基于保护动机理论的伊斯法罕综合卫生服务中心妇女冠状病毒预防行为评价(伊朗)

Reyhaneh Sadat Emami, S. Mohebi
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摘要

背景与目的:2019年底以来,新型冠状病毒大流行(COVID-19)在世界范围内造成了非常局面,导致前所未有的社会、政治和经济危机。目前,应对此次大流行最重要的方法是在全面接种疫苗的同时全面遵守卫生规程,这对于提高公众意识,改变人们的健康和社会行为是必要的。健康教育和健康促进的模式之一是保护动机模型,本研究基于该模型,对伊斯法罕地区妇女对冠状病毒的预防行为进行了评估。方法:本研究是一项于2021年设计和实施的横断面分析研究,研究人群包括2021年伊斯法罕综合保健中心覆盖的所有妇女,样本量为300人。数据通过两份问卷收集。第一份问卷包含被试的人口学信息,第二份问卷包含保护动机理论的建构。收集的资料采用SPSS v. 20软件进行Pearson相关系数、单因素方差分析和线性回归分析。结果:感知(不一致)奖励结构(P→=0.000,r→= -0.287)与感知成本(障碍)(P→=0.000,r→= -0.466)与保护动机(意向)呈负相关,表明保护动机随着感知奖励和成本的增加而降低。在各结构中,自我效能感与保护动机的相关性最高(P = 0.000, r = 0.664)。线性回归分析表明,58.4%的保护动机方差可以被其他构念预测,奖励构念、成本构念、自我效能和恐惧构念的预测作用显著,其中成本构念的预测作用更强。结论:本研究结果表明,保护动机理论的结构可以很好地预测个体遵守预防原则的意愿,利用这一理论及其结构,可以设计和实施有效的干预措施来控制这一流行病。与此同时,应更加关注成本结构。此外,根据这些调查结果,人们发现,现有的阻碍遵守预防原则的障碍对个人遵守这些原则的意愿有重大影响。
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Evaluation of Coronavirus Preventive Behaviors Among Women Referring to Comprehensive Health Service Centers in Isfahan Based on Protection Motivation Theory (Iran)
Background and Objectives: The coronavirus pandemic (COVID-19) has caused an extraordinary situation in the world since the end of 2019, which led to an unprecedented social, political and economic crisis. Currently, the most important way to deal with this pandemic is to fully comply with health protocols along with general vaccination, which is necessary to raise public awareness and change people's health and social behaviors. One of the models of health education and health promotion is the model of protection motivation, which in this study, based on this model, the preventive behaviors of women in Isfahan against coronavirus are evaluated. Methods: The present study was a cross-sectional-analytical study designed and conducted in 2021 The study population included all women covered by comprehensive health centers in Isfahan in 2021 and the sample size was 300 people. The data were collected using two questionnaires. The first questionnaire included demographic information of the participants and the second questionnaire included the constructs of protection motivation theory. Collected data were analyzed by SPSS v. 20 software using Pearson correlation coefficient, one-way analysis of variance and linear regression. Results: Based on the findings, the correlation between perceived (inconsistent) reward structure (P‌=‌0.000, r‌=‌-0.287) and perceived cost (barriers) (P‌‌=0.000, r‌=‌-0.466) with protection motivation (Intention) is negative, indicating that the motivation for protection decreases as the perceived reward and cost increase. Among the structures, self-efficacy had the highest correlation with protection motivation (P‌=‌0.000, r‌=‌0.664). Linear regression analysis showed that 58.4% of the variance of protection motivation can be predicted by other structures, The role of reward, cost, self-efficacy and fear constructs are significant and cost structure has a stronger predictive role. Conclusion: The findings of the present study showed that the constructs of the theory of Protection motivation can well predict the intention of individuals to observe the principles of prevention, Using this theory and its structures, effective interventions can be designed and implemented to control this epidemic. In the meantime, more attention should be paid to the cost structure. Also, based on these findings, it was found that the existing barriers to the observance of preventive principles have a significant impact on the intention of individuals to follow these principles.
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