Parsapour Roxana, Majlessi Fereshteh, Rahimiforoushani Abbas, Sadeghi Roya
Ph.D. Candidate of Health Promotion and Health Education, Department of Health Promotion and Health Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Professor, Department of Health Promotion and Health Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Electron Physician. 2017 Jan 25;9(1):3499-3507. doi: 10.19082/3499. eCollection 2017 Jan.
Vaginitis is a common problem for women, especially in reproductive-aged women. It is a worldwide health problem with many side effects but could be prevented by a health-promoting lifestyle related to vagina health. The aim of this study was to determine the factors affecting relapse of vaginitis.
In this experimental study, 350 reproductive-aged women with vaginitis were selected from 10 health centers in Kermanshah (Iran) during 2015 and were equally included in the intervention and control groups. To collect data, a researcher-created questionnaire, which included sociodemographic and health-promoting lifestyle questions, was used. The educational intervention was performed over 20 sessions, each lasting 25-35 minutes. An intervention group was educated by face-to-face education, pamphlets, phone contacts, text messages, and social media. Another group continued the routine clinic education and treatment without contacting the intervention group. Data were analyzed through chi-square and a logistics regression model using IBM-SPSS version 20.
The results of the study indicated a significant relation between sociodemographic characteristics such as women and their husbands' literacy, job, family size, income, area for each member of family, tendency of pregnancy, body mass index (BMI), and caesarean experience (p<0.001) and vaginitis. In addition, significant relationships between health-promoting lifestyle dimensions and prevention of vaginitis were identified. Relapse after intervention in the intervention group was 27.7% and 72.3% in the control group. According to the logistic regression analysis, chance for relapse of vaginitis in the group that did not receive intervention was more than the same chance in the intervention group (OR=5.14).
Health-promoting lifestyle intervention influences prevention of vaginitis. Health-promoting lifestyle, literacy promotion, prevention of caesarian, and obesity are beneficial to improvement in lifestyle dimensions associated with vagina health could be implemented as a successful prevention method. Therefore, it seems that applying a health-promoting lifestyle is essential for a healthy vagina and prevention of vaginitis.
阴道炎是女性的常见问题，尤其是在育龄女性中。它是一个全球性的健康问题，有许多副作用，但可以通过与阴道健康相关的促进健康的生活方式来预防。本研究的目的是确定影响阴道炎复发的因素。
在这项实验研究中，2015年从克尔曼沙赫（伊朗）的10个健康中心选取了350名患有阴道炎的育龄女性，并将她们平均纳入干预组和对照组。为收集数据，使用了研究人员编制的问卷，其中包括社会人口统计学和促进健康生活方式的问题。教育干预共进行20次，每次持续25 - 35分钟。干预组通过面对面教育、宣传册、电话联系、短信和社交媒体进行教育。另一组继续进行常规门诊教育和治疗，但不与干预组接触。使用IBM - SPSS 20版通过卡方检验和逻辑回归模型对数据进行分析。
研究结果表明，社会人口统计学特征如女性及其丈夫的识字率、工作、家庭规模、收入、家庭每个成员的居住面积、怀孕倾向、体重指数（BMI）和剖宫产经历（p<0.001）与阴道炎之间存在显著关系。此外，还确定了促进健康生活方式维度与预防阴道炎之间的显著关系。干预组干预后的复发率为27.7%，对照组为72.3%。根据逻辑回归分析，未接受干预组阴道炎复发的几率高于干预组（OR = 5.14）。
促进健康的生活方式干预对预防阴道炎有影响。促进健康的生活方式、提高识字率、预防剖宫产和肥胖有利于改善与阴道健康相关的生活方式维度，可作为一种成功的预防方法实施。因此，应用促进健康的生活方式似乎对健康的阴道和预防阴道炎至关重要。
