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基于社区的教育:伊朗地震防备的一项有效政策:实证研究

Community-based education: An effective policy for earthquake preparedness in Iran: Empirical study.

作者信息

Shams Lida, Shirzad Maryam, Atighechian Golrokh, Nasiri Taha, Shahbazi Sara

机构信息

Department of Health Policy and Management, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Community Health Education, Virtual School of Medical and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Educ Health Promot. 2024 Feb 26;13:51. doi: 10.4103/jehp.jehp_1850_22. eCollection 2024.

DOI:10.4103/jehp.jehp_1850_22
PMID:38549648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10977634/
Abstract

BACKGROUND

As natural or man-made shocks, disasters are sudden events that require emergency and fundamental measures. The need to be prepared for disasters has become clearer than ever worldwide. This study aimed to investigate the effect of earthquake preparedness training using the face-to-face or cascade method in rural households living in Juybar County (Iran) in 2018.

METHODS AND MATERIAL

Following an experimental design with a pretest and posttest, the study was performed on married women aged 10-49 living in Kurdkolay village of Juybar county ( = 372). Participants were randomly categorized into two groups of training ( = 95) and face-to-face cascade method ( = 95). Data were collected using the Disaster Preparedness Assessment Index, comprising demographic and education sections. Data were collected using the disaster preparedness assessment index and analyzed using SPSS version 24.

RESULTS

The findings indicated improved preparedness in all five dimensions in both groups. There was a significant difference between the study groups immediately and one week after the intervention ( < 0.05); i.e. a higher impact for the face-to-face cascade method. Meanwhile, both groups presented a similar level of preparedness 90 days after receiving the intervention ( > 0.05).

CONCLUSIONS

The face-to-face cascade method was more effective in the short term, while no difference was found in the long term. Crisis managers and policymakers should choose their preferred method based on available facilities, human resources, and context to increase preparedness against earthquakes. Mothers play a vital role in educating and nurturing their children. It is suggested to conduct educational programs at the community level using the most appropriate methods that are chosen based on the best evidence.

摘要

背景

作为自然或人为冲击,灾害是需要采取应急和基本措施的突发事件。在全球范围内,为灾害做好准备的必要性比以往任何时候都更加明确。本研究旨在调查2018年在伊朗朱伊巴尔县农村家庭中采用面对面或级联方法进行地震准备培训的效果。

方法与材料

采用前后测的实验设计,对居住在朱伊巴尔县库尔德科莱村年龄在10 - 49岁的已婚妇女(n = 372)进行研究。参与者被随机分为培训组(n = 95)和面对面级联方法组(n = 95)。使用包括人口统计学和教育部分的灾害准备评估指数收集数据。使用灾害准备评估指数收集数据,并使用SPSS 24版进行分析。

结果

研究结果表明两组在所有五个维度上的准备情况均有所改善。干预后立即和一周后研究组之间存在显著差异(P < 0.05);即面对面级联方法的影响更大。同时,两组在接受干预90天后的准备水平相似(P > 0.05)。

结论

面对面级联方法在短期内更有效,而长期来看没有差异。危机管理者和政策制定者应根据可用设施、人力资源和实际情况选择他们喜欢的方法,以提高抗震准备。母亲在教育和养育子女方面起着至关重要的作用。建议使用基于最佳证据选择的最合适方法在社区层面开展教育项目。

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本文引用的文献

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Qualitative Study of Health System Preparedness for Successful Implementation of Disaster Exercises in the Iranian Context.伊朗卫生系统为成功实施灾害演习做好准备的定性研究。
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