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Improving the Participation of Preschool Children’s Mothers in Fluoride Varnish Program: An Educational Intervention 提高学龄前儿童母亲对氟化物清漆计划的参与:一种教育干预
Q3 Social Sciences Pub Date : 2023-03-30 DOI: 10.34172/jech.2023.a-10-1131-2
Z. Rahaei, M. Zare-Bidoki, Faezeh Fotouhi-Ardakani, S. Jambarsang
Introduction: Tooth decay is the most prevalent chronic childhood disease. Fluoride tooth restoration is a common method of controlling tooth decay, but common misconceptions in this area prevent family involvement. Therefore, the aim of this study was to determine the effect of educational interventions on the participation of preschool children’s mothers in the fluoride varnish program. Methods: This was an interventional study performed on 176 mothers of preschool children in Yazd in 2020. Participating mothers were randomly selected and divided into intervention and control groups. The research tool was a researcher-made questionnaire with confirmed validity and reliability. It included demographic variables and 4 sections of awareness, facilitators, barriers, and behavior. Intervention and control groups completed the questionnaires before and two months after the intervention. Chi-square, Mann-Whitney, Kruskal-Wallis, and Spearman correlation tests, as well as repeated measures analysis of variance and the generalized estimating equations model were used for data analyses. Results: The proportion of people who participated in the fluoride varnish program before the study was the same in both intervention and control groups (35.2 and 37.5), but after the intervention, the percentage of people whose children participated in this program was more in the intervention group (88.6 and 51.1, P<0.0001). Conclusion: The findings of this study confirmed the positive effect of the educational intervention on increasing the participation of mothers in the fluoride varnish program. To better cooperate and involve families with oral health programs in schools, thinkers in the field should be fully justified in the program to provide timely training and interventions.
简介:蛀牙是儿童时期最常见的慢性疾病。含氟牙齿修复是控制蛀牙的常见方法,但在这方面常见的误解阻碍了家庭的参与。因此,本研究的目的是确定教育干预对学龄前儿童母亲参与氟清漆计划的影响。方法:这是一项2020年对亚兹德176名学龄前儿童母亲进行的干预性研究。参与的母亲被随机选择,并被分为干预组和对照组。研究工具是由研究者制作的问卷,具有确认的有效性和可靠性。它包括人口统计变量和意识、促进者、障碍和行为的4个部分。干预组和对照组在干预前和干预后两个月完成问卷调查。数据分析采用卡方检验、Mann-Whitney检验、Kruskal-Wallis检验和Spearman相关检验,以及重复测量方差分析和广义估计方程模型。结果:干预组和对照组在研究前参加氟清漆项目的人数比例相同(35.2和37.5),儿童参与该项目的人在干预组中的比例更高(88.6和51.1,P<0.0001)。结论:本研究的结果证实了教育干预对增加母亲参与氟清漆项目的积极作用。为了更好地与学校口腔健康项目的家庭合作并让他们参与进来,该领域的思想家应该在项目中充分证明自己的合理性,以便及时提供培训和干预措施。
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引用次数: 0
Relationship Between Medication Literacy, Health Literacy, and Medication Behavior Among Medical School Students: A Cross-sectional Study 医学院校学生用药素养、健康素养与用药行为关系的横断面研究
Q3 Social Sciences Pub Date : 2023-03-29 DOI: 10.34172/jech.2023.2214
Chengyu An, Yujia Wang, Bojunhao Feng, Jing-bo Zhang, Ruyi Hou, Xincheng Huang, Zhu Zhu, Xinying Sun, Yibo Wu
Background: Nowadays, college students are more accessible and susceptible to being exposed to mixed information than ever, which results in a growing concern about their health problems and medication behaviors. This study aimed to investigate the correlation between medication literacy, health literacy, and medication behavior among medical school students. Methods: A cluster random sampling method was used to select 1324 undergraduate students from a medical school in China as participants for the questionnaire survey in 2020. After quality control, 1183 valid questionnaires were collected (an effective rate of 89.4%). Descriptive statistics analysis, chi-square test, binary logistic regression analysis, and path analysis were conducted using SPSS 25.0. Results: Of the 1183 respondents whose mean age was 19.06, 164 (13.9%) were considered to have good medication literacy, 150 (12.7%) had good health literacy, and 497(42.0%) exhibited good medication behaviors. Lower grades, higher health literacy levels, and higher medication literacy levels were effective in better performance on medication use behavior (P<0.001). Poor self-assessment of health status was correlated with worse medication behavior (P<0.05). it was concluded that medication literacy may be an intermediate variable linking health literacy and medication use behavior. Conclusion: Students in the medical college showed much higher rates of rational medication use when they have medication and health literacy. There was an indirect positive relationship between health literacy and medication behavior through medication literacy (P<0.001). Therefore, health literacy and medication literacy can be an essential part of medication safety education for college students as well as an ideal indicator for educational outcome evaluation.
