Department of Pediatrics, School of Medicine, Fasa University of Medical Sciences, Fasa, Iran.
Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran.
BMC Womens Health. 2022 Oct 5;22(1):409. doi: 10.1186/s12905-022-01981-x.
BACKGROUND: Children are one of the most vulnerable social groups to infectious diseases, and prevention of urinary tract infections in children is very important; therefore, the present study aimed to investigate the effect of education based on health belief model (HBM) on promoting preventive behaviours of urinary tract infection in mothers with children under 6-years of age. METHODS: This quasi-experimental study was conducted on 150 women with children under 6 years of age referred to health centers in Fasa city, Iran in 2021. Subjects were selected using simple sampling method and were randomly divided into intervention (n = 75) and control (n = 75) groups. The educational intervention for the experimental group consisted of 6 virtual training sessions of 40-50 min using lecture, question and answer, group discussion and video clips. Two virtual follow-up sessions were also held one month and two months after the educational intervention. Three months after the educational intervention, both experimental and control groups completed the questionnaire. Data were analysed by using SPSS 22 through Chi-square, independent t-test, and paired t-test (p > 0.05). RESULTS: Before the intervention, based on independent t-test and paired t-test, the mean score of HBM constructs were not significantly different between the control and intervention groups (P > 0.05). However, while perceived barriers significantly decreased (P < 0.05) after the intervention, the mean score of knowledge, perceived sensitivity and severity, perceived benefits, self-efficacy, cues to action, and performance significantly increased (P < 0.05) after the intervention. CONCLUSION: Considering the effect of training preventive behaviours of urinary tract infection based on HBM, application of the model as an effective and cost-effective method along with other methods is recommended for educational programs of mothers with children under 6 years of age.
背景:儿童是最易受传染病影响的社会群体之一,预防儿童尿路感染非常重要;因此,本研究旨在探讨基于健康信念模式(HBM)的健康教育对促进 6 岁以下儿童母亲预防尿路感染行为的影响。
方法:本准实验研究于 2021 年在伊朗法萨市的卫生中心对 150 名 6 岁以下儿童的母亲进行,采用简单抽样法选取研究对象,并随机分为干预组(n=75)和对照组(n=75)。实验组的教育干预包括 6 次虚拟培训课程,每次 40-50 分钟,采用讲座、问答、小组讨论和视频剪辑的方式进行。在教育干预后还进行了两次虚拟随访,分别在干预后一个月和两个月进行。教育干预三个月后,实验组和对照组都完成了问卷调查。数据采用 SPSS 22 进行分析,采用卡方检验、独立 t 检验和配对 t 检验(p>0.05)。
结果:干预前,通过独立 t 检验和配对 t 检验,对照组和实验组的 HBM 结构的平均得分没有显著差异(P>0.05)。然而,干预后感知障碍显著降低(P<0.05),而知识、感知敏感性和严重程度、感知益处、自我效能、行动线索和行为表现的平均得分显著提高(P<0.05)。
结论:鉴于基于 HBM 的预防尿路感染行为的培训效果,建议将该模型作为一种有效且具有成本效益的方法,与其他方法一起应用于 6 岁以下儿童母亲的教育计划。
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