Rahmati Raziyeh, Khadivzadeh Talat, Esmaily Habibollah
MSc of Midwifery, Larestan University of Medical Sciences, Larestan, Iran.
Graduate, Master of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
J Educ Health Promot. 2020 Dec 29;9:335. doi: 10.4103/jehp.jehp_343_20. eCollection 2020.
Considering the trend of reducing fertility in recent decades, the level of awareness and attitude of health workers to fertility has an important role in achieving the country's demographic goals. Improving attitudes and improving the scientific level and skills of health workers are the basic pillars to improve the quality and quantity of health-care services. Therefore, this study was conducted with the aim of improving the level of awareness and attitude toward fertility and fertility counseling skills of health workers with both face-to-face and virtual training methods.
This study was a randomized controlled trial of three groups and pre-test-posttest experiments performed on 108 midwives and health-care workers working in Mashhad Health Center and Community Health Centers and Health Centers in 2015. The tools used in this study were four researcher-made questionnaires that were validated and reliable. Data analysis was performed by Chi-square test, one-way, and independent t-analysis of variance using SPSS software version 16.
The results showed a significant increase in awareness level, attitude toward fertility, and counseling skills in the studied groups after the implementation of interventions ( < 0.001). Furthermore, there was a significant inverse relationship between the attitude score of the research units at the beginning of the study and the demographic variables with only the average work experience.
Training is effective in raising the level of awareness and changing the attitude of health workers. The use of group discussion methods in person as well as through a webinar in which learners think, interact, and gain experience in promoting healthy fertility counseling promotes awareness, attitudes toward fertility, and their counseling skills in providing healthy reproductive counseling.
考虑到近几十年来生育率下降的趋势,卫生工作者对生育的认识水平和态度在实现国家人口目标方面具有重要作用。改善态度以及提高卫生工作者的科学水平和技能是提高医疗服务质量和数量的基本支柱。因此,本研究旨在通过面对面和虚拟培训方法提高卫生工作者对生育的认识水平、态度以及生育咨询技能。
本研究是一项三组随机对照试验和前测-后测实验,于2015年对在马什哈德健康中心、社区健康中心和卫生中心工作的108名助产士和卫生保健工作者进行。本研究使用的工具是四份由研究人员制作的问卷,这些问卷经过了验证且可靠。使用SPSS软件版本16通过卡方检验、单向和独立t方差分析进行数据分析。
结果显示,实施干预后,研究组的认识水平、对生育的态度和咨询技能有显著提高(<0.001)。此外,在研究开始时,研究单位的态度得分与仅平均工作经验的人口统计学变量之间存在显著的负相关关系。
培训在提高卫生工作者的认识水平和改变态度方面是有效的。亲自使用小组讨论方法以及通过网络研讨会,让学习者思考、互动并在促进健康生育咨询方面获得经验,有助于提高对生育的认识、态度以及他们在提供健康生殖咨询方面的咨询技能。