Tavassoli Elahe, Reisi Mahnoush, Javadzad Seyed Homamodin, Gharli Pour Zabiholah, Gilasi Hamid Reza, Ghasemi Sima, Hafez Asghar Ashrafi
The Student's Research Committee Department of Public Health, Faculty of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Public Health, Bushehr University of Medical Sciences, Bushehr, Iran.
Gastroenterol Hepatol Bed Bench. 2014 Spring;7(2):94-100.
This study was performed to determine the effect of health education on the improvement of intake of fruits and vegetables aiming at preventing colorectal cancer among high school girls in the city of Shahr-e-kord.
Colorectal cancer is one of the most important and most common cancers and the second leading cause of cancer death worldwide. Every year, nearly one million new cases of colorectal cancer are recognized around the world and nearly half of them lose their lives due to the disease.
130 students were randomly divided to two groups, which experimental (65) and controls (65) were chosen from the city of Shahr-e-kord for this experimental study. The instruments for data collecting were self-made questionnaire health belief model based and food frequency questionnaire. The HBM FFQ questionnaires were completed before, immediately and two months after education by participants. After pre-test, 5 educational session classes in experimental group were performed. Finally, data collected and analyzed by SPSS16 computer software (T- test, T-Paired, repeated measure ANOVA).
Findings of the study showed that before the intervention there was no significant differences between the scores of different structures of HBM model in two groups (P > 0.05), after the intervention there was significant differences between experimental and control groups in the levels of knowledge, structures of HBM model and performance for preventing colorectal cancer (p < 0.001).
Performing educational programs based on health belief model increases the knowledge and improves the attitudes and practices of students regarding prevention of the colorectal cancer.
本研究旨在确定健康教育对提高水果和蔬菜摄入量的影响,目标是预防克尔曼沙阿市高中女生患结直肠癌。
结直肠癌是最重要和最常见的癌症之一,是全球癌症死亡的第二大原因。每年,全球有近100万新的结直肠癌病例被确诊,其中近一半患者因病死亡。
130名学生被随机分为两组,本实验研究从克尔曼沙阿市选取实验组(65名)和对照组(65名)。数据收集工具为基于健康信念模型自制的问卷和食物频率问卷。参与者在教育前、教育后立即以及教育后两个月完成HBM FFQ问卷。预测试后,实验组进行了5节教育课程。最后,数据通过SPSS16计算机软件进行收集和分析(T检验、配对T检验、重复测量方差分析)。
研究结果表明,干预前两组HBM模型不同结构的得分无显著差异(P>0.05),干预后实验组和对照组在预防结直肠癌的知识水平、HBM模型结构和行为方面存在显著差异(p<0.001)。
开展基于健康信念模型的教育项目可增加学生的知识,提高他们对预防结直肠癌的态度和行为。