.wu.ac.th/index.php/wjst/article/view/3630
9. Kaewkiattikun, K. (2017). Effects of immediate postpartum contraceptive counseling on long-acting reversible contraceptive use in adolescents. Adolescent Health, Medicine and Therapeutics, 8, 115-123. (In Thai)
10. Ladewig, A. W., London, M. L., & Davidson, M. R. (2014). Contemporary maternal newborn nursing care (8th ed.). St. Louis: Pearson Prentice Hall.
11. Na-sangiem, D., and Kuasit, U. (2022). The Factors Predicting Self-Care Behaviors Among Adolescent Pregnant Women in Provinces in the 7th Health Region. Nursing Journal CMU, 49(4):261-273.
12. Polit, D.F., & Beck, C. T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8 ed.). New York: J. B. Lippincott Company.
13. Raburee, C., Kuasit, U., & Ketjirachot, R. (2022). Factors Related to Stress Level in Pregnant Women with Preterm Labor while Staying in Hospital. Princess of Naradhiwas University Journal, 14(3), 267–281. Retrieved from https://li01.tcithaijo.org/index.php/pnujr/article/view/255040
14. Sriarporn, P. ., Pungbangkadee , R., Deeluea , J., Sararat , J., Chiangta , P., Jantarasuk , C., Khiaokham , L., & Kaewboonruang , R. (2021). Effect of a Contraceptive Promotion Program on Knowledge and Intention of Contraceptive Use Among Adolescent Mothers. Nursing Journal CMU, 48(1), 199–209. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/247993
15. World Health Organization (WHO). (2020). Adolescent pregnancy. Retrieved from https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy
Sigma Membership
Phi Omega at-Large
Type
Poster
Format Type
Text-based Document
Study Design/Type
Quasi-Experimental Study, Other
Research Approach
Quantitative Research
Keywords:
Stress and Coping, Teenage Pregnancy, Resilience, Promoting Clinical Outcomes, Thailand
Recommended Citation
Boonkaewwan, Ampaiwan; Kuasit, Umaporn; Khoynueng, Nantiya; and Ross, Ratchneewan, "The Effects of Resilience Enhancing Nursing Program among Pregnant Teenagers, Thailand" (2025). Biennial Convention (CONV). 48.
https://www.sigmarepository.org/convention/2025/posters_2025/48
Conference Name
48th Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2025-12-04
The Effects of Resilience Enhancing Nursing Program among Pregnant Teenagers, Thailand
Indianapolis, Indiana, USA
The situation of teenage pregnancy in Chawang district, Thailand has become a significant problem and of social concern. Teenage pregnant women who lack resilience are more likely to face adversity, including the risks and complications associated with physical and mental health.
A quasi-experimental one group pre-post test repeated measures design was used to test the effects of a resilience enhancing nursing program on resilience, knowledge of contraception, and the decision-making of contraceptive use during the postpartum among pregnant teenagers, Chawang district, Nakhon Si Thammarat, Thailand. Purposive sampling was used to select 20 adolescent pregnancies based on the inclusion criteria. The program consisted of establishing a trusting relationship, improving resilience, monitoring and encouraging the resilience practice, and knowledge of contraception. All the activities in the program were used 4 times with about 45 minutes spent on each activity face-to-face and during the follow-up via telephone. The instruments for data collection consisted of the demographic data form, the resilience scale, the knowledge of contraception questionnaire, and the postpartum contraception decision-making questionnaire. The program and all the instruments were content validated by three experts. Reliability was examined with twenty teenage pregnancies using KR-20 for the knowledge of contraception questionnaire which was equal to 0.83. Cronbach's alpha coefficient was used for the resilience scale and the postpartum contraception decision-making questionnaire which were equal to 0.94 and 0.83, respectively. Data were analyzed using descriptive statistics, a Friedman test, and a Wilcoxon Matched Pairs Signed Rank test.
The findings revealed that there were significant differences in the overall mean ranks of resilience, knowledge of contraception, and postpartum contraception decision-making at baseline, week 12, week 20, week 32, and the postpartum period (p< .001). A Wilcoxon signed rank test revealed a significant difference in the resilience rating, knowledge of contraception, and postpartum contraception decision-making between the baseline, week 12, week 20, week 32, and the postpartum period (p< .01)
The results can contribute to guiding nurses to enhance the resilience of pregnant teenagers in the early first trimester and provide appropriate interventions for teenage mothers in all periods until postpartum.
Description
A quasi-experimental one-group pre-posttest repeated measures design was used to test the effects of a resilience enhancing nursing program among pregnant teenagers. Data were analyzed using a Friedman test, and a Wilcoxon Matched Pairs Signed Rank test. The findings revealed significant differences in the overall mean ranks of resilience, knowledge of contraception, and postpartum contraception decision-making at baseline, week 12, week 20, week 32, and the postpartum period (p<.001).