背景:如今,大学生比以往任何时候都更容易接触和容易接触到混杂的信息,这导致人们越来越关注他们的健康问题和药物行为。本研究旨在探讨医学生用药素养、健康素养与用药行为的相关关系。方法:采用整群随机抽样的方法,于2020年对国内某医学院1324名本科生进行问卷调查。经质量控制,回收有效问卷1183份,有效率89.4%。采用SPSS 25.0进行描述性统计分析、卡方检验、二元logistic回归分析和通径分析。结果:在1183名平均年龄为19.06岁的调查对象中,有164人(13.9%)具有良好的用药素养,150人(12.7%)具有良好的健康素养,497人(42.0%)具有良好的用药行为。年级越低、健康素养水平越高、用药素养水平越高,用药行为表现越好(P<0.001)。健康状况自我评价差与用药行为差相关(P<0.05)。结论:药物素养可能是连接健康素养与药物使用行为的中间变量。结论:医学院校学生在具备药物和健康素养的情况下,合理用药的比例较高。健康素养与用药行为之间存在间接正相关关系(P<0.001)。因此,健康素养和用药素养可以作为大学生用药安全教育的重要组成部分和教育效果评价的理想指标。
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引用次数: 0
The Necessity of Health Literacy in the Nursing Unit for Patient Education and Follow-up 护理单位健康素养教育与随访的必要性
Q3 Social Sciences Pub Date : 2023-03-07 DOI: 10.34172/jech.2023.2218
Nahid Kahrizi, K. Basiri, M. Rostami, Athara Najafi, S. Navkhasi
Effective care is possible when the relationship between nurse, patient, and family continues (1). A continuous care model can be applied by a nursing expert who has at least 5 years of work experience and knows the principles of patient education. Nursing should not be limited to the hospital setting, and people should be aware of nursing services in the community before going to the hospital and after being discharged from the hospital (2). Continuous or non-stop care model is a regular and continuous process including four stages of familiarization, sensitization, control, and evaluation in order to establish effective, interactive, and continuous communication between the help-seeker and his family, where the nurse acts as a continuous care agent and service provider in order to recognize the needs and problems of the patient and sensitize the patients to accept continuous health behaviors and helps to maintain recovery and improve their health, reduce and minimize the complications of the disease, and increase the level of satisfaction and quality of life of patients (1). Today, health literacy is one of the basic tools to improve the health level of the society and the quality of providing health care services, which has attracted the attention of policymakers (3). The term health literacy was first used in 1974 at a health education conference that discussed health education as a socio-political issue. The World Health Organization (WHO) defines health literacy as cognitive and social skills that determine the motivation and ability of people to obtain, understand, and use health information for promoting and maintaining good health (4). Research indicates that these health service providers (nurses) lack the necessary knowledge, attitude, and skills in the field of health literacy and care for patients with insufficient health literacy and effective communication strategies and methods during training (5). Studies have shown that the limitation of health literacy causes many complications in different health areas, such as lack of access to appropriate health services, forgetting when to see a doctor, poor selfcare, less willingness to receive continuous treatment, low medication compliance, improper use of medications, increased number of consulting the emergency room and re-hospitalization, increased length of the treatment, and increased mortality rate; in fact, low health literacy contributes to health inequalities (6-8). Health literacy is considered a key factor to create effective communication between patients and health professionals (9). Improving health literacy may have outcomes such as increasing the patients’ potential to make informed decisions, reducing health-threatening risks, increasing disease prevention, improving safety, and increasing the quality of life and patient care (7,10). In societies where the level of health literacy is acceptable, people are more cheerful, healthier, and more dynamic, and governments are l
