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基于计划行为理论的教育干预对女性膝关节骨关节炎预防的影响。

The effect of an educational intervention based on the theory of planned behavior on the prevention of knee osteoarthritis in women.

作者信息

Fereidouni Zhila, Bahmandoost Mina, Harsini Pooyan Afzali, Jeihooni Ali Khani

机构信息

Department of Medical-surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran.

Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran.

出版信息

Sci Rep. 2024 Dec 30;14(1):31953. doi: 10.1038/s41598-024-83439-8.

Abstract

Knee osteoarthritis offers significant opportunities for prevention and the mitigation of its severity and associated symptoms through lifestyle modifications. This study aimed to investigate the efficacy of an educational intervention based on the Theory of Planned Behavior (TPB) in promoting preventive behaviors against knee osteoarthritis among women aged over 40 years residing in Fars, Iran. This research utilized a quasi-experimental design. The study population comprised 100 women over the age of 40 who were registered at health centers in Fasa, Iran. Data were collected using a questionnaire based on the Theory of Planned Behavior (TPB). The intervention was implemented through eight educational sessions specifically designed to promote TPB-informed preventive behaviors against knee osteoarthritis. The findings revealed statistically significant differences between the experimental and control groups regarding their scores on attitude, subjective norms, perceived behavioral control, intention, and behavior, both before and after the intervention. At 3 months post-intervention, the experimental group demonstrated significant improvements in all measured constructs, while the control group showed no substantial changes. This study demonstrates that implementing structured educational interventions grounded in behavioral theory, specifically the Theory of Planned Behavior (TPB), can effectively promote preventive behaviors against knee osteoarthritis, thereby potentially reducing its associated morbidity.

摘要

通过生活方式的改变,膝关节骨关节炎在预防以及减轻其严重程度和相关症状方面存在着重大机遇。本研究旨在调查基于计划行为理论(TPB)的教育干预措施在促进伊朗法尔斯省40岁以上女性预防膝关节骨关节炎行为方面的效果。本研究采用了准实验设计。研究对象包括100名年龄在40岁以上、在伊朗法萨的健康中心登记的女性。数据通过基于计划行为理论(TPB)的问卷进行收集。干预措施通过八次专门设计的教育课程来实施,这些课程旨在促进基于TPB的预防膝关节骨关节炎的行为。研究结果显示,在干预前后,实验组和对照组在态度、主观规范、感知行为控制、意图和行为等方面的得分存在统计学上的显著差异。在干预后3个月,实验组在所有测量指标上均有显著改善,而对照组则没有明显变化。本研究表明,实施基于行为理论,特别是计划行为理论(TPB)的结构化教育干预措施,可以有效地促进预防膝关节骨关节炎的行为,从而有可能降低其相关发病率。

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Epidemiology of osteoarthritis.骨关节炎的流行病学。
Osteoarthritis Cartilage. 2022 Feb;30(2):184-195. doi: 10.1016/j.joca.2021.04.020. Epub 2021 Sep 14.
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The Theory of Planned Behavior: Selected Recent Advances and Applications.计划行为理论:近期精选进展与应用
Eur J Psychol. 2020 Aug 31;16(3):352-356. doi: 10.5964/ejop.v16i3.3107. eCollection 2020 Aug.

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