Department of Health Education, Faculty of Health, Arak University of Medical Sciences, Arak, Iran.
Department of Health Education and Health Promotion, Faculty of Health, Arak University of Medical Sciences, Arak, Iran.
BMC Pediatr. 2020 Feb 19;20(1):79. doi: 10.1186/s12887-020-1981-x.
Urinary tract infection is one of the most common infectious diseases in children, which can lead to serious complications for a child. The purpose of this study was to investigate the impact of Theory Planned Behavior (TPB) -based education on the promotion of preventive behaviors of urinary tract infection in mothers with a daughter under age two.
The present study is an educational randomized controlled trial that its sample consisted of 100 mothers who had a daughter under age two. They were selected through convenience sampling and then were randomly assigned to the intervention and control groups (each group included 50 participants). The data collection tool was a reliable and valid questionnaire based on TPB constructs. First, in both groups, the pre-test was administrated and then the educational intervention in the intervention group was conducted in the form of four educational sessions in 1 month (based on the pre-test need assessment) and then 3 months after the intervention (according to the ideas of Panel of Experts), post-test in both groups was administrated and then the data were analyzed through SPSS version 23 software with inferential statistics (independent t-test, paired t-test, and chi-square). The significance level was considered 0.05.
Three months after the intervention, the mean score of the constructs of TPB in the intervention group was significantly higher than the control group. The performance of prevention of urinary tract infection in the intervention group before the education increased from 2.85 ± 0.51 to 3.74 ± 0.29 (out of 4) (p = 0.001).
TPB-based education with active and interventional follow-up was effective in promoting the preventive behaviors of urinary tract infection. Therefore, due to the side effects of UTI, especially in vulnerable periods such as childhood, it is recommended that trainings based on this model be carried out in other health care centers in order to maintain children health.
This trial has been registered at IRCT, IRCT2017031533090N1. Registered on 9 July 2017, https://en.irct.ir/trial/25621.
尿路感染是儿童最常见的传染病之一，可导致儿童出现严重并发症。本研究旨在探讨基于计划行为理论（TPB）的教育对促进两岁以下女童母亲预防尿路感染行为的影响。
本研究是一项教育随机对照试验，其样本由 100 名两岁以下女童的母亲组成。采用便利抽样法选取样本，并随机分为干预组和对照组（每组 50 名参与者）。数据收集工具是基于 TPB 结构的可靠有效的问卷。首先，两组均进行预测试，然后干预组以每月 4 次教育课程的形式进行教育干预（基于预测试需求评估），干预 3 个月后（根据专家组的意见）进行后测试，两组均进行后测试，然后使用 SPSS 版本 23 软件进行推断统计分析（独立 t 检验、配对 t 检验和卡方检验）。显著性水平设为 0.05。
干预 3 个月后，干预组 TPB 结构的平均得分明显高于对照组。干预组教育前预防尿路感染的行为从 2.85±0.51 提高到 3.74±0.29（满分 4 分）（p=0.001）。
基于 TPB 的教育与积极的干预性随访相结合，能有效促进预防尿路感染的行为。因此，由于尿路感染的副作用，特别是在儿童等脆弱时期，建议在其他保健中心开展基于该模式的培训，以维护儿童健康。
本试验已在 IRCT 注册，IRCT2017031533090N1。于 2017 年 7 月 9 日注册，https://en.irct.ir/trial/25621。
