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

Abstract

Background: Sheehan's syndrome is a consequence of ischemic necrosis of pituitary gland following asignificant intra and/or post-partum hemorrhage. It is a well-known cause of hypopituitarism and causesphysical, psychological, and sexual problems. Aim: The aim of the current study was to examine the effectof 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 wasenrolled. Data were collected using five tools: Structured interviewing questionnaire schedule; The 6-itemfemale 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 thetotal female sexual function was increased significantly from 12.2±3.29 at pre-intervention to 14.2±4.05 atpost-intervention (p=0.002). Concerning the effect of hot flushes on daily living activities, there was ahighly significant difference between pre- and post-intervention where the mean score was decreased from60.3±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 theseverity of Sheehan’s syndrome sequelae. Recommendation: Women with Sheehan’s syndrome should beequipped with adequate knowledge through teach-back instructional sessions to enhance their self-careefficacy therefore, reduce their suffering.