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The Effect of Education Delivered to Pregnant Women Diagnosed with Urinary Tract Infection Using the Teach-back Method on Hygiene Behaviors and Symptoms: A Randomized Controlled Study

Arzu Çiftçi, Hediye Karakoç

Mediterranean Nursing and Midwifery, 2026

36 participants

Abstract

Objective: The study was conducted to examine the effect of education provided to pregnant women diagnosed with urinary tract infection on hygiene behaviors and symptoms.

Methods: The study was conducted with a total of 36 pregnant women using a pretest–posttest randomized controlled design. The intervention group received genital hygiene education using the teach-back method, while the control group received routine care. The data were collected at baseline (pretest) and on the 7th, 21st, and 30th days using the Descriptive Information Form, Genital Hygiene Behavior Scale, and Symptom Follow-up Form. Statistical analyses included the Generalized Linear Model, Robust ANOVA, Tukey and Bonferroni post-hoc tests, Cochran Q test, and appropriate parametric and non-parametric comparisons.

Results: The mean age of the participants was 27.58 ± 3.93 years and the groups were similar in terms of sociodemographic and obstetric characteristics. Mean general hygiene scores differed according to the group–time interaction. Regarding abnormal findings awareness, the median abnormal findings awareness sub-dimension scores differed over time and according to the group–time interaction.

Conclusion: The findings indicate that education delivered to pregnant women diagnosed with urinary tract infection using the teach-back method may positively affect general hygiene behaviors and abnormal findings awareness and may be effective in reducing certain health symptoms.

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 36 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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