Elham Aabozied Ramadan
Asst. Professor
Effect of Motivation-based Instructional Guidelines on Health Behaviors and Feto-maternal Outcomes among women with Pregnancy-related Acute Kidney Injury
International Egyptian Journal of Nursing Sciences and Research (IEJNSR) • 2026
Publication Information
Authors
Ola Abdel-Wahab Afifi Araby1, Elham Abozied Ramadan Saied 2, Mona Abo Bakr Abd Ellatif
Moshtohory3, Aziza Fathy El Sayed4
Keywords
Health behaviors, Feto-maternal outcomes, Motivation based -instructional guidelines, Pregnancy
related acute kidney injury.
Journal
International Egyptian Journal of Nursing Sciences and Research (IEJNSR)
Publisher
Elham Abozied Ramadan
Volume
7
Issue
1
Pages
126-155
publication.type
Local
Paper Link
Not Available
Supplementary Materials
Elham Aabozied Ramadan_elham7.pdf
Abstract
Background: To enhance feto-maternal outcomes, affected women should receive appropriate health education
based on motivational teaching recommendations because pregnancy-related acute kidney injury is still a significant issue
linked to a higher risk of maternal and fetal mortality and morbidity. Aim: The study aimed to examine the effect of
motivation-based instructional guidelines on health behaviors and feto-maternal outcomes among women with pregnancy
associated kidney injury. Design: A quasi-experimental research design (two groups "control/study") was utilized.
Research Setting: The research was carried out in two hospitals (Benha University Hospitals and Benha Teaching
Hospital) in AL-Qaliobya governorate, Egypt, at the obstetrics and gynecological department in cooperation with the
internal medicine department (nephrology unit) and outpatient clinics of both departments. Sample: 46 pregnant women
who met the inclusion and exclusion criteria and had pregnancy-related acute kidney injury for 1.5 years or 18 months
were included in the purposive sample. Tools: Four tools were used: A structured interviewing questionnaire, Women's
knowledge questionnaire, Health-related behaviors questionnaire, Maternal and fetal outcomes questionnaire. Results:
Following the introduction of motivation-based instructional guidelines, there was a high statistically significant difference
in knowledge, health behaviors, and maternal and fetal outcomes between two groups. Conclusion: The motivation based
instructional guidelines had a great positive effect in improving, knowledge, enhancing health behaviors and attaining
better fetal and maternal outcomes with a highly statistically significant difference between study and control groups.
Therefore, the research hypotheses were accepted and the research aim was attained. Recommendations: In order to
increase awareness and enable pregnant women with renal illness to receive the greatest care and assistance at the
appropriate time, all maternity facilities should distribute motivational instructional guidelines.
based on motivational teaching recommendations because pregnancy-related acute kidney injury is still a significant issue
linked to a higher risk of maternal and fetal mortality and morbidity. Aim: The study aimed to examine the effect of
motivation-based instructional guidelines on health behaviors and feto-maternal outcomes among women with pregnancy
associated kidney injury. Design: A quasi-experimental research design (two groups "control/study") was utilized.
Research Setting: The research was carried out in two hospitals (Benha University Hospitals and Benha Teaching
Hospital) in AL-Qaliobya governorate, Egypt, at the obstetrics and gynecological department in cooperation with the
internal medicine department (nephrology unit) and outpatient clinics of both departments. Sample: 46 pregnant women
who met the inclusion and exclusion criteria and had pregnancy-related acute kidney injury for 1.5 years or 18 months
were included in the purposive sample. Tools: Four tools were used: A structured interviewing questionnaire, Women's
knowledge questionnaire, Health-related behaviors questionnaire, Maternal and fetal outcomes questionnaire. Results:
Following the introduction of motivation-based instructional guidelines, there was a high statistically significant difference
in knowledge, health behaviors, and maternal and fetal outcomes between two groups. Conclusion: The motivation based
instructional guidelines had a great positive effect in improving, knowledge, enhancing health behaviors and attaining
better fetal and maternal outcomes with a highly statistically significant difference between study and control groups.
Therefore, the research hypotheses were accepted and the research aim was attained. Recommendations: In order to
increase awareness and enable pregnant women with renal illness to receive the greatest care and assistance at the
appropriate time, all maternity facilities should distribute motivational instructional guidelines.