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改变弱势女性与性传播疾病相关的观念和行为:一项定性研究

Changing Beliefs and Behaviors Related to Sexually Transmitted Diseases in Vulnerable Women: A Qualitative Study.

作者信息

Boroumandfar Zahra, Kianpour Masoud, Zargham Ali, Abdoli Samereh, Tayeri Katayoun, Salehi Mehrdad, Momeni Godratollah, Khorvash Farzin

机构信息

Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Social Sciences, Isfahan University, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2017 Jul-Aug;22(4):303-307. doi: 10.4103/ijnmr.IJNMR_117_16.

DOI:10.4103/ijnmr.IJNMR_117_16
PMID:28904544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5590361/
Abstract

BACKGROUND

The first step in health education is awareness of the people and their acceptance to change their behavior. Therefore, the aim of this study was to investigate the effects of empowerment program towards the concept of self-care and prevention of sexually transmitted diseases (STDs) in women at risk of STDs.

MATERIALS AND METHODS

The present study was conducted as a qualitative approach (step of action and observation of an action) by using conventional content analysis method. An empowerment program regarding STDs (Action) was performed among 32 (with convenient sample) drug user women with addicted husbands referring to the counseling center for vulnerable women (drop in enter) in Isfahan in 2015. The knowledge of quiddity, transmission, and prevention of STDs, as well as some items of life skills such as self-awareness, interpersonal communication, and assertive behavior were taught in an educational program. Teaching methods were lectures, group, and individual training and role play. The impact of the program on modified belief and behavior change regarding STDs was evaluated with structured interviews.

RESULTS

Analysis of the obtained results yielded three categories. The categories were awareness of STD, believing in being at risk, and decision and change.

CONCLUSIONS

Promoting self-care and prevention through education programs based on action research can make a significant reduction in the incidence of problems and cause a behavior change in women with the disease or those at risk for STDs.

摘要

背景

健康教育的第一步是提高人们的意识以及他们对改变行为的接受度。因此,本研究的目的是调查赋权计划对性传播疾病(STD)高危女性的自我护理概念和预防性传播疾病的影响。

材料与方法

本研究采用常规内容分析法,以定性方法(行动步骤和行动观察)进行。2015年,在伊斯法罕为32名(采用方便抽样)有吸毒丈夫的吸毒女性开展了一项关于性传播疾病的赋权计划(行动),这些女性前往弱势女性咨询中心(即“求助中心”)。在一个教育项目中教授了性传播疾病的本质、传播和预防知识,以及一些生活技能项目,如自我意识、人际沟通和坚定行为。教学方法包括讲座、小组和个人培训以及角色扮演。通过结构化访谈评估该计划对性传播疾病相关信念改变和行为改变的影响。

结果

对所得结果的分析产生了三个类别。这些类别分别是对性传播疾病的认识、相信自己处于风险中以及决策和改变。

结论

通过基于行动研究的教育项目促进自我护理和预防,可以显著降低问题的发生率,并使患有性传播疾病或有性传播疾病风险的女性发生行为改变。