Instrument about knowledge, attitudes, and practices of pregnant women about the hypertensive disease of pregnancy

Keywords: Hypertension, Pregnancy-Induced; Health Knowledge, Attitudes, Practice; Validation Study; Nursing.


Objective: to elaborate and validate an instrument to evaluate the knowledge, attitudes, and practices of pregnant women regarding the hypertensive disease of pregnancy. Methods: methodological research, to develop and validate an instrument about the knowledge, attitudes, and practices of pregnant women regarding said disease. The stages of the design were: elaboration, content validation, and semantic analysis with the target audience. Results: to elaborate the instrument, the following items were adopted: definition, classification, signs and symptoms, risk factors, consequences, prevention and treatment of the hypertensive disease of pregnancy. The instrument was submitted to a validation by specialists. Its dimensions presented a Content Validity Index of 0.85, 0.89 for pertinence, 0.81 for clarity, and 0.86 for scope. The variable attitudes was below 0.8 in all dimensions. Conclusion: the instrument was considered to be valid and can be used to direct educational interventions, aimed to prevent the disease or its complications from surfacing.


Pereira GT, Santos AAP, Silva JMO, Nagliate PC. Epidemiological profile of maternal mortality due to hypertension: situation analysis of a northeastern state between 2004 and 2013. J Res Fund Care Online. 2017; 99(3):653-8. doi:

Silva JVCP, Santos LA, Pontes LTA, Vasconcelos TH, Teodósio DO, Melo GB. Fatores de risco e complicações relacionados à mortalidade materna. Ciênc Biol Saúde-Unit [Internet]. 2020 [cited Oct 5, 2020]; 6(2):87-100. Available from:

Creanga AA, Syverson C, Seed K, Callaghan WM. Pregnancy-related mortality in the united states, 2011–2013. Obstet Gynecol. 2017; 130(2):366–73. doi: https://10.1097/AOG.0000000000002114

Leal MC, Szwarcwald CL, Almeida PVB, Aquino ESL, Barreto ML, Barros F, et al. Reproductive, maternal, neonatal and child health in the 30 years since the creation of the Unified Health System (SUS). Ciênc Saúde Coletiva. 2018; 23(6):1915-28. doi:

Jacob LMS, Mont’Alverne DGB, Figueira MCS, Mafetoni RR, Pimenta CJL, Shimo AKK. Knowledge of pregnant women about Gestational Hypertension Syndrome. Rev Enf Atual [Internet]. 2018 [cited Jan 7, 2020]; 86:1-8. Available from:

Antunes MB, Demitto MO, Gravena AAF, Padovani C, Pelloso SM. Hypertensive syndrome and perinatal outcames in high-risk pregnancies. Rev Min Enferm. 2017; 21:e1057. doi:

Rosa ARR, Silva TSL, Carvalho ICS, Sousa ASJ, Rodrigues AB, Penha JC. Cervical Cytology Examination: inquiry into the knowledge, attitude and practice of pregnant women. Cogitare Enferm. 2018; (23)2:e52589. doi:

Jacob LMS, Mont’Alverne DGB, Caetano JA, Diógenes MAR, Shimo AKK, Pereira AMM et al. Creation and validation of an educational booklet on the hypertensive pregnancy syndrome. Int Arch Med. 2016; 9(42):1-8. doi:

Polit DF, Beck CT. Fundamentos da pesquisa em enfermagem: avaliação de evidências para as práticas da Enfermagem. Porto Alegre: ArtMed; 2018.

Pasquali L. Psicometria: teoria dos testes psicologia e na educação. Petrópolis: Vorazes; 2013.

Pasquali L. Validade dos testes. Rev Examen [Internet]. 2017 [cited July 12, 2020]; 1(1):14-48. Available from:

Filgueiras TF, Silva RA, Pimenta CJL, Filgueiras TF, Oliveira SHS, Castro RCMB. Instrument for nursing consultation to pregnant women with diabetes mellitus. Rev Rene. 2019; 20:e40104. doi:

Jardim MJA, Silva AA, Fonseca LMB. The nurse’s contributions in prenatal care towards achieving the pregnant women empowerment. J Res Fundam Care Online. 2019; 11(esp):432-40. doi:

Coluci MZO, Alexandre NMC, Milani D. Construção de instrumentos de medida na área da saúde. Ciênc Saúde Coletiva. 2015; 20(3):925-36. doi:

Souza AC, Alexandre NMC, Guirardello EB. Psychometric properties in instruments evaluation of reliability and validity. Epidemiol Serv Saúde. 2017; 26(3):649-59. doi:

Carvalho EMP, Gottems LBD, Pires MRGM. Adherence to the best care practices in normal birth: construction and validation of an instrument. Rev Esc Enferm USP. 2015, 49(6):890-8. doi:

Barbosa EMG, Dantas SLC, Rodrigues DP, Moreira TMM, Queiroz MVO, Oriá MOB. Development and validation of an educational booklet for postpartum health and well-being. Rev Rene. 2020; 21:e43824. doi:

Gonçalves MS, Celedônio RF, Targino MB, Albuquerque TO, Flauzino PA, Bezerra AN, et al. Development and validation of an educational booklet for health eating promotion among diabetic patients. Rev Bras Promoç Saúde. 2019; 32:7781. doi:

Soares JEF, Soares NLS, Freitas BHBM, Bortolini J. Validation of an instrument for the evaluation of adolescents’ knowledge about Hansen's disease. Acta Paul Enferm. 2018; 31(5):480-8. doi:

Laar AS, Bekyieriya E, Isang S, Baguune B. Assessment of mobile health technology for maternal and child health services in rural Upper West Region of Ghana. Public Health. 2019; 168:1-8. doi:

Research Article