Jeihooni Ali Khani, Jamshidi Hassan, Kashfi Seyyed Mansour, Avand Abolghasem, Khiyali Zahra
Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran.
Department of Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran.
J Int Soc Prev Community Dent. 2017 Nov-Dec;7(6):336-343. doi: 10.4103/jispcd.JISPCD_339_17. Epub 2017 Dec 29.
Pregnant women are at risk of dental caries and periodontal disease. The purpose of this study was to assess the effectiveness of health education program based on health belief model (HBM) on oral and dental hygiene behaviors in pregnant women in Fasa city.
This is a clinical trial study carried out on 110 pregnant women selected using random sampling method from health centers in Fasa city in 2016 (55 patients in the experimental group and 55 individuals in control group). Data collection with questionnaire was based on construct HBM, as well as their performance about oral health. At first, two groups completed the questionnaires. And then, the intervention was conducted for the experimental group based on HBM. Four months after intervention, two groups completed the questionnaires twice. To analyze the collected data, the researchers used SPSS version 22 and descriptive and analytical statistics tests such as independent -test and Chi-square and Mann-Whitney test.
The age of the pregnant mothers was 28.25 ± 3.02 years in the experimental group and 27.8 ± 4.20 years in the control group. Compared to the control group, the experimental group showed a significant increase in their knowledge, perceived susceptibility, perceived severity, perceived benefits, self-efficacy, cues to action, and performance and decrease in perceived barriers 4 months after the intervention.
Applying the HBM is very effective for developing an educational program for oral health in pregnant women. Moreover, in the implementation of these programs, control, monitoring, and follow-up educational are recommended.
孕妇有患龋齿和牙周疾病的风险。本研究的目的是评估基于健康信念模式(HBM)的健康教育项目对法萨市孕妇口腔卫生行为的有效性。
这是一项临床试验研究,于2016年采用随机抽样法从法萨市的健康中心选取了110名孕妇(实验组55例患者,对照组55例个体)。通过基于HBM结构的问卷以及她们的口腔健康表现来收集数据。首先,两组都完成问卷。然后,基于HBM对实验组进行干预。干预四个月后,两组再次完成问卷。为分析收集到的数据,研究人员使用了SPSS 22版以及描述性和分析性统计测试,如独立样本t检验、卡方检验和曼 - 惠特尼检验。
实验组孕妇母亲的年龄为28.25±3.02岁,对照组为27.8±4.20岁。与对照组相比,干预四个月后,实验组在知识、感知易感性、感知严重性、感知益处、自我效能、行动线索和表现方面显著增加,而在感知障碍方面有所减少。
应用HBM对制定孕妇口腔健康教育项目非常有效。此外,在实施这些项目时,建议进行控制、监测和后续教育。