Raymond Delbert M, Lusk Sally L
Wayne State University College of Nursing, Detroit, MI, USA.
AAOHN J. 2006 Apr;54(4):165-72. doi: 10.1177/216507990605400406.
The threat of noise-induced hearing loss is a serious concern for many workers. This study explores use of the transtheoretical model as a framework for defining stages of workers' acceptance of hearing protection devices. A secondary analysis was performed using a cross-section of data from a randomized, controlled clinical trial of an intervention to increase use of hearing protection. Use of hearing protection devices was well distributed across the theorized stages of change. Chi-square analysis and analysis of variance revealed significant differences between stages for the variables studied. Discrete stages of hearing protection device use can be identified, laying the foundation for further work investigating use of the transtheoretical model for promoting hearing protection device use. The model can provide a framework for tailoring interventions and evaluating their effects. With further development of the transtheoretical model, nurses may be able to easily identify workers' readiness to use hearing protection devices and tailor training toward that goal.
噪声性听力损失的威胁是许多工人严重关切的问题。本研究探讨使用跨理论模型作为界定工人接受听力保护装置阶段的框架。利用一项旨在增加听力保护装置使用的干预措施的随机对照临床试验的横截面数据进行了二次分析。听力保护装置的使用在理论上的变化阶段中分布良好。卡方分析和方差分析显示，所研究变量在各阶段之间存在显著差异。可以确定听力保护装置使用的不同阶段，为进一步研究使用跨理论模型促进听力保护装置使用奠定基础。该模型可为量身定制干预措施并评估其效果提供框架。随着跨理论模型的进一步发展，护士或许能够轻松确定工人使用听力保护装置的准备情况，并针对该目标量身定制培训。
