تاثیر مداخله آموزشی مبتنی بر مدل باور سلامتی بر ارتقاء رفتارهای پیشگیری کننده از عفونت ادراری در زنان باردار مراجعه کننده به مراکز خدمات جامع سلامت شهرستان تربت حیدریه

نویسندگان
هادی علیزاده سیوکی 1
رضا فاریابی 2
1 علوم پزشکی تربت حیدریه
2 دانشگاه علوم پزشکی جیرفت
چکیده
مقدمه: با‌توجه به اهمیت دوران بارداری و ارتقای سلامت مادر و جنین، نقش برنامه‌های آموزشی انکارناپذیر است. پژوهش حاضر با هدف بررسی تأثیر مداخله آموزشی مبتنی بر مدل اعتقاد بهداشتی بر ارتقای رفتارهای پیشگیرانه از عفونت ادراری در زنان باردار انجام‌شد.

روش: این مطالعه از نوع نیمه تجربی است که برروی 200 نفر (100 نفر گروه آزمون و 100 نفر گروه کنترل) از زنان باردار تحت پوشش مراکز خدمات جامع سلامت تربت حیدریه به روش نمونه گیری چند مرحله ای در سال 1396 انجام‌شد. ابزار گردآوری داده‌ها پرسشنامه‌ای شامل متغیرهای دموگرافیک و سازه‌های مدل اعتقاد بهداشتی بود که روایی و پایایی آن بررسی و مورد تایید قرار گرفت و در دو مرحله قبل و دو ماه بعد از آموزش توسط زنان باردار تکمیل‌شد. فرضیه‌های پژوهش بااستفاده از نرم‌افزار SPSS و آزمون‌های مجذور کای و تی مستقل، تی زوجی، همبستگی پیرسون و رگرسیون خطی در سطح معنی‌داری 05/0 آزموده‌شد.

یافته‎ها: میانگین سنی شرکت‌کنندگان 17/6 ± 27 بود. تفاوت معنی‌داری بین دو گروه از نظر متغیرهای دموگرافیک و سازه‌های مختلف مدل اعتقاد بهداشتی در مرحله قبل از مداخله وجودنداشت. پس از انجام مداخله آموزشی تفاوت معنی‌داری در میانگین نمرات آگاهی، حساسیت درک‌شده، شدت درک‌شده، موانع درک‌شده، منافع درک‌شده، راهنما برای عمل، خودکارامدی و رفتار در گروه آزمون مشاهده‌شد (001/0>P).

نتیجه‎گیری: نتایج این مطالعه نشان‌داد که مداخله آموزشی مبتنی بر مدل اعتقاد بهداشتی می‌تواند منجربه بهبود رفتارهای پیشگیرانه عفونت ادراری گردد. بنابراین، پیشنهادمی‌شود که این تئوری به‌عنوان چهارچوبی مناسب برای تقویت رفتارهای پیشگیرانه از عفونت‌های ادراری در زنان باردار استفاده‌شود.





کلیدواژه‌ها
عفونت ادراری
زنان باردار
رفتارهای پیشگیرانه
مدل اعتقاد بهداشتی
آموزش

عنوان مقاله English

Effect of Education Based on the Health Belief Model (HBM) on Promoting Preventive Behaviors of Urinary Tract Infections(UTI) in Pregnant Women Referred to Comprehensive Health Centers in Torbat Heydariyeh City

نویسندگان English

Hadi Alizadeh-siuki 1
Reza Faryabi 2
1 Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh
2 , Jiroft University of Medical Sciences
چکیده English

Introduction: Considering the importance of improving maternal and fetus health during pregnancy, the role of training programs is undeniable. This study aimed to examine the effect of education based on the Health Belief Model (HBM) on the promotion of urinary tract infection-preventing behaviors in pregnant women.

Methods: The Aquasi-experiment was conducted on 200 Pregnant women (intervention 100 and control 100) referred to Torbat Heydariyeh city health centers by random cluster sampling method in 2017. The data collection tool was a questionnaire based on the HMB model and demographic variables, for which the validity and reliability were reviewed and confirmed. The next step This questionnaire was completed in two stages: before and two months after training. The study hypotheses were tested using the chi-square and independent t-tests, paired t-tests, regression, and Pearson’s tests at a significance level of 0.05.

Results: The average age of the participants was 27 ± 6.17. There was no significant difference in terms of demographic variables and different dimensions of the HBM between the two study groups in the pre-intervention stage. However, after receiving training from the experimental group, a significant difference was observed in the mean and standard deviation (SD) of education knowledge, perceived susceptibility, perceived severity, perceived barriers, perceived benefits, cues to action, efficacy, and behavior in the intervention group (P < 0.001).

Conclusion: The results of this study showed that HBM-based educational intervention could improve preventive behaviors of urinary tract infection; therefore, we suggest that the Theory could be used as a suitable framework to enhance preventive behaviors of urinary tract infection in pregnant women.



کلیدواژه‌ها English

Health Belief Model
preventive behaviors
Urinary tract infection
Pregnant Women
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