比较基于PRECEDE - PROCEED模型的教育在以人为本和支持性小组方法中对更年期女性心理健康的影响。
Comparing the effect of education based on PRECEDE - PROCEED model in person-centered and supportive group methods on women's psychological well-being in the menopausal period.
作者信息
Moshki Mahdi, Yaghubi Reza, Pariafsai Fariba
机构信息
Department of Health Education and Health Promotion, Gonabad University of Medical Sciences, Gonabad, Iran.
Saber Counseling Center, Mashhad, Iran.
出版信息
J Educ Health Promot. 2022 Feb 26;11:68. doi: 10.4103/jehp.jehp_617_21. eCollection 2022.
BACKGROUND
Positive psychology introduce mental health as a positive psychological functioning and represent it as well-being psychology. From this point of view, psychological health is more supposed to be known as having positive characteristics such as self-esteem, positive social relationships, and satisfaction. This study was conducted to compare the effect of education in two methods of person-centered and supportive group based on the PRECEDE-PROCEED model on women's psychological well-being during menopause.
MATERIALS AND METHODS
The present study was a clinical trial. One hundred and ten menopausal women have been placed in two groups (tests and control). The training program was designed according to the PRECEDE-PROCEED model. The educational intervention was implemented for two groups (person-centered and the supportive group) and the control group did not receive any training. Data analysis was used by descriptive statistics and in the case of normal distribution of alternative tests such as Kruskal-Wallis test, Man-Whitney test, Wilcoxon, spearman correlation, Spearman correlation was used.
RESULTS
Results of variance analysis showed that awareness, attitude, self-efficacy, enabling factors, reinforcement, support, behavioral environment, six psychological well-being factors were significantly different from the individual group and control group. Furthermore, the overall score of the psychological well-being was significantly higher than the control group.
CONCLUSIONS
As a result of the design and deployment of health care monitoring system, building and reform of community beliefs toward women's status in decision making and their role in menopause, the design and development of support group meetings in women's health care system and enhancing women's access to specialist and heterogeneous health services tailored to the needs of the menopause.
背景
积极心理学将心理健康视为一种积极的心理功能，并将其表述为幸福心理学。从这个角度来看，心理健康更应该被理解为具有诸如自尊、积极的社会关系和满意度等积极特征。本研究旨在基于PRECEDE-PROCEED模型，比较以人为主的方法和支持性小组这两种教育方式对更年期女性心理健康的影响。
材料与方法
本研究为一项临床试验。110名更年期女性被分为两组（试验组和对照组）。培训项目是根据PRECEDE-PROCEED模型设计的。对两组（以人为主的小组和支持性小组）实施了教育干预，而对照组未接受任何培训。数据分析采用描述性统计，对于正态分布的替代检验，如Kruskal-Wallis检验、Mann-Whitney检验、Wilcoxon检验、spearman相关性分析，则使用Spearman相关性分析。
结果
方差分析结果显示，意识、态度、自我效能感、促成因素、强化、支持、行为环境这六个心理健康因素在个体组和对照组之间存在显著差异。此外，心理健康的总体得分显著高于对照组。
结论
由于设计和部署了医疗保健监测系统，构建并改革了社区对女性在决策中的地位及其在更年期角色的信念，设计并开展了女性医疗保健系统中的支持小组会议，以及增加了女性获得针对更年期需求的专科和多样化医疗服务的机会。
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