当护士、患者和家人之间的关系持续时,有效的护理是可能的(1)。连续护理模式可以由具有至少5年工作经验并了解患者教育原则的护理专家应用。护理不应局限于医院环境,人们在去医院之前和出院之后都应该了解社区的护理服务(2)。持续或不间断的护理模式是一个定期和连续的过程,包括熟悉、宣传、控制和评估四个阶段,以便在寻求帮助者及其家人之间建立有效、互动和持续的沟通,护士充当持续护理代理人和服务提供者,以认识到患者的需求和问题,使患者敏感地接受持续的健康行为,并帮助保持康复和改善健康,减少和尽量减少疾病并发症,提高患者的满意度和生活质量(1)。如今,健康素养是提高社会健康水平和提供医疗保健服务质量的基本工具之一,这引起了决策者的注意(3)。“健康素养”一词于1974年在一次健康教育会议上首次使用,该会议将健康教育作为一个社会政治问题进行了讨论。世界卫生组织(世界卫生组织)将健康素养定义为认知和社会技能,这些技能决定了人们获取、理解和使用健康信息以促进和保持良好健康的动机和能力(4)。研究表明,这些卫生服务提供者(护士)在健康素养领域缺乏必要的知识、态度和技能,在培训期间照顾健康素养不足的患者以及有效的沟通策略和方法(5)。研究表明,健康知识的局限性在不同的卫生领域造成了许多并发症,如无法获得适当的卫生服务、忘记何时就诊、自我护理不佳、不太愿意接受持续治疗、药物依从性低、药物使用不当、急诊室咨询和再次住院的次数增加,治疗时间延长,死亡率增加;事实上,低健康知识导致了健康不平等(6-8)。健康素养被认为是在患者和卫生专业人员之间建立有效沟通的关键因素(9)。提高健康素养可能会带来一些结果,如提高患者做出知情决策的潜力,降低威胁健康的风险,加强疾病预防,提高安全性,以及提高生活质量和患者护理(7,10)。在健康知识水平可以接受的社会中,人们更快乐、更健康、更有活力,政府也较少承担高昂的治疗费用;因此,必须用于治疗的资金将用于人民的预防和健康,这将提高人民的生活质量和生活方式(6)。一般来说,当卫生专业人员熟悉健康素养的概念和策略时,他们可以使用使寻求帮助者更好地理解所收到的信息并具有有效行动能力的方法(5)。这个
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引用次数: 0
The Effect of an Educational Intervention Based on the Theory of Protection Motivation on the Promotion of Safe Traffic Behaviors in Adolescents 基于保护动机理论的教育干预对青少年交通安全行为的促进作用
Q3 Social Sciences Pub Date : 2023-02-26 DOI: 10.34172/jech.2023.1905
Mahboobe Borhani, Elahe Behdad, A. Mehri, Z. S. Hosseini, Mahin Tatari
Introduction: Traffic accidents are one of the biggest public health challenges. Considering the role of safe behaviors in reducing traffic accidents, the present study was conducted to determine the effect of educational intervention based on protection motivation theory on promoting safe traffic behaviors in male students. Methods: In this study, male students were randomly divided into two control group (n=70) and an intervention group (n=70). After confirming the validity and reliability, a researcher-made questionnaire consisting of 63 questions based on the theory of protection motivation was distributed among the students. The students in the intervention group received training for 90 minutes for four weeks. The data were collected in the form of self-report immediately and six months after the intervention and analyzed by the statistical tests of correlation, Chi-square, multiple regression, repeated measures ANOVA, and t tests using SPSS version 19. Results: The structures of protection motivation theory predicted 21% of the variance of safe behaviors. Immediately after the educational intervention, except for the fear construct, the mean scores of other theoretical constructs and students’ safe behaviors were significant between the two groups, but the mean scores were not significant six months after the educational intervention except for perceived self-efficacy, perceived response efficacy, protection motivation of other studied theoretical constructs, and safe behaviors (P>0.05). Conclusion: Considering the influence of several components on the formation of safe traffic behavior, it seems that to promote safe behaviors of students, in addition to designing theory-based training programs, creating supportive infrastructures by policymakers and planners is essential for correct traffic behaviors.
