Jalambadani Zeinab, Delavari Heravi Maryam, Noori Sistani Malihe
Department of Public Health, Neyshabur University of Medical Sciences, Neyshabur, Iran.
J Obstet Gynaecol. 2020 Jan;40(1):37-39. doi: 10.1080/01443615.2019.1603208. Epub 2019 Jul 15.
Folic Acid reduces the risk of neural tube defects. This study was aimed to investigate the consumption of folic acid to prevent deficiency anaemia based on the theory of planned behaviour on pregnant women in Neyshabur, Iran. This study included 180 pregnant women, who were gathered from 12 healthcare centres in the city of Neyshabur, Iran in 2018. Using a questionnaire and blood lab exam (folat) were measured and analysed. The average rates of knowledge, attitude, perceived behavioural control, intention, behaviour in the education group were meaningfully increased ( value < .05); however, these changes were not meaningful in the control group ( value > .05). Also, no statistically meaningful difference was obtained in subjective norm between the groups after the intervention ( = .924). It is suggested that folic acid supplementation promotion workshops should be held in health centres with the aim of preventing folic acid deficiency anaemia.Impact statement The results of this study showed that by using education based on the theory of planned behaviour that emphasises the important psychological factors of behaviour or change, folic acid can be consumed in pregnant women. That women receive adequate and proper knowledge, along with a positive attitude toward taking folic acid, and feel that taking folic acid is at their discretion in terms of environmental factors (facilities and barriers), increases intent to use folic acid. The results of this study also showed that the amount of folic acid intake during pregnancy increased by pregnant women and anaemia decreased. The study showed the importance of the role of education based on theory of planned behaviour in consumption promoting folic acid.
叶酸可降低神经管缺陷的风险。本研究旨在基于计划行为理论,调查伊朗内沙布尔孕妇摄入叶酸以预防缺铁性贫血的情况。本研究纳入了180名孕妇,于2018年从伊朗内沙布尔市的12个医疗中心招募而来。通过问卷调查和血液实验室检查(叶酸)进行测量和分析。教育组的知识、态度、感知行为控制、意图和行为的平均得分显著提高(P值<0.05);然而,对照组的这些变化不显著(P值>0.05)。此外,干预后两组间的主观规范差异无统计学意义(P=0.924)。建议在健康中心举办补充叶酸促进讲习班,以预防叶酸缺乏性贫血。影响声明 本研究结果表明,通过基于计划行为理论的教育,强调行为或改变的重要心理因素,孕妇可以摄入叶酸。女性获得充分和适当的知识,以及对服用叶酸持积极态度,并在环境因素(设施和障碍)方面认为服用叶酸由自己决定,会增加使用叶酸的意图。本研究结果还表明,孕妇孕期叶酸摄入量增加,贫血情况减少。该研究显示了基于计划行为理论的教育在促进叶酸摄入方面的重要作用。