婚前咨询课程指导对夫妻知识和态度的影响。
The effect of instruction on knowledge and attitude of couples attending pre-marriage counseling classes.
作者信息
Moodi Mitra, Miri Mohammad-Reza, Reza Sharifirad Gholam
机构信息
Department of Public Health, School of Health and Social Determinants of Health Research Center, Birjand, Iran.
出版信息
J Educ Health Promot. 2013 Sep 30;2:52. doi: 10.4103/2277-9531.119038. eCollection 2013.
BACKGROUNDS
Marriages and establishing a family is one of the most important events in the life of each person. It has significant effects on personal and social health, if it occurs with sufficient knowledge in the proper conditions. The aim of this study is to determine the effect of pre-marriage instruction on the knowledge and health attitudes of the couples attending the pre-marriage counseling classes.
MATERIALS AND METHODS
This pre and post quasi-experimental study was conducted on 250 couples attending the pre-marriage counseling classes. The required information was collected using an autonomous questionnaire designed based on the research objectives. The questionnaire included three parts: Demographic information, knowledge (27 questions) and attitude (18 questions. The questionnaire was filled out before and after the pre-marriage counseling program, which was presented as lectures. The effect of the instructional program was analyzed using a statistical test.
RESULTS
The results showed that 83.2% of the couples had poor knowledge, 16% average, and 0.8% had good knowledge before the intervention. After the intervention, 60.4% of couples had poor knowledge, 31.6% average and 8% had good knowledge. The results also revealed that that the difference in mean scores of knowledge and attitudes regarding reproductive health, family planning, genetic diseases and disabilities was statistically significant (P < 0.001).
CONCLUSIONS
Despite the mean scores of knowledge and attitude of the couples had increased after the instructional intervention, the increase in knowledge level was not very high. So the knowledge score of the couples increased just 4.3%, and only 8% of the couples had good knowledge after the instructional intervention. Therefore, to achieve a relatively stable behavior change in individuals and improving the health level of the young couples, it is recommended that more attention pay to the quality of the instructional classes.
背景
结婚和组建家庭是每个人生命中最重要的事件之一。如果在适当条件下具备足够的知识，它会对个人和社会健康产生重大影响。本研究的目的是确定婚前指导对参加婚前咨询课程的夫妇的知识和健康态度的影响。
材料与方法
本前后对照的准实验研究针对250对参加婚前咨询课程的夫妇进行。所需信息通过根据研究目标设计的自主问卷收集。问卷包括三个部分：人口统计学信息、知识（27个问题）和态度（18个问题）。问卷在婚前咨询课程（以讲座形式呈现）前后填写。使用统计检验分析教学计划的效果。
结果
结果显示，干预前83.2%的夫妇知识水平较差，16%为中等，0.8%良好。干预后，60.4%的夫妇知识水平较差，31.6%为中等，8%良好。结果还表明，在生殖健康、计划生育、遗传疾病和残疾方面的知识和态度平均得分差异具有统计学意义（P<0.001）。
结论
尽管教学干预后夫妇的知识和态度平均得分有所提高，但知识水平的提高并不很高。因此，夫妇的知识得分仅提高了4.3%，教学干预后只有8%的夫妇知识良好。因此，为了在个体中实现相对稳定的行为改变并提高年轻夫妇的健康水平，建议更加关注教学课程的质量。
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