Pourgholamamiji Nima, Shahsavari Hooman, Manookian Arpi, Soori Tahereh, Zandkarimkhani Maryam, Zare Zahra
Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2023 Jan 31;12:4. doi: 10.4103/jehp.jehp_1136_21. eCollection 2023.
Sexually transmitted diseases are a major health problem in all countries. Human papillomavirus (HPV) infection is the most common viral sexually transmitted disease in both genders. High-risk sexual behaviors (HRSBs) are among the major risk factors for HPV infection. Lack of knowledge can contribute to HRSBs and hence, education can potentially reduce HRSB risk. This is a study using theory of reasoned action to reduce the high-risk sexual behaviors among patients with HPV.
This study was a two-grouped, randomized, controlled trial. The educational program was developed based on the results of a survey into the most important components of the theory of reasoned action contributing to HRSBs among 100 patients recruited from Razi hospital, Tehran, Iran. Then, 110 patients from the same hospital were consecutively recruited and randomly allocated to a control ( = 55) and an intervention ( = 55) group. Then, each participant in the intervention group was provided with the developed educational program. Their counterparts in the control group solely received routine care services. Three months after the first educational session, HRSBs were reassessed in both groups. Data were analyzed via the SPSS software (v. 21.0).
After the intervention, the mean score of HRSBs significantly decreased in the intervention group ( < 0.001) but did not significantly change in the control group ( = 0.70). The post-test mean score of HRSBs in the intervention group was significantly less than the control group ( = 0.015).
Education based on the theory of reasoned action is effective in significantly reducing HRSBs. Nurses can develop and use educational interventions based on this theory to reduce HRSBs and HPV infection.
性传播疾病是所有国家的一个主要健康问题。人乳头瘤病毒（HPV）感染是男女中最常见的病毒性传播疾病。高危性行为（HRSBs）是HPV感染的主要危险因素之一。知识的缺乏会导致高危性行为，因此，教育有可能降低高危性行为风险。这是一项运用理性行动理论来减少HPV患者高危性行为的研究。
本研究为两组随机对照试验。教育项目是根据对从伊朗德黑兰拉齐医院招募的100名患者中导致高危性行为的理性行动理论最重要组成部分的调查结果而制定的。然后，从同一医院连续招募110名患者，并随机分为对照组（n = 55）和干预组（n = 55）。然后，为干预组的每位参与者提供制定好的教育项目。对照组的参与者仅接受常规护理服务。在第一次教育课程三个月后，对两组的高危性行为进行重新评估。数据通过SPSS软件（版本21.0）进行分析。
干预后，干预组高危性行为的平均得分显著降低（P < 0.001），而对照组无显著变化（P = 0.70）。干预组高危性行为的测试后平均得分显著低于对照组（P = 0.015）。
基于理性行动理论的教育在显著降低高危性行为方面是有效的。护士可以基于该理论开发并使用教育干预措施来降低高危性行为和HPV感染。
