Awareness, Fatigue and Adherence to Treatment of Pregnant Women with Hashimoto's Syndrome: A Tailored Instructional Guidelines

Background: An autoimmune condition called Hashimoto's syndrome damages the thyroid gland. women are more likely than men to have Hashimoto's illness. It is most frequent cause of hypothyroidism . Hypothyroidism can lead to issues both before and during pregnancy if treatment is not received. Aim: The research aimed to evaluate the effect of a tailored instructional guidelines on awareness, fatigue and adherence to treatment of pregnant women with Hashimoto's syndrome.Research design: quasi-experimental (one group "pre/posttest"). Setting: ln cooperation with the endocrinology and rheumatology & immunology clinics at Benha University hospitals in the Qaliobya governorate, Egypt, at the obstetrics and gynecological outpatient clinic. Sample: According to inclusion criteria, forty-three pregnant women with a medical diagnosis of Hashimoto's syndrome were chosen as a purposive sample from the aprementioned research settings for a one-year period. Tools: Six main tools were utilized for data collection; A structured interviewing questionnaire (socio- personal characteristics, obstetric history and medical history), Women's knowledge questionnaire, Women's attitude questionnaire, Women's self-care practices questionnaire, Fatigue Assessment Scale and Women's adherence sheet. Results: Following the implementation of the tailored instructional guidelines, the studied sample's knowledge , attitude, self-care practices, fatigue, and adherence to treatment regarding Hashimoto's syndrome significantly improved, with a highly statistically significant difference between the pre and post-intervention phases. Conclusion: Pregnant women’ awareness is significantly increased by the tailored instructional guidelines (knowledge, attitude, and self-care practices). Additionally, it helped the woman follow her treatment plan, which decreased her degree of fatigue. Recommendation: In order to raise knowledge, attitude, and adherence to treatment among pregnant women with Hashimoto's Syndrome who attending outpatient clinics, disseminate the tailored instructional guidelines in all maternity hospitals