简介:交通事故是最大的公共卫生挑战之一。考虑到安全行为在减少交通事故中的作用,本研究旨在确定基于保护动机理论的教育干预对促进男生安全交通行为的效果。方法:将男大学生随机分为对照组和干预组。在确认有效性和可靠性后,研究人员根据保护动机理论制作了由63个问题组成的问卷,并在学生中分发。干预组的学生接受了为期四周的90分钟的训练。数据在干预后立即和6个月以自我报告的形式收集,并使用SPSS 19版通过相关、卡方、多元回归、重复测量方差分析和t检验的统计检验进行分析。结果:保护动机理论的结构预测了21%的安全行为方差。教育干预后,除恐惧结构外,其他理论结构和学生安全行为的平均得分在两组之间均显著,但教育干预后6个月,除感知自我效能、感知反应效能、,结论:考虑到几个因素对安全交通行为形成的影响,除了设计基于理论的培训方案外,似乎要促进学生的安全行为,政策制定者和规划者创建支持性基础设施对于正确的交通行为至关重要。
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引用次数: 0
Effect of Education Based on the Health Belief Model on Treatment Adherence in Patients With Heart Valve Replacement Surgery 基于健康信念模型的教育对心脏瓣膜置换术患者治疗依从性的影响
Q3 Social Sciences Pub Date : 2023-01-31 DOI: 10.34172/jech.2023.1958
Masoud Khodaveisi, Soheila Vesali Fallah, R. Amini, Leili Tapak
Background: Adherence to the treatment regimen reduces complications of surgery after heart valve replacement. Educating the patient can improve treatment adherence. This study thus aimed to evaluate the effect of education based on the health belief model (HBM) on treatment adherence in patients with heart valve replacement surgery. Methods: In this quasi-experimental research, a total of 90 patients undergoing valve replacement surgery were studied. The subjects were selected randomly and then divided into an intervention and a control group using the permutation blocks method. The data were collected using a demographic questionnaire, an HBM- based questionnaire, and a treatment adherence questionnaire during two stages before and one month after the education. Three 60-minute sessions on HBM- based education were held based on a need assessment for the intervention group. The collected data were analyzed using the chi-square test, paired t test, independent t test, and linear regression in SPSS software version 16.0. Results: Most of the patients in the two groups were male, married, and employed, had reading and writing literacy and lived in an urban area. Both groups were similar in terms of demographic data except for marital status, disease history, and familial disease history. The mean scores of knowledge, HBM constructs (e.g., perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, and cues to action), and treatment adherence were greater in the control group than in the intervention group pre-intervention. However, the mean scores of all variables improved in the intervention group, and there were significant differences in the knowledge, all HBM constructs (except for perceived susceptibility and perceived self-efficacy), and medical adherence between the two groups post-intervention (P<0.05). Conclusion: Considering the positive effect of HBM-based educational intervention on the patients’ treatment adherence, HBM-based education could be suggested for patients with heart valve replacement surgery.
