基于健康信念模型的育龄妇女自我用药预防的准实验研究

Q3 Social Sciences Journal of Education and Community Health Pub Date : 2022-03-30 DOI:10.34172/jech.2022.4
Fatemeh Sadat Hosseini, H. Joveini, Vahid Kohpeima Jahromi, N. Sharifi
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引用次数: 2

摘要

背景:育龄妇女有重要的责任,如怀孕、哺乳和抚养孩子。本研究旨在调查基于健康信念模型(HBM)的教育干预在预防育龄妇女自我药疗(SM)中的效果。方法:拟实验研究对象为2019年1 - 9月贾罗姆市育龄妇女。采用简单的多阶段随机抽样方法选择受试者,干预组和对照组各取60人。数据收集工具为问卷调查,包括人口统计信息和HBM结构问题。调查问卷由两组在教育干预前和干预后三个月亲自完成。干预组以HBM为基础进行教育干预,包括4次教育,每次60分钟。采用SPSS 21软件对数据进行卡方检验、配对t检验和独立t检验。结果:干预组与对照组在干预后对正确用药的认知、感知的严重程度、获益、障碍、行动提示等方面差异均有统计学意义(P<0.05)。干预3个月后,干预组女性的实践均值较对照组显著降低(P<0.001)。结论:总体而言,基于HBM的教育干预对SM的预防是有效的,但不同HBM结构的效果不同。然而,衡量基于HBM的干预在预防SM行为方面的有效性需要长期的随访研究。
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Prevention of Self-medication in Women of Reproductive Age Based on a Health Belief Model: A Quasi-experimental Study
Background: Women of reproductive age have important responsibilities such as pregnancy, breastfeeding, and children raising. This study aimed at surveying the effect of educational interventions, based on the health belief model (HBM), in the prevention of self-medication (SM) in women of reproductive age. Methods: This quasi-experimental study was performed on women of reproductive age in Jahrom in 2019 (January-September). Simple multi-stage random sampling was used to select the participants, and the sample size was determined 60 people for both intervention and control groups. Data collection tool was a questionnaire including demographic information and HBM construct questions. The questionnaire was completed in person by both groups before and three months after the educational intervention. The educational intervention was performed based on the HBM in the intervention group, including holding 4 educational sessions each lasting 60 minutes. The data were analyzed by SPSS 21 software using the chi-square test, paired t test, and independent t-test. Results: The results showed a significant difference between intervention and control groups in terms of knowledge, perceived severity, benefits, and barriers, as well as cues to action on the correct use of drugs after the intervention (P<0.05). Three months after the intervention, the practice mean of women in the intervention group was significantly decreased compared with the control group (P<0.001). Conclusion: Overall, educational intervention based on HBM was effective in preventing SM, but the extent of this effect varied for different HBM constructs. Nonetheless, measuring the effectiveness of the intervention based on the HBM in preventing SM behaviors requires studies with a long follow-up period.
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来源期刊
Journal of Education and Community Health
Journal of Education and Community Health Social Sciences-Education
CiteScore
1.90
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0.00%
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0
审稿时长
8 weeks
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