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麻风病预防健康教育方法:综合评价。

Health Education Method on Leprosy Prevention: Integrative Review.

机构信息

Haji Adam Malik General Hospital, Medan, Indonesia.

Doctoral Program in science Education, University of Jambi, Indonesia.

出版信息

Arch Razi Inst. 2024 Feb 1;79(1):1-12. doi: 10.32592/ARI.2024.79.1.1. eCollection 2024 Feb.

Abstract

Leprosy is still found mainly in lower-middle-income countries. Breaking the chain of leprosy transmission requires various ways, especially by increasing knowledge of leprosy prevention through health education. Although several studies have mentioned the effectiveness of health education, there is still uncertainty about the best method to use. Therefore, the review question should be answered: what forms of health education have been developed about Leprosy in the community? This review study complies with the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) version 2020. The search for relevant literature involved PubMed, ScienceDirect, ERIC, Cochrane, and ProQuest databases for the studies published in the 2000 to 2023 period with the inclusion criteria such as increasing knowledge, changing attitudes and behavior, and increasing positive stigma. The quality of the study was assessed using the Critical Appraisal Skills Program, and the Risk of Bias using the Cochrane RoB tool. Overall search on databases resulted in a total of 184,681 articles. Only six studies were eligible to be included in this review. Various educational methods were used in the eligible studies, including MH Mobile, the myth or truth on Leprosy game, posters, leaflets, community meetings, tele-education the web, discussion lists, chats, activity diaries, iconographic 3D videos, classes on video streaming, video conference, case simulation, lecture, and the contact intervention (education, testimonies (direct contact), videos, and comics). All of the methods used had the potential to improve knowledge, attitude, and practice and reduce negative stigma regarding Leprosy. There is no method of health education superior to another on Leprosy prevention.

摘要

麻风病主要仍存在于中低收入国家。阻断麻风病传播链需要多种途径,尤其需要通过健康教育提高对麻风病预防的认识。尽管多项研究提到了健康教育的有效性,但哪种方法最有效仍存在不确定性。因此,应回答的综述问题是:在社区中针对麻风病开展了哪些形式的健康教育?本综述研究符合 2020 年首选报告项目系统评价和荟萃分析(PRISMA)的要求。检索相关文献涉及 PubMed、ScienceDirect、ERIC、Cochrane 和 ProQuest 数据库,纳入的研究为 2000 年至 2023 年期间发表的,纳入标准为提高知识、改变态度和行为以及减少负面污名等。使用批判性评估技能计划评估研究质量,使用 Cochrane RoB 工具评估偏倚风险。对数据库进行全面搜索共得到 184681 篇文章。只有 6 项研究符合纳入标准。纳入的研究使用了各种教育方法,包括 MH Mobile、麻风病的真相或谣言游戏、海报、传单、社区会议、远程教育网站、讨论列表、聊天、活动日记、图标 3D 视频、视频流媒体课程、视频会议、案例模拟、讲座和接触干预(教育、见证(直接接触)、视频和漫画)。所有使用的方法都有可能提高对麻风病的认识、态度和实践,并减少对麻风病的负面污名。在麻风病预防方面,没有哪种健康教育方法优于其他方法。

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