背景:坚持治疗方案可以减少心脏瓣膜置换术后的并发症。对患者进行教育可以提高治疗依从性。因此,本研究旨在评估基于健康信念模型(HBM)的教育对心脏瓣膜置换手术患者治疗依从性的影响。方法:在这项准实验研究中,对90例接受瓣膜置换手术的患者进行了研究。受试者被随机选择,然后使用排列块法分为干预组和对照组。在教育前和教育后的两个阶段,使用人口统计学问卷、基于HBM的问卷和治疗依从性问卷收集数据。根据干预组的需求评估,举行了三次60分钟的基于HBM的教育会议。在SPSS 16.0版软件中,采用卡方检验、配对t检验、独立t检验和线性回归对收集的数据进行分析。结果:两组患者中大多数为男性,已婚,有工作,具有读写能力,居住在城市地区。除婚姻状况、疾病史和家族疾病史外,两组的人口统计数据相似。干预前,对照组的知识、HBM结构(如感知易感性、感知严重性、感知益处、感知障碍、感知自我效能和行动线索)和治疗依从性的平均得分高于干预组。然而,干预组所有变量的平均得分都有所提高,在知识、所有HBM结构(感知易感性和感知自我效能除外)、,结论:考虑到基于HBM的教育干预对患者治疗依从性的积极影响,建议对心脏瓣膜置换术患者进行基于HBM教育。
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引用次数: 0
Geriatric Health Is the Missing Link in Medical Education 老年健康是医学教育中缺失的环节
Q3 Social Sciences Pub Date : 2023-01-18 DOI: 10.34172/jech.2023.2015
A. Salehi, E. Jenabi, Mohamad Hosein Biglarkhani
Recently, due to the advancement of nutrition, health, and treatment, the human lifespan has become much longer than before, and the number of people who are considered as elderly people is increasing day by day owing to the physiological changes that occur with aging. It is evident that the elderly are more susceptible to diseases than the young. In addition, it has been observed that at least 90% of the elderly are suffering from chronic diseases; however, despite such problems, they need more extensive care (1, 2). Around the world, the number of average trained geriatric doctors per country is very different, and it is seen that in many countries, including Iran geriatrics specialty is still in its early stages (3). Due to the aging of the population and the complexity of the medical care of the elderly, basic geriatric health (GH) training should be received by every doctor while being educated to gain knowledge, skills, and attitudes connected to the elderly (4). Effective GH care management, with an emphasis on the care of healthy and functional elderly patients, is recommended to be used as a comprehensive health screening. Physicians can identify and improve specific problems that are common in the elderly by using simple facilities for assessment and also turn to preventive care and preventive medical management instead of disease intervention (5). A collection of 26 minimum geriatrics competencies was developed by Leipzig et al in 2009 for all graduating medical students, which was approved by the Association of American Medical Colleges (AAMC). These competencies were placed in eight content areas, including medication management, self-care capacity, falls, balance, and gait disorders, hospital care, cognitive and behavioral disorders, unusual manifestations of the disease, health care planning and promotion, and palliative care (6). On top of that, according to the basic framework of AAMC regarding geriatric minimum competencies, six areas of geriatric mental health were recommended by Lehmann et al such as normal aging, mental health assessment, psychopharmacology, delirium, dementia, and depression to teach medical students (7). Instead of confining it to a single GH course, GH can be proposed to medical students in the pre-clinical and clinical courses. Therefore, training can be strengthened and developed through rapid and regular exposure to the core principles which are