Department of Health Education and Health Promotion, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Health Education & Health Promotion, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Scand J Caring Sci. 2020 Dec;34(4):956-963. doi: 10.1111/scs.12803. Epub 2020 Jan 27.
With the obtained advancement in solving health problems, family caregivers are replaced with the care institutions. The accompanying and supporting patients during the disease treatment is very effective in the Iranian culture.
This study aims at determining the effect of health intervention based on family-centred empowerment model on health literacy and self-efficacy among caregivers of patients with multiple sclerosis.
In this quasi-experimental study, 70 family caregivers were randomly assigned to the two control and experimental groups, who were evaluated using demographic TOFHLA health literacy and self-efficacy questionnaires. Then, based on training needs in the experimental group, intervention was conducted based on the family-centred empowerment model during one month. The control group received no intervention, and immediately after training and three months after implementing the program, the health literacy and self-efficacy in both the experimental and control groups were re-evaluated.
Before intervention, mean of health literacy in the experimental group was 57.2 ± 9.15 and 3 months after intervention, it reached 62.45 ± 9.39, (p < 0.001). The self-efficacy score in the experimental group was 17.2 ± 3.48 before intervention and it reached to 19.34 ± 11.3 after intervention, which was also significant(p < 0.001).
interventions based on family-centred empowerment approach can improve the health literacy and self-efficacy of caregivers, assist them to provide specialised and efficient care and lead to improved quality of care in caregiving.
随着解决健康问题方面取得的进步,家庭照顾者逐渐被护理机构所取代。在伊朗文化中,在患者治疗期间陪伴和支持他们非常有效。
本研究旨在确定基于以家庭为中心的赋权模式的健康干预对多发性硬化症患者照顾者的健康素养和自我效能的影响。
在这项准实验研究中,将 70 名家庭照顾者随机分为对照组和实验组,使用人口统计学 TOFHLA 健康素养和自我效能问卷对他们进行评估。然后,根据实验组的培训需求,在一个月内基于以家庭为中心的赋权模式进行干预。对照组未接受干预,在培训后和方案实施 3 个月后,对实验组和对照组的健康素养和自我效能进行重新评估。
干预前,实验组的健康素养平均值为 57.2±9.15,干预 3 个月后达到 62.45±9.39,(p<0.001)。实验组的自我效能评分在干预前为 17.2±3.48,干预后达到 19.34±11.3,也具有显著意义(p<0.001)。
基于以家庭为中心的赋权方法的干预可以提高照顾者的健康素养和自我效能,帮助他们提供专业和高效的护理,并改善护理中的护理质量。