Effect of teach-back instructional sessions on severity of Sheehan’s syndrome sequelae

Background: Sheehan’s syndrome is a well-known cause of hypopituitarism resulting from postpartum pituitary ischemic necrosis after massive blood loss during delivery, it causesphysical, psychological and sexual complications Aim: The current study aimed to examine the effect of teach-back instructional sessions on severity of Sheehan’s syndrome sequelae. Methods: A quasi-experimental design (one-group pretest-posttest) was adopted. A purposive sample of 30 women was recruited. Data were collected using five tools: Structured interviewing schedule; The 6-item female sexual function index (FSFI-6); Hot Flushes Index (HFI); Hot Flash Related Daily Interference scale (HFRDIS); and perceived stress scale (PSS). Results: Concerning sexual function, the total mean score of female sexual function index was significantly increased from 11.1±1.46 at pre-intervention to 16.0±2.20 at post-intervention(p<0.001). Regarding effect of hot flushes on daily living activities, there was a highly significant difference between pre- and post-intervention where the mean score was decreased from 60.3±12.8 atpre-intervention to 25.6±9.06 at post-intervention. Concerning stress level, 20.0% of women had high stress levelat pre-intervention which significantly decreased to 8.5% at post-intervention (p<0.001). Conclusion: Teach-back instructional sessions was effective in reducing the severity ofSheehan’s syndrome sequelae. Recommendation: Women with Sheehan’s syndrome should be equipped with adequate knowledge through teach-back instructional sessions in order to take an active role in their care to reduce their suffering.