Effect of Teach-Back Instructional Sessions on Severity of Sheehan’s Syndrome Sequelae

Alqersh, Doaa Lotfi Afifi; Ahmed, Amany M.

doi:10.21608/ejnsr.2023.310328

Effect of Teach-Back Instructional Sessions on Severity of Sheehan’s Syndrome Sequelae

Document Type : Original Article

Authors

¹ Lecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia university, Egypt.

² Assistance professor of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, Egypt

10.21608/ejnsr.2023.310328

Abstract

Background: Sheehan's syndrome is a consequence of ischemic necrosis of pituitary gland following a
significant intra and/or post-partum hemorrhage. It is a well-known cause of hypopituitarism and causes
physical, psychological, and sexual problems. Aim: The aim of the current study was to examine the effect
of teach-back instructional sessions on severity of Sheehan’s syndrome sequelae. Methods: A quasiexperimental design (one-group pretest-posttest) was employed. A purposive sample of 30 women was
enrolled. Data were collected using five tools: Structured interviewing questionnaire 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: Regarding sexual function, the mean score of the
total female sexual function was increased significantly from 12.2±3.29 at pre-intervention to 14.2±4.05 at
post-intervention (p=0.002). Concerning the 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 at pre-intervention to 25.6±9.06 at post-intervention (p<0.001). In relation to stress level, 20.0%
of women reported high stress level at pre-intervention which significantly decreased to 8.5% at postintervention (p<0.001). Conclusion: Teach-back instructional sessions was effective in reducing the
severity of Sheehan’s syndrome sequelae. Recommendation: Women with Sheehan’s syndrome should be
equipped with adequate knowledge through teach-back instructional sessions to enhance their self-care
efficacy therefore, reduce their suffering.

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