Khoramabadi M, Dolatian M, Hajian S, Zamanian M, Taheripanah R, Sheikhan Z, Mahmoodi Z, Seyedi-Moghadam A
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Glob J Health Sci. 2015 Jun 25;8(2):230-9. doi: 10.5539/gjhs.v8n2p230.
INTRODUCTION: Mothers and children are the most vulnerable members of every society. As a result many deaths occur in these two groups, so caring for these two groups is very important. Today, it is believed that the health of an infant is related to the health of their mother. Maintaining a healthy weight before pregnancy, and optimal weight gain during pregnancy by appropriate and sufficient nutrition, are two effective measures for the prevention of low birth weight.To provide successful health interventions, it is essential to design and implement effective health education programs. Successful education also depends on the proper use of theories and models in health education. The Health Belief Model is a model that illustrates the relationship between beliefs and health, and it is based on the hypothesis that preventive health behavior consists of personal beliefs .The aim of this study was to assess the effects of training on the Health Belief Model on dietary behaviors of a sample of pregnant Iranian women. MATERIALS AND METHODS: This study was a randomized controlled clinical trial, involving 130 pregnant women who attended two health care centers of Shahid Beheshti University of Medical Sciences. Data was collected by a structured questionnaire in three parts and seven sub-scales (including demographic characteristics, knowledge and dietary behaviors) based on the Health Belief Model. Principles of education were based on the Health Belief Model and performed twice during two-hour sessions in the intervention group. Women in the control group received routine care and did not receive training on the above model. In order to evaluate the intervention, the previously mentioned questionnaire was administered one month after completion of the intervention, and filled by participants in both groups. Data were analyzed by SPSS software and reported with diagrams and tables. RESULTS: The mean score for each variable before the intervention, except for the performance guide variable, was not significantly different between the two groups (p<0.05). A month after the intervention, the mean scores of the knowledge, perceived severity, perceived benefits in each group, were significantly different. These results demonstrated that there were significant differences between the two groups in terms of mean scores of knowledge, perceived severity, perceived barriers, performance guide and individual performance, and the means of these variables in the intervention group were also higher than the control group. On the other hand, after the intervention, there was no statistically significant difference found in the mean scores of perceived benefits and perceived susceptibility between the two groups (two independent samples t-test, P <0/001). CONCLUSION: Educational interventions based on health promotion patterns can be effective in enhancing awareness, better understanding of risks, reducing barriers to healthy behavior and ultimately, improving women's health and nutritional performance during pregnancy.
引言:母亲和儿童是每个社会中最脆弱的群体。因此,这两个群体中发生了许多死亡事件,所以关爱这两个群体非常重要。如今,人们认为婴儿的健康与母亲的健康有关。怀孕前保持健康体重,孕期通过适当且充足的营养实现最佳体重增加,是预防低出生体重的两项有效措施。为了提供成功的健康干预措施,设计和实施有效的健康教育项目至关重要。成功的教育还取决于在健康教育中正确运用理论和模型。健康信念模型是一个阐释信念与健康之间关系的模型,它基于预防性健康行为由个人信念构成这一假设。本研究的目的是评估基于健康信念模型的培训对伊朗孕妇样本饮食行为的影响。 材料与方法:本研究是一项随机对照临床试验,涉及130名在沙希德·贝赫什提医科大学两个医疗保健中心就诊的孕妇。通过一份结构化问卷收集数据,问卷分为三个部分和七个子量表(包括人口统计学特征、知识和饮食行为),基于健康信念模型编制。教育原则基于健康信念模型,在干预组的两小时课程中进行了两次。对照组的妇女接受常规护理,未接受上述模型的培训。为了评估干预效果,在干预完成一个月后发放上述问卷,由两组参与者填写。数据通过SPSS软件进行分析,并用图表呈现。 结果:干预前,除行为线索变量外,两组各变量的平均得分无显著差异(p<0.05)。干预一个月后,两组在知识、感知严重性、感知益处方面的平均得分有显著差异。这些结果表明,两组在知识、感知严重性、感知障碍、行为线索和个人行为的平均得分方面存在显著差异,且干预组这些变量的均值也高于对照组。另一方面,干预后,两组在感知益处和感知易感性的平均得分方面未发现统计学显著差异(两独立样本t检验,P<0/001)。 结论:基于健康促进模式的教育干预在提高意识、更好地理解风险、减少健康行为障碍以及最终改善孕期妇女健康和营养状况方面可能是有效的。
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