Kırbaş Zila Özlem, Kaşko Arıcı Yeliz
Department of Health Care Services, Ikizce Vocational High School, Ordu University, Ordu, Turkey.
Faculty of Health Sciences, Department of Pediatric Nursing, Karadeniz Technical University, Trabzon, Turkey.
Int J Dev Disabil. 2020 Jun 8;68(3):332-341. doi: 10.1080/20473869.2020.1774224. eCollection 2022.
The study aimed to evaluate the effects of peer training of female adolescent students diagnosed with intellectual disabilities and started menses, about genital hygiene and menstrual care skills on a baby doll.
This study was planned as a non-control group research design including pre-test, post-test and follow-up stages. It was conducted in special educational institutions. The population consisted of 68 female students between 10-18 years old. Calculation of sample size was not performed, and 65 students were included in the study. The data were collected using Socio-Demographic Form, Genital Cleansing Skill Form (GCSF), Pad Replacement Skill Analysis Form (PRSAF), and Teacher/Parent Opinion and Feedback Form. The statistical analysis of the study data was performed using Mc-Nemar test, Mann-Whitney U test, Kruskal-Wallis test and Friedman test followed by Dunn-Bonferroni post-hoc test.
In all follow-up periods, GCSF and PRSAF scores compared by Mann-Whitney U and Kruskal-Wallis tests did not change based upon demographic characteristics ( > 0.05). Friedman test showed that GCSF and PRSAF scores showed significant differences between the follow-up periods ( < 0.001). According to Dunn-Bonferroni post-hoc test, there was no statistically significant difference between 2nd and 3rd follow-up scores with respect to both GCSF and PRSAF ( > 0.05). However, 2nd and 3rd follow-up scores were found to be significantly higher than 1st follow-up score ( < 0.05).
The study demonstrated that menstrual care skills of female adolescent students with intellectual disabilities improved after training and peer training was found to be effective. Peer training can be useful when used as continuing training to help individuals achieving a higher criterion of mastery.
本研究旨在评估对被诊断为智力残疾且已开始月经的女性青少年学生进行同伴培训,内容为关于使用娃娃进行生殖器卫生和经期护理技能培训的效果。
本研究计划采用非对照组研究设计,包括预测试、后测试和随访阶段。研究在特殊教育机构进行。研究对象为68名年龄在10至18岁之间的女学生。未进行样本量计算,共有65名学生纳入研究。数据通过社会人口学表格、生殖器清洁技能表格(GCSF)、卫生巾更换技能分析表格(PRSAF)以及教师/家长意见和反馈表格收集。研究数据的统计分析采用麦克尼马尔检验、曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和弗里德曼检验,随后进行邓恩-邦费罗尼事后检验。
在所有随访期间,通过曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验比较的GCSF和PRSAF分数,根据人口统计学特征未发生变化(>0.05)。弗里德曼检验表明,GCSF和PRSAF分数在随访期间存在显著差异(<0.001)。根据邓恩-邦费罗尼事后检验,就GCSF和PRSAF而言,第二次和第三次随访分数之间没有统计学显著差异(>0.05)。然而,发现第二次和第三次随访分数显著高于第一次随访分数(<0.05)。
该研究表明,智力残疾的女性青少年学生在接受培训后经期护理技能有所提高,且同伴培训被发现是有效的。当作为持续培训使用以帮助个体达到更高的掌握标准时,同伴培训可能会很有用。