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基于健康信念模式的教育干预对伊朗锡尔詹急救中心护士遵守标准预防措施的影响。

The impact of educational intervention based on the health belief model on observing standard precautions among emergency center nurses in Sirjan, Iran.

机构信息

Sirjan Faculty of Medical Sciences, Sirjan, Iran.

Physiology Research Center, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Health Educ Res. 2018 Aug 1;33(4):327-335. doi: 10.1093/her/cyy020.

Abstract

Providing health care services has always been considered as a hazardous job due to a number of reasons. The risk of blood-borne viruses and the importance of their prevention has led to the formulation of principles called standard precautions (SPs). The goal of this study was to investigate the impact of an educational intervention based on the Health Belief Model constructs on the behavior of nurses in emergency centers regarding observing SPs in Sirjan, Iran. This was a quasi-experimental study. The study population included 100 emergency personnel working in health centers in Sirjan city (of Iran), who were randomly divided into two intervention (n = 50) and control (n = 50) groups. The educational intervention was conducted over two sessions each lasting for 60 min. Information was collected by a questionnaire (with 64 questions), completed in an interview conducted directly before the intervention and 3 months later. Data were analyzed using the χ2 test, t-test and paired t-test.The results showed nurses did not have enough information about SPs, but after the intervention, knowledge scores increased in both groups. In the Health Belief Model (HBM) constructs, significant differences were observed in perceived susceptibility, perceived severity, perceived benefits and barriers, cues to action and self-efficacy, after the intervention, in the intervention group (P < 0.001), but not in the control group (P > 0.05). HBM was effective in educating SPs among emergency personnel.

摘要

提供医疗保健服务一直被认为是一项危险的工作,原因有很多。由于血液传播病毒的风险及其预防的重要性,导致了制定了称为标准预防措施(SPs)的原则。本研究的目的是调查基于健康信念模型结构的教育干预对伊朗锡尔詹急救中心护士遵守 SPs 行为的影响。这是一项准实验研究。研究人群包括伊朗锡尔詹市卫生中心的 100 名急诊人员,他们被随机分为两组,干预组(n = 50)和对照组(n = 50)。教育干预分两个 60 分钟的课程进行。通过问卷(64 个问题)收集信息,在干预前和 3 个月后直接进行访谈时填写。使用卡方检验、t 检验和配对 t 检验分析数据。结果表明,护士对 SPs 的了解不足,但干预后,两组的知识得分都有所提高。在健康信念模型(HBM)结构中,干预组在感知易感性、感知严重性、感知益处和障碍、行动线索和自我效能感方面存在显著差异,干预后(P < 0.001),但对照组没有(P > 0.05)。HBM 可有效教育急救人员遵守 SPs。

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