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对大学生进行性与生殖健康教育的效果评估:一项随机对照试验。

Evaluation of the Effectiveness of Sexual and Reproductive Health Education Given to University Students: A Randomized Controlled Trial.

作者信息

Öz Tuğba, Arslan Tarus Hamide, Ölmez Yalazı Rüveyda, Demirci Nurdan

机构信息

Department of Nursing, Faculty of Health Sciences, Istanbul Beykent University, Istanbul, Turkey.

Department of Obstetrics and Gynaecology Nursing, Graduate School of Health Sciences, Marmara University, Istanbul, Turkey.

出版信息

Int J Sex Health. 2025 Apr 11;37(2):209-220. doi: 10.1080/19317611.2025.2486105. eCollection 2025.

Abstract

OBJECTIVES

Young people in the university period, known as the transition phase from adolescence to adulthood, are at serious risk in terms of risky sexual behaviors (first sexual intercourse, use of contraceptives, sexually transmitted infections, unwanted pregnancy, maternal mortality, sexual violence). The fact that young people actively use social media and have not received adequate sexual and reproductive health education until the university period is an indication that they are a risky group in terms of sexual and reproductive health when they enter university. It is difficult to access accurate, complete and effective information through digital means, both on social media and other platforms. This study was conducted to evaluate the effectiveness of sexual and reproductive health education methods given to university students.

METHOD

A randomized controlled study was conducted with 165 students at a state university in Istanbul between May and July 2022. In the implementation phase of the study, the students were divided into three different groups: 55 students received QR code-supported face-to-face training (intervention group 1), 55 students received face-to-face training (intervention group 2), and 55 students received on-line training (control group).

RESULTS

The mean age of the students was 21.6 ± 1.87 and 66.7% of them were female. When the effect of education in the groups was examined, it was determined that there was a significant difference between the pretest and post-test of the sexual health knowledge test, QR code supported face-to-face, on-line and face-to-face groups. The level of participation in the statements related to education also differed significantly according to the groups ( < .05).

CONCLUSIONS

The post-test mean of the Sexual Health Knowledge test was significantly higher than the pretest mean. There was no significant difference in the pre-training and post-training means of the Reproductive Health Scale. The level of participation of the QR code-supported face-to-face group and the face-to-face group to the statements related to education is significantly higher than the on-line group. In our study, it was concluded that students were more interactive and more comfortable in the face-to-face education model.

摘要

目的

大学时期的年轻人处于从青春期向成年期的过渡阶段,在危险性行为(首次性行为、使用避孕药具、性传播感染、意外怀孕、孕产妇死亡率、性暴力)方面面临严重风险。年轻人积极使用社交媒体,且直到大学时期才接受足够的性与生殖健康教育,这表明他们进入大学时在性与生殖健康方面是一个高风险群体。无论是在社交媒体还是其他平台上,通过数字手段都难以获取准确、完整且有效的信息。本研究旨在评估给予大学生的性与生殖健康教育方法的有效性。

方法

2022年5月至7月,对伊斯坦布尔一所国立大学的165名学生进行了一项随机对照研究。在研究的实施阶段,学生被分为三个不同的组:55名学生接受了二维码支持的面对面培训(干预组1),55名学生接受了面对面培训(干预组2),55名学生接受了在线培训(对照组)。

结果

学生的平均年龄为21.6±1.87岁,其中66.7%为女性。在检查各小组教育效果时,发现性健康知识测试的预测试和后测试在二维码支持的面对面、在线和面对面小组之间存在显著差异。各小组在与教育相关陈述的参与程度上也存在显著差异(<0.05)。

结论

性健康知识测试的后测试平均分显著高于预测试平均分。生殖健康量表的培训前和培训后平均分没有显著差异。二维码支持的面对面小组和面对面小组对与教育相关陈述的参与程度显著高于在线小组。在我们的研究中,得出的结论是学生在面对面教育模式中更具互动性且更舒适。

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