Nejad Mina Motaghi, Nejad Ghodratollah Shakeri, Tavakol Heshmatollah, Cheraghi Maria
Social Determinant of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
ACECR-Khuzestan, Health Education Research, Jahad Main Branch, Ahvaz, Iran.
Postepy Dermatol Alergol. 2017 Jun;34(3):216-223. doi: 10.5114/ada.2017.67844. Epub 2017 May 29.
The aim of the study was to determine the effect of the training program based on the Precede model and its main components on improving the quality of life in patients with asthma.
It was a randomized quasi-experimental study done on 120 patients with asthma who were referred to the Imam Khomeini hospital in Ahvaz who were selected using the convenience sampling method and were randomly divided into intervention and control groups. The data collection tool consisted of two questionnaires. The first questionnaire evaluated the quality of life in patients with asthma and the other one was developed by the researcher based on the structures of the Precede model. Training intervention was conducted during four sessions twice a week and each session was carried out for an hour based on the structures of the Precede model. In order to achieve the results, SPSS software, even -test, and χ were used.
The results showed that after the training intervention in the experimental group, the mean scores of predisposing factors ( < 0.001), enabling factors, reinforcing factors and behavioral factors were significantly increased ( < 0.001) as compared to the control group. A significant difference was observed in the mean scores of quality of life in two groups after the intervention ( < 0.001), and the quality of life of patients in the experimental group was improved after the training intervention.
The design and implementation of the training program based on the Precede model can have a positive effect on the improvement of quality of life in patients with asthma.
本研究旨在确定基于“知-信-行”(Precede)模式及其主要组成部分的培训计划对改善哮喘患者生活质量的影响。
这是一项随机准实验研究,对120名转诊至阿瓦士伊玛目霍梅尼医院的哮喘患者进行,采用便利抽样法选取患者,并随机分为干预组和对照组。数据收集工具包括两份问卷。第一份问卷评估哮喘患者的生活质量,另一份由研究者根据Precede模式的结构编制。培训干预基于Precede模式的结构,每周进行两次,共四个课时,每次课时为一小时。为得出结果,使用了SPSS软件、t检验和χ²检验。
结果显示,与对照组相比,实验组在培训干预后,诱发因素(P<0.001)、促成因素、强化因素和行为因素的平均得分显著提高(P<0.001)。干预后两组生活质量的平均得分存在显著差异(P<0.001),培训干预后实验组患者的生活质量得到改善。
基于Precede模式设计和实施的培训计划对改善哮喘患者的生活质量可产生积极影响。