determining the caring and welfare of older people. The Alpert Medical School of Brown University successfully introduced GH-related learning outcomes in a year-long course for all students as part of a comprehensive curriculum redesign (8). In addition, several researchers advocated and carried out a vertical integration of GH into the curricula. To begin with, a few topics are common in multiple disciplines: late-life depression in psychiatry and delirium and dementia in neurology. Second, this vertical integration may mirror the actual reality of the older po
最近,由于营养、健康和治疗的进步,人类的寿命比以前长得多,而且由于随着年龄的增长而发生的生理变化,被视为老年人的人数与日俱增。很明显,老年人比年轻人更容易感染疾病。此外,据观察,至少90%的老年人患有慢性病;然而,尽管存在这些问题,他们仍需要更广泛的护理(1,2)。在世界各地,每个国家接受过培训的老年医生的平均人数差异很大,可以看出,在包括伊朗在内的许多国家,老年医学专业仍处于早期阶段(3)。由于人口老龄化和老年人医疗保健的复杂性,每个医生都应该接受基本的老年健康(GH)培训,同时接受教育,以获得与老年人相关的知识、技能和态度(4)。有效的GH护理管理,强调对健康和功能性老年患者的护理,建议用作全面的健康筛查。医生可以通过使用简单的评估设施来识别和改善老年人常见的具体问题,也可以转向预防性护理和预防性医疗管理,而不是疾病干预(5)。莱比锡等人于2009年为所有即将毕业的医学生制定了26项最低老年医学能力的集合,并获得了美国医学院协会(AAMC)的批准。这些能力分为八个内容领域,包括药物管理、自我护理能力、跌倒、平衡和步态障碍、医院护理、认知和行为障碍、疾病的异常表现、医疗保健计划和推广以及姑息治疗(6)。除此之外,根据AAMC关于老年最低能力的基本框架,Lehmann等人建议医学生教授老年心理健康的六个领域,如正常衰老、心理健康评估、精神药理学、谵妄、痴呆和抑郁症(7)。GH不局限于单一的GH课程,而是可以在临床前和临床课程中向医学生推荐。因此,可以通过快速和定期接触决定老年人的照顾和福利的核心原则来加强和发展培训。作为全面课程重新设计的一部分,布朗大学阿尔珀特医学院在为期一年的课程中成功地为所有学生引入了GH相关的学习成果(8)。此外,一些研究人员提倡并将GH垂直整合到课程中。首先,有几个主题在多个学科中很常见:精神病学中的晚年抑郁症,神经病学中的谵妄和痴呆症。其次,这种垂直整合可能反映了所有临床环境中老年人的实际情况。最后,经常接触GH可以加强教学;然而,这应该在非GH设置中进行。这也可能有助于改变医学生对老年人的负面态度(9)。垂直整合的一个缺点是,与其他学科相比,它可能会稀释GH,并且它的培训可能依赖于非老年专家。然而,老年和非老年专业人员都可以进行组织培训,从而促进高质量的多学科培训(9)。可以看出,模拟器和游戏化(电子和非电子)的使用在学生中对老年人产生了积极的态度,并增加了
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引用次数: 0
Healthy Lifestyle Habits Among Students at the University of Seville, Spain 西班牙塞维利亚大学学生的健康生活习惯
Q3 Social Sciences Pub Date : 2022-12-29 DOI: 10.34172/jech.2022.2016
Vicente Llorent-Bedmar, Lucía Torres-Zaragoza, María Navarro-Granados, M. Ballesteros-Moscosio
Background: There is a growing interest in the study of healthy lifestyles due to their innumerable benefits. Several studies have shown that students tend to adopt less healthy lifestyles at the beginning of their university careers. This study explored the perceptions of undergraduate students at the University of Seville, Spain, about their lifestyle habits. Methods: The study design was a descriptive survey, and a specially designed questionnaire was administered to a sample of 1.478 students. Descriptive and inferential statistics were used for data analysis using SPSS software, version 27. Results: The surveyed students considered that they have healthy lifestyle habits, although with some weaknesses in the development of certain habits, which were exacerbated during exam periods. Men reported better sleep and physical activity habits than women, while women considered their diet to be healthier (P=0.001). It was further found that healthier lifestyle habits depend on the education level of the mother (P=0.001). Conclusion: It can be concluded that it is important to implement educational policies aimed at promoting and advising students on healthy lifestyle habits. Such policies would be especially useful before the start of exam periods when certain habits began to deteriorate.
