基于计划行为理论对伊朗乳腺癌女性性功能的教育
Education Based on Theory of Planned Behavior over Sexual Function of Women with Breast Cancer in Iran.
作者信息
Jalambadani Zeinab, Garmaroudi Gholamreza, Tavousi Mahmood
机构信息
Department of Public Health, Neishabur University of Medical Sciences, Neyshabur, Iran.
出版信息
Asia Pac J Oncol Nurs. 2018 Apr-Jun;5(2):201-207. doi: 10.4103/apjon.apjon_67_17.
OBJECTIVE
Sexual function in patients with breast cancer, especially in younger patients, is an important issue from clinical and psychosocial perspectives. Theory of planned behavior (TPB) is one of the important theories that explain the main process of adopting healthy behaviors. This study investigated the effect of education based on TPB on sexual function of women with breast cancer in Mashhad, Iran.
METHODS
In this quasi-experimental study, 120 women (60 women in education group, 60 women in control group) visiting Razavi Hospital of Mashhad city were studied, selected by using the random method in 2016. The data collection tool was a questionnaire which was completed during the interview. The validity and reliability of this questionnaire were determined through the face and content validity and through Cronbach's alpha and test-retest, respectively.
RESULTS
Data were analyzed using statistical SPSS 22 software. Using linear regression analysis, it was determined that attitudes, subjective norm, and perceived behavioral control (PBC) predict 0.85 overall of the total variance of sexual function intention, which among these variables, the effect of the subjective norm was more than the other ones ( < 0.05). After educational intervention, the average rates of knowledge, attitude, PBC, and intention of sexual function in sex education group were significantly increased ( < 0.05); these changes were not meaningful in the control group. There was no statistically significant difference in subjective norm between the two groups after intervention.
CONCLUSIONS
The results of this research suggest that TPB can be used in sex education interventions and have relevant results.
目的
乳腺癌患者的性功能，尤其是年轻患者的性功能，从临床和社会心理角度来看都是一个重要问题。计划行为理论（TPB）是解释采取健康行为主要过程的重要理论之一。本研究调查了基于TPB的教育对伊朗马什哈德乳腺癌女性性功能的影响。
方法
在这项准实验研究中，2016年采用随机方法选取了120名前往马什哈德市拉扎维医院就诊的女性（教育组60名女性，对照组60名女性）进行研究。数据收集工具是一份在访谈期间完成的问卷。该问卷的效度和信度分别通过表面效度和内容效度以及通过克朗巴哈系数和重测法来确定。
结果
使用统计软件SPSS 22对数据进行分析。通过线性回归分析确定，态度、主观规范和感知行为控制（PBC）预测了性功能意向总方差的0.85，在这些变量中，主观规范的影响大于其他变量（<0.05）。教育干预后，性教育组的知识、态度、PBC和性功能意向的平均水平显著提高（<0.05）；对照组中这些变化无统计学意义。干预后两组间主观规范无统计学显著差异。
结论
本研究结果表明，TPB可用于性教育干预并产生相关结果。
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