Developing an Integrated Community-Based Nursing Model for Managing Healthcare for Pregnant Women with Chronic Diseases: A Quasi-Experimental Study

Abstract

Background: Pregnant women with chronic diseases are at high risk of complications, with increased morbidity and mortality rates. Chronic diseases such as hypertension, diabetes, and heart disease are major causes of pregnancy-related complications and deaths worldwide. Aim: to develop and evaluate the effectiveness of an integrated  community-based nursing model for Managing healthcare designed for pregnant women with chronic diseases.  Setting: The study was applied in Antenatal Care Clinics at Sohag University Hospitals. Study Design and Sample: A quasi-experimental study a pre-test-post-test control group was conducted on a convenience sampling of all  (200) pregnant women with chronic diseases, with 100 participants allocated to the intervention group and 100 participants to the control group. Data were collected using questionnaires and medical records, Healthcare quality, complications, and patient satisfaction were assessed. Results: The integrated model improved healthcare quality (p<0.001), reduced complications (p<0.05), and increased patient satisfaction (p<0.001). Conclusion: The integrated Medical-Surgical Community-Based model was effective in managing healthcare for pregnant women with chronic diseases. The integrated model improved healthcare quality, reduced complications, and increased pregnant women’s satisfaction. Recommendations: Incorporate social media platforms education into nursing curricula, Ongoing Education and Provide regular updates and training on rare conditions