The Effect Of Health Development Behavıour Traınıng In Pregnancyon Sleep Qualıty And Physıcal Actıvıty Levels

The Effect Of Health Development Behavıour Traınıng In Pregnancy On Sleep Qualıty And Physıcal Actıvıty Levels: A Randomızed Controlled Experımental Study

The aim of this study is to determine the effect of health-promoting behavior education on the sleep quality and physical activity levels of pregnant women. 1.2. The research hypotheses are as follows:

H0 hypotheses:

• Ho (1): Education on healthy lifestyle behaviors during pregnancy does not affect sleep quality in pregnant women.
• Ho (2): Education on healthy lifestyle behaviors during pregnancy does not affect physical activity levels in pregnant women.

H1 hypotheses:

• H1 (1): Education on healthy lifestyle behaviors during pregnancy improves sleep quality in pregnant women.
• H1 (2): Education on healthy lifestyle behaviors during pregnancy increases physical activity levels in pregnant women.

The study group received health promotion training for six weeks. Data were collected by administering the scales three times: before, immediately after, and one month later. The control group received no training and only underwent routine pregnancy examinations and follow-up at the family health center. The scales were administered at the same times as the pregnant women in the study group.

This study is a pre-test post-test randomized controlled experimental research. The population of the study consisted of 620 pregnant women, and the sample included a total of 57 pregnant women, with 27 in the experimental group and 30 in the control group. Prior to the intervention, individual interviews were conducted, and written consent was obtained from the participants. Subsequently, the questionnaire prepared by the researcher, the Pittsburgh Sleep Quality Index (PSQI), and the Pregnancy Physical Activity Questionnaire (PPAQ) were administered. The experimental group received health-promoting behavior education for six weeks, with sessions held once a week for 30 minutes at a Family Health Center, in a room designated by the center's staff during working hours. At the end of the training, the scales were administered again, and one month after the completion of the education, the PSQI and PPAQ were re-administered. The data obtained from the study were analyzed using the SPSS 25.0 package program at a 95% confidence interval and a significance level of 0.05. The normal distribution of the data was evaluated using the Kolmogorov-Smirnov test. Parametric tests were used when normal distribution assumptions were met, and non-parametric tests were applied when these assumptions were not satisfied.

Inclusion Criteria:

• Pregnant women who were: • in the early third trimester,

  • had at least a primary school education,
  • had no communication barriers were included.

Exclusion Criteria:

Incomplete completion of the data collection tools used in the study,

• Having a psychiatric diagnosis (major depression, psychotic disorders, intellectual disability),
• Being pregnant under the age of 18,
• Having a chronic disease (such as diabetes, heart disease, hypertension, cancer),
• Multiple pregnancy were considered exclusion criteria.
• Not following the training programs included in the study (at least two trainings),