Integrating Acupressure and Nutritional Support Within a Positive Youth Development-Based Midwifery Model to Improve Reproductive Health Among Young Women

Vollständiger Abstract

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Reproductive health among young women is influenced by physical, nutritional, and psychosocial factors; however, most interventions address these aspects separately. This study aimed to evaluate the effectiveness of integrating acupressure and nutritional support within a Positive Youth Development (PYD)-based midwifery care model to improve reproductive health among young women. This study employed a quasi-experimental design with a pretest–posttest control group approach. A total of 60 young women aged 15–24 years were selected using purposive sampling and assigned to intervention and control groups. Data were collected using a validated and reliable questionnaire, and the intervention was conducted over six weeks. Statistical analysis was performed using paired-sample t-tests and independent-samples t-tests. The results showed that the mean reproductive health score in the intervention group increased from 60.27 to 82.30, whereas the control group increased from 58.43 to 65.50. A statistically significant difference was observed between the two groups (p = 0.000), indicating that the integrated intervention was more effective than standard reproductive health education. These findings suggest that a midwifery care model integrating acupressure, nutritional support, and Positive Youth Development effectively improves reproductive health among young women. This approach offers a holistic, youth-friendly strategy that may be incorporated into reproductive health promotion and preventive care programs.