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基于多理论模型的教育干预对提高绝经后妇女生活质量的影响:一项研究方案。

Effects of an educational intervention based on the multi-theory model on promoting the quality of life in postmenopausal women: a protocol.

作者信息

Morowatisharifabad Mohammad Ali, Yoshany Nooshin, Bahri Narges, Sharma Manoj, Jambarsang Sara, Karimiankakolaki Zohreh

机构信息

Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Social Determinants of Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Prz Menopauzalny. 2019 Dec;18(3):153-160. doi: 10.5114/pm.2019.90808. Epub 2019 Dec 20.

Abstract

INTRODUCTION

Menopause is associated with symptoms and complications that can affect women's quality of life. Therefore, acceptance of the symptoms and complications can improve quality of life during this period. In this regard, the purpose of this study was to design an educational program based on the multi-theory model (MTM) to deal with complications of the menopausal period and improve the women's quality of life.

MATERIAL AND METHODS

In designing this study, four phases are considered. In the first phase, the questionnaire of menopausal symptom acceptance behaviors will be designed based on the MTM using literature review and a panel of experts' viewpoints. The validity and reliability of the questionnaire will be confirmed at this stage. In the second phase, a descriptive study will be conducted by administering the questionnaire designed in the first phase along with the Menopause-Specific Quality of Life questionnaire. The third phase includes the curriculum design based on the findings of the descriptive study, investigations of various studies, and viewpoints of the experts' panel. Therefore, the main components of the intervention will be identified. These components will determine the influential constructs of the MTM according to the descriptive research. Later, the related interventions and messages will be produced and designed from different sources. Intervention strategies will include group discussion, lectures, confidence-building skills, movie screenings, role play, preparation of daily activities booklets for postmenopausal women, and training classes for husbands and children to improve social support for women. The interventions, contents, and messages designed with the presence of health professionals and members of the target community will be pre-tested by examining factors such as audience perception of the message, appropriateness of the education to the audience's literacy and culture, as well as attractiveness, credibility, and acceptance of the materials. Finally, the fourth phase will be the implementation of the pre-test/post-test educational intervention using the intervention and control groups.

RESULTS AND CONCLUSIONS

The present study provides good information about the needs and strategies to enhance the quality of life in postmenopausal women by utilizing a menopausal acceptance training program. Therefore, designing a program to increase the menopausal acceptance in postmenopausal women can be effective in improving the quality of life and reducing the treatment and medical care costs.

摘要

引言

更年期与多种症状及并发症相关,这些会影响女性的生活质量。因此,接纳这些症状和并发症可改善这一时期的生活质量。在这方面,本研究的目的是设计一个基于多理论模型(MTM)的教育项目,以应对更年期并发症并提高女性的生活质量。

材料与方法

在设计本研究时,考虑了四个阶段。第一阶段,将通过文献综述和专家小组的观点,基于多理论模型设计更年期症状接纳行为问卷。在此阶段将确认问卷的有效性和可靠性。第二阶段,将通过发放第一阶段设计的问卷以及更年期特定生活质量问卷进行描述性研究。第三阶段包括根据描述性研究的结果、各项研究的调查以及专家小组的观点进行课程设计。因此,将确定干预的主要组成部分。这些组成部分将根据描述性研究确定多理论模型的影响因素。随后,将从不同来源制作和设计相关干预措施及信息。干预策略将包括小组讨论、讲座、建立信心技能培训、电影放映、角色扮演、为绝经后女性编写日常活动手册,以及为丈夫和孩子举办培训班以提高对女性的社会支持。在健康专业人员和目标社区成员参与下设计的干预措施、内容和信息,将通过检查诸如受众对信息的感知、教育内容与受众文化程度和文化的适配性以及材料的吸引力、可信度和可接受性等因素进行预测试。最后,第四阶段将使用干预组和对照组实施预测试/后测试教育干预。

结果与结论

本研究提供了关于通过采用更年期接纳培训项目提高绝经后女性生活质量的需求和策略的良好信息。因此,设计一个提高绝经后女性对更年期接纳程度的项目,可能对改善生活质量以及降低治疗和医疗成本有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdcc/6970419/4dc9d6d09abb/MR-18-90808-g001.jpg

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