背景:人们对健康生活方式的研究越来越感兴趣,因为它们有无数的好处。几项研究表明,学生在大学生涯之初往往采取不太健康的生活方式。这项研究探讨了西班牙塞维利亚大学的本科生对自己生活习惯的看法。方法:采用描述性调查法,对1478名学生进行问卷调查。数据分析采用描述性统计和推理统计,采用SPSS软件27版。结果:被调查学生认为自己的生活习惯是健康的,但在某些习惯的养成上存在一些弱点,在考试期间这些弱点会加剧。男性报告的睡眠和体育锻炼习惯比女性好,而女性认为她们的饮食更健康(P=0.001)。更健康的生活习惯与母亲的受教育程度有关(P=0.001)。结论:实施旨在促进和指导学生健康生活习惯的教育政策十分重要。在考试开始之前,当某些习惯开始恶化时,这些政策将特别有用。
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引用次数: 1
The Effects of Health Literacy and Sociodemographic Characteristics on the Rational Use of Medication in Health Students: A Cross-sectional Study 健康素养和社会地理特征对健康学生合理用药的影响:一项横断面研究
Q3 Social Sciences Pub Date : 2022-12-29 DOI: 10.34172/jech.2022.1979
Ayfer Bayındır Çevik, Pelin Sarıkaya Şeker, Hanifi Dülger, Erhan Şeker
Background: This study aimed to investigate the rational medication use of health students, their health literacy (HL), the associations of these factors with sociodemographic factors, and the contribution of HL to the rational use of medication (RUM). Methods: Data for this cross-sectional study were collected from 1256 health students between February and June 2020 in Turkey, using a Sociodemographic Information Form, the Rational Medication Use Scale, and the Turkish version of the European HL Scale. Results: The sociodemographic characteristics of the participants were not associated with their RUM. HL level was higher in the participants who were using medication regularly, those over the age of 20, and those with good income levels (P<0.05). The participants had a good level of HL (112.11±12.22), and they used medications moderately (38.40±3.83). The total score of HL and the score of understanding dimension of HL were associated with the RUM (P<0.05). Conclusion: These findings provide a way to identify fallacies regarding rational medication use. There should also be continuous development of all dimensions of HL to maintain rational medication use behaviors. The findings obtained in this study provide basic data for educators and educational administrators to better support students with appropriate training programs to increase HL and rational medication use. A well-planned structured education program to provide information should be introduced urgently to raise the awareness of health students about the harmful consequences of irrational medication use.
背景:本研究旨在调查健康学生的合理用药情况、健康素养(health literacy, HL)及其与社会人口学因素的关系,以及健康素养对合理用药的贡献。方法:本横断面研究的数据收集自土耳其2020年2月至6月期间的1256名卫生专业学生,使用社会人口统计学信息表、合理用药量表和土耳其版欧洲HL量表。结果:参与者的社会人口学特征与他们的RUM无关。定期服药者、年龄在20岁以上者、收入水平较高者HL水平较高(P<0.05)。受试者HL水平良好(112.11±12.22),用药适度(38.40±3.83)。HL总分、HL理解维度得分与RUM有显著相关(P<0.05)。结论:这些发现提供了一种识别关于合理用药的谬论的方法。HL的各个维度也要持续发展,保持合理用药行为。本研究结果为教育工作者和教育管理人员提供了基础数据,以更好地支持学生进行适当的培训,以增加HL和合理用药。应紧急推出一个精心策划的有组织的教育方案,提供信息,以提高卫生专业学生对不合理用药的有害后果的认识。
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引用次数: 0
Effects of Educational Intervention on Promoting Preventive Behaviors of Cardiovascular Disease Using the Health Belief Model in Oil Regions Workers 运用健康信念模型教育干预对油区工人心血管疾病预防行为的促进作用
Q3 Social Sciences Pub Date : 2022-12-07 DOI: 10.34172/jech.2022.1852
S. Mohammadnabizadeh, A. Najafpoor, Mohammad Vahedian-Shahroodi, Vahid Ghavami
Background: Research conducted on oil region workers has shown that numerous ranges of physical stressors together with behavioral patterns can affect the enhancement of cardiovascular disease (CVD). The aim of this study was to investigate the effects of educational intervention to promote the preventive behaviors of CVD using the Health Belief Model (HBM). Methods: The participant of this quasi-experimental study included 228 workers (114 control and 114 experimental cases) working in oil regions. Data were collected through questionnaires containing demographic information, knowledge, and constructs of HBM. The experimental group received an education with WhatsApp. Workers completed the questionnaires before and after the education and the 3-month follow-up. Data were analyzed using SPSS 24.0. Results: The t test analyses showed no significant differences between the control and experimental groups at baseline. The results indicated the changes in outcome variables across time for groups. Except for perceived severity and perceived barriers, there were significant interaction effects between the time and group. A significant correlation was found between behavior and health belief subscales and knowledge, except for perceived severity and cues to action. Conclusion: The findings of this research confirmed the usefulness of the educational intervention based on the HBM and the necessity to apply designed programs to improve preventive behavior adoption. Preventive education with attention to decreasing unhealthy lifestyles must be designed based on the requirements and target group characteristics to prevent CVD risks.
