Ayaz-Alkaya Sultan, Yaman-Sözbir Şengül, Terzi Handan
Faculty of Health Sciences, Department of Nursing, Gazi University, Ankara, Turkey.
Fazıl Boyner Faculty of Health Sciences, Department of Nursing, Kastamonu University, Kastamonu, Turkey.
Int J Nurs Pract. 2020 Apr;26(2):e12816. doi: 10.1111/ijn.12816. Epub 2020 Jan 27.
The aim of this randomised controlled study was to determine the effect of Health Belief Model (HBM)-based health education programme in late adolescent period on coping with premenstrual syndrome (PMS).
Thirty women both in the intervention and control groups were included. The HBM-based education programme was applied to cope with PMS. The intervention and control groups were followed up for three cycles in terms of PMS symptoms. The data were collected by a questionnaire and the Premenstrual Syndrome Scale.
There was a statistically significant difference between the pre-test mean scores and the first, second and third follow-up mean scores; and between the first follow-up mean score and the second and the third follow-up mean scores in the repeated measurements of the intervention group (p <.05). The mean scores of the intervention group were found to be significantly lower than the control group in the second and third follow-ups (p < .05).
In conclusion, HBM-based health education was effective for coping with PMS. It is recommended for dealing with PMS to use HBM-based education programmes, to motivate the students for life style changes, and to identify the obstacles and the benefits perceived about PMS.
本随机对照研究旨在确定青春期后期基于健康信念模型（HBM）的健康教育计划对应对经前综合征（PMS）的效果。
干预组和对照组各纳入30名女性。应用基于HBM的教育计划来应对PMS。就PMS症状对干预组和对照组进行三个周期的随访。通过问卷调查和经前综合征量表收集数据。
干预组重复测量中，前测平均得分与第一次、第二次和第三次随访平均得分之间存在统计学显著差异；第一次随访平均得分与第二次和第三次随访平均得分之间也存在统计学显著差异（p<.05）。在第二次和第三次随访中，发现干预组的平均得分显著低于对照组（p<.05）。
总之，基于HBM的健康教育对应对PMS有效。建议使用基于HBM的教育计划来应对PMS，激励学生改变生活方式，并识别与PMS相关的障碍和益处。
