比较两种教育干预措施对可教育智力残疾少女性健康护理的母亲意识、态度和自我效能的影响：一项整群随机对照试验。

Comparing the effect of two educational interventions on mothers' awareness, attitude, and self-efficacy regarding sexual health care of educable intellectually disabled adolescent girls: a cluster randomized control trial.

机构信息

Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Reprod Health. 2021 Mar 2;18(1):54. doi: 10.1186/s12978-021-01112-z.

DOI:10.1186/s12978-021-01112-z

PMID:33653361

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7923653/

Abstract

BACKGROUND

Sexual problems of intellectually disabled adolescents are associated with their inability to understand sexuality. Given the important role of parents in forming the attitude of their adolescents towards sexuality, the present study aimed to compare the effect of two educational interventions on mothers' awareness, attitude and self-efficacy regarding sexual health care of intellectually disabled adolescent girls.

MATERIALS AND METHODS

This cluster randomized control trial was conducted in six intellectually disabled adolescent education centers in Isfahan, Iran in 2018. The centers were randomly assigned to intervention groups (group training and training through booklet) and control group. Mothers of educable intellectually disabled adolescent girls (n = 81) were entered into the three groups using convenience sampling and their awareness, attitude and self-efficacy regarding sexual health care of adolescent girls were assessed using questionnaires before and after the educational intervention. Data were analyzed using descriptive and inferential statistical methods.

RESULTS

The mean score of mothers' awareness, attitude and self-efficacy in each of the "group training", "training through booklet group" and "control group" was significantly different after the intervention compared to before the intervention (p < 0.05). The mean score of mothers' awareness and self-efficacy after the intervention in the "group training" was higher than the "control group" and "training through booklet group" (p < 0.001). The mean score of mothers' awareness and self-efficacy after the intervention in the "training through booklet group" was higher than in "control group" (p = 0.005, p = 0.02). Also, after the intervention, the mean score of mothers' attitude in the "group training" was higher than the "control group" and the "training through booklet group" (p < 0.001), but there was no significant statistical difference between the mean score of mothers' attitude in "control group" and "training through booklet group" (p > 0.05).

CONCLUSION

Implementation of the group training intervention for mothers of intellectually disabled adolescent girls in comparison with training through booklet was associated with a greater increase in their awareness, attitude and self-efficacy regarding sexual health care of adolescent girls. Therefore, group training is suggested as a suitable way to educate mothers about sexual health care of intellectually disabled adolescent girls. Trial registration IRCT, IRCT20160224026756N5. Registered 22 June 2018, https://en.irct.ir/user/trial/31704/view .

摘要

背景

智力障碍青少年的性问题与其对性的理解能力有关。鉴于父母在形成青少年对性的态度方面起着重要作用，本研究旨在比较两种教育干预措施对智障少女母亲性健康保健意识、态度和自我效能感的影响。

材料与方法

本聚类随机对照试验于 2018 年在伊朗伊斯法罕的 6 个智障青少年教育中心进行。中心被随机分为干预组（小组培训和通过手册培训）和对照组。采用便利抽样法将可教育智力障碍青少年女孩的母亲（n=81）纳入 3 组，在教育干预前后使用问卷评估其对少女性健康保健的意识、态度和自我效能感。采用描述性和推断性统计方法进行数据分析。

结果

干预后，每组“小组培训”、“通过手册培训”和“对照组”的母亲意识、态度和自我效能感的平均得分与干预前相比均有显著差异（p<0.05）。干预后，“小组培训”组母亲的意识和自我效能感得分高于“对照组”和“通过手册培训”组（p<0.001）。干预后，“通过手册培训”组母亲的意识和自我效能感得分高于“对照组”（p=0.005，p=0.02）。此外，干预后，“小组培训”组母亲的态度平均得分高于“对照组”和“通过手册培训”组（p<0.001），但“对照组”和“通过手册培训”组母亲的态度平均得分无显著统计学差异（p>0.05）。