背景:对油田工人进行的研究表明,各种各样的身体压力源以及行为模式都会影响心血管疾病(CVD)的加重。本研究的目的是使用健康信念模型(HBM)调查教育干预对促进CVD预防行为的效果。方法:本准实验研究的参与者包括228名在油田工作的工人(114名对照和114名实验病例)。数据是通过包含人口统计信息、知识和HBM结构的问卷收集的。实验组接受了WhatsApp的教育。工作人员完成了教育前后的问卷调查和3个月的随访。数据采用SPSS 24.0。结果:t检验分析显示,对照组和实验组在基线时没有显著差异。结果表明,各组的结果变量随时间的变化。除了感知的严重性和感知的障碍外,时间和组之间存在显著的交互作用。除感知的严重程度和行动线索外,行为和健康信念分量表与知识之间存在显著相关性。结论:本研究结果证实了基于HBM的教育干预的有用性,以及应用设计的程序来提高预防行为采用率的必要性。必须根据要求和目标群体特征设计预防教育,注意减少不健康的生活方式,以预防心血管疾病风险。
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引用次数: 0
Psycho-social Determinants of Hepatitis B Preventive Behaviors Among Nurses 护士乙型肝炎预防行为的社会心理决定因素
Q3 Social Sciences Pub Date : 2022-12-05 DOI: 10.34172/jech.2022.a-10-59-5
M. Mirzaei-Alavijeh, B. Karami Matin, Seyyed Nasrollah Hosseini, Negar Karimi, Shima Khashij, Hassan Gharibnavaz, F. Jalilian
Background: Hepatitis B (HB) is one of the important common occupational diseases, and health care workers are one of the most at-risk groups. The current study aimed to investigate the best psycho-social predictors of HB preventive behaviors among nurses by using the theory of planned behavior (TPB). Methods: The current research was a cross-sectional study. An anonymous self-reported scale according to the TPB determinants was distributed among 330 nurses in Kermanshah, and 299 (90.6%) questionnaires were returned. Nurses were randomly selected among different teaching hospitals in Kermanshah in 2016. Data were analyzed by SPSS version 16 using Pearson correlation, one-way analysis of variance, independent samples t test, and linear regression tests. Results: The mean score for the HB preventive behaviors was 3.14±1.45 ranging from 1 to 5. The TPB determinants accounted for 21% of the variance in nurses’ HB preventive behaviors. Attitude and perceived behavior control (PBC) were the best determinants of performing HB preventive behaviors. Furthermore, higher education level, gender (female), and family history of HB were effective in the higher score of HB prevention behaviors (P<0.001). Conclusion: In developing programs and policies to prevent HB among nurses in Iran, attitude and PBC should be considered. These findings may guide HB interventions to improve the capacity to seek HB preventive behaviors.
背景:乙型肝炎(HB)是一种重要的常见职业病,医护人员是高危人群之一。本研究旨在利用计划行为理论(TPB)调查护士HB预防行为的最佳心理社会预测因素。方法:本研究为横断面研究。根据TPB决定因素,在Kermanshah的330名护士中分发了一份匿名自我报告量表,并返回了299份(90.6%)问卷。2016年,在克尔曼沙赫的不同教学医院中随机选择护士。数据采用SPSS 16版进行分析,采用Pearson相关、单向方差分析、独立样本t检验和线性回归检验。结果:乙肝预防行为的平均得分为3.14±1.45,范围为1~5。TPB决定因素占护士HB预防行为差异的21%。态度和感知行为控制(PBC)是实施HB预防行为的最佳决定因素。此外,较高的教育水平、性别(女性)和乙肝家族史对乙肝预防行为的得分较高是有效的(P<0.001)。结论:在制定伊朗护士预防乙肝的计划和政策时,应考虑态度和PBC。这些发现可能指导乙肝干预措施,以提高寻求乙肝预防行为的能力。
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Journal of Education and Community Health
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