Khosravan Shahla, Sajjadi Moosa, Moshari Jalil, Barzegar Shoorab Sofla Fateme
Department of Community and Mental Health Nursing,School of Nursing, Social Determinants of Health Research Centre,Gonabad University of Medical Sciences, Gonabad, Iran.
Department of Medical-Surgical Nursing, School of Nursing, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Int J Community Based Nurs Midwifery. 2018 Jul;6(3):227-238.
Child abuse is a kind of domestic violence of children under the age of 18 which potentially or actually damages all aspects of their health. This study was conducted to determine the effect of education based on growth and development with home-visiting follow up on the mothers' attitude and child abuse with 3-6-year-old children.
This controlled trial study was carried out in two rural community health centers in Khorasan Razavi province in Iran, during April 2016 to Jun 2017 on 64 abusive mothers of 3-6-year-old children. The data collection tools included the 32-item adult adolescent parenting inventory (AAPI) and the questionnaire of child abuse. By using multi-stage random sampling, the mothers referring to two health centers were assigned to the experimental (N=32) and control groups (N=32). The intervention group received parenting educational interventions based on child growth and development and after being followed up for eight weeks through home-visits. The data were analyzed in SPSS-16, using descriptive statistics, analytical tests including the Chi-square, independent t-test, and Mc Nemars test.
After the intervention, the overall score of parenting attitudes was found to be significantly increased (P<0.001), and the prevalence of most abusive behaviors towards children was significantly reduced (P<0.05) in the intervention group compared to the control group.
According to the results, this educational program was found to be significantly more effective in improving parenting attitudes and preventing child abuse compared to routine childcare programs in health centers. IRCT2016052628094N1.
虐待儿童是一种针对18岁以下儿童的家庭暴力行为,可能或实际损害其健康的各个方面。本研究旨在确定基于生长发育并进行家访随访的教育对母亲态度以及3至6岁儿童虐待情况的影响。
这项对照试验研究于2016年4月至2017年6月在伊朗呼罗珊拉扎维省的两个农村社区卫生中心开展,对象为64名3至6岁儿童的虐待行为母亲。数据收集工具包括32项成人青少年养育量表(AAPI)和虐待儿童问卷。通过多阶段随机抽样,前往两个卫生中心的母亲被分为实验组(N = 32)和对照组(N = 32)。干预组接受基于儿童生长发育的养育教育干预,并在家访随访八周后进行。数据在SPSS - 16中进行分析,使用描述性统计、分析性测试,包括卡方检验、独立t检验和麦克内马尔检验。
干预后,发现干预组养育态度的总体得分显著提高(P < 0.001),与对照组相比,对儿童的大多数虐待行为发生率显著降低(P < 0.05)。
根据结果,与卫生中心的常规儿童保育项目相比,该教育项目在改善养育态度和预防儿童虐待方面显著更有效。IRCT2016052628094N1。