基于BASNEF模型的教育干预对2型糖尿病患者自我药疗行为的影响
The Effect of Educational Intervention Based on BASNEF Model on Self-Medication Behavior of Type 2 Diabetic Patients.
作者信息
Jeihooni Ali Khani, Barati Maryam, Kouhpayeh Amin, Kashfi Seyyed Mansour, Harsini Pooyan Afzali, Rahbar Milad
机构信息
Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran.
Department of Pharmacology, School of Medicine, Fasa University of Medical Sciences, Fasa, Iran.
出版信息
Indian J Endocrinol Metab. 2019 Nov-Dec;23(6):616-622. doi: 10.4103/ijem.IJEM_436_19.
BACKGROUND
Diabetes is one of the main reasons of the increase of morbidity and mortality around the world. Considering the burden of disease, self-medication can result in irrecoverable consequences. The aim of this study is to investigate the effect of educational intervention based on Beliefs, Attitudes, Subjective Norms and Enabling Factors (BASNEF) model on self-medication behaviors of type 2 diabetic patients in Fasa, Fars province, Iran, in 2017-2018.
MATERIALS AND METHODS
In this quasi-experimental study, 200 type 2 diabetic patients under cover of the diabetes center of Fasa were investigated (100 patients for experimental group and 100 patients for control group). A questionnaire investigating demographic information and BASNEF Model constructs (knowledge, attitude, enabling factors, subjective norms, and behavioral intention) was used for evaluating self-medication behaviors of patients before and 3 months after intervention.
RESULTS
The average age of experimental group was 53.25 ± 8.42 and the average age of control group was 54.18 ± 8.13. Three months after intervention, experimental group showed significant enhancement in knowledge, attitude, enabling factors, subjective norms, and behavioral intention and their self-medication behaviors reduced, while control group showed no significant changes in mentioned factors.
CONCLUSION
The present study indicated the efficiency of BASNEF model on reduction of self-medication behaviors of diabetic patients. Hence, this model can act as a framework for designing and implementing educational interventions in this field.
背景
糖尿病是全球发病率和死亡率上升的主要原因之一。考虑到疾病负担，自我药疗可能会导致不可挽回的后果。本研究旨在调查基于信念、态度、主观规范和促成因素（BASNEF）模型的教育干预对2017 - 2018年伊朗法尔斯省法萨市2型糖尿病患者自我药疗行为的影响。
材料与方法
在这项准实验研究中，对法萨糖尿病中心覆盖下的200名2型糖尿病患者进行了调查（实验组100名患者，对照组100名患者）。使用一份调查人口统计学信息和BASNEF模型构建要素（知识、态度、促成因素、主观规范和行为意图）的问卷来评估患者在干预前和干预后3个月的自我药疗行为。
结果
实验组的平均年龄为53.25±8.42岁，对照组的平均年龄为54.18±8.13岁。干预3个月后，实验组在知识、态度、促成因素、主观规范和行为意图方面有显著提高，其自我药疗行为减少，而对照组在上述因素方面无显著变化。
结论
本研究表明BASNEF模型在减少糖尿病患者自我药疗行为方面具有有效性。因此，该模型可作为该领域设计和实施教育干预的框架。
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