نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی‌ارشد، گروه آموزش بهداشت و ارتقای سلامت، دانشکده علوم پزشکی ساوه، ساوه، ایران

2 استاد گروه آموزش بهداشت و ارتقای سلامت، واحد علوم و تحقیقات دانشگاه آزاد اسلامی، تهران، ایران

3 دکترى تخصصى، گروه آموزش بهداشت و ارتقای سلامت، دانشگاه علوم پزشکى ایران، تهران، ایران

چکیده

زمینه و هدف: ویروس هپاتیت B یک عفونت ویروسی بالقوه کشنده است که می‌تواند منجر به بیماری حاد و مزمن کبدی مانند سرطان و سیروز شود. مطالعه حاضر باهدف تعیین تأثیر مداخله آموزشی مبتنی بر مدل اعتقاد بهداشتی بر ارتقای رفتارهای پیشگیری‌کننده از هپاتیت B در دانشجویان علوم پزشکی ساوه انجام شد.
مواد و روش­ها: در این مطالعه نیمه‌تجربی، ۹۲ نفر از دانشجویان دانشکده علوم پزشکی ساوه به روش نمونه‌گیری تصادفی و در دو مرحله بررسی شدند. ابزار گردآوری داده‌ها پرسش‌نامه محقق‌ساخته و براساس سازه‌های مدل اعتقاد بهداشتی بود که پس از ارزیابی روایی و پایایی آن، توسط هر دو گروه قبل و بعد از مداخله تکمیل شد. مداخله شامل ۴ جلسه آموزشی بود. داده‌ها در نرم‌افزار SPSS نسخه ۲۴ تجزیه‌وتحلیل شد.
یافته­ها: نتایج نشان داد که قبل از مداخله آموزشی اختلاف آماری معناداری در میانگین نمرات سازه‌های مدل اعتقاد بهداشتی بین دو گروه آزمون و کنترل وجود نداشته است (05/0P>). اما بعد از مداخله آموزشی اختلاف آماری معناداری بین تغییرات قبل و بعد نمرات آگاهی، حساسیت درک‌شده، منافع درک‌شده، خودکارآمدی درک‌شده و رفتارهای پیشگیری‌کننده از هپاتیت B  بین دو گروه مداخله و کنترل مشاهده شد (05/0P<).
نتیجه‌گیری: نتایج نشان داد که آموزش براساس مدل اعتقاد بهداشتی در ارتقای رفتارهای پیشگیری‌کننده از هپاتیت B در دانشجویان مؤثر است. باتوجه‌به افزایش نمرات سازه‌ها، اجرای برنامه آموزشی براساس مدل اعتقاد بهداشتی در دانشجویان می‌تواند باعث بهبود عملکرد آنان در مورد بیماری هپاتیت B گردد.
 

تازه های تحقیق

https://scholar.google.com/citations?user=2OfoIfAAAAAJ&hl=en

https://pubmed.ncbi.nlm.nih.gov/?term=leila+roodaki

https://scholar.google.com/citations?user=Rhs8N2AAAAAJ&hl=en

https://pubmed.ncbi.nlm.nih.gov/?term=davood+shopjaezadeh

https://scholar.google.com/citations?user=5yI2Tx8AAAAJ&hl=fa

https://pubmed.ncbi.nlm.nih.gov/?term=zahra+saboohi

 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effect of Educational Intervention Based on the Health Belief Model on Hepatitis B Preventive Behaviors among Students of Saveh University of Medical Sciences, Iran

نویسندگان [English]

  • leila roodaki 1
  • Davood Shojaeizadeh 2
  • Zahra Saboohi 3

1 MSc, Department of Health Education and Health Promotion, Saveh School of Medical Sciences, Saveh, Iran

2 Professor, Department of Health Education and Health Promotion, Science and Research Branch, Islamic Azad University, Tehran, Iran

3 PhD, Department of Health Education and Health Promotion, Iran University of Medical Sciences, Tehran, Iran

چکیده [English]

Background: Hepatitis B virus is a potentially fatal viral infection that can lead to acute and chronic liver disease such as cancer and cirrhosis. The present study was conducted with the aim of determining the effect of an educational intervention based on the health belief model on the promotion of hepatitis B preventive behaviors in medical students of Saveh, Iran.
Materials and Methods: In this quasi-experimental study, 92 students at Saveh School of Medical Sciences were recruited in 2018 by random sampling method in two stages. The data was collected through a researcher-made questionnaire, completed by both groups before and after the intervention after evaluating its validity and reliability. Data were analyzed in SPSS 24 software.
Results: The results showed that before the educational intervention, there was no significant statistical difference in the mean scores of the health belief model structures between the intervention and control groups (p > 0.05). However, after the educational intervention, a statistically significant difference was observed between the before and after changes across their scores in awareness, perceived sensitivity, perceived benefits, perceived self-efficacy, and hepatitis B prevention behaviors across the intervention and control groups (p > 0.05).
Conclusion: The results showed that education based on the health belief model is effective in promoting hepatitis B prevention behaviors among students. Considering the increase in scores of the related constructs, the implementation of an educational program based on the health belief model among students can improve their knowledge and performance regarding hepatitis B disease.

کلیدواژه‌ها [English]

  • Educational intervention
  • Hepatitis B
  • Health Belief Model
  • Students
  1. Balegha AN, Yidana A, Abiiro GA. Knowledge, attitude and practice of hepatitis B infection prevention among nursing students in the Upper West Region of Ghana: A cross-sectional study. PloS one. 2021;16(10):e0258757. doi: 10.1371/journal.pone.0258757.
  2. Raines-Milenkov A, Felini M, Baker E, Acharya R, Longanga Diese E, Akpan I, et al. Hepatitis B virus awareness, infection, and screening multiethnic community intervention for foreign-born populations. Journal of Community Health. 2021;46(5):967-74. doi: 10.1007/s10900-021-00982-5.
  3. Yotsuyanagi H, Kurosaki M, Yatsuhashi H, Lee I-H, Ng A, Brooks-Rooney C, et al. Characteristics and healthcare costs in the aging hepatitis B population of Japan: A nationwide real-world analysis. Digestive Diseases. 2022;40(1):68-77. doi: 10.1159/000515854.
  4. Dowran R, Malekzadeh M, Nourollahi T, Sarkari B, Sarvari J. The prevalence of hepatitis B virus markers among students of Shiraz University of Medical Sciences. Advanced Biomedical Research. 2021;10. doi:  10.4103/abr.abr_173_20.
  5. Acikgoz A, Yoruk S, Kissal A, Yildirimcan Kadicesme Ş, Catal E, Kamaci G, et al. Healthcare students’ vaccination status, knowledge, and protective behaviors regarding hepatitis B: a cross-sectional study in Turkey. Human Vaccines & Immunotherapeutics. 2021;17(11):4595-602. doi:  10.1080/21645515.2021.1973321.
  6. Nguyen MH, Wong G, Gane E, Kao J-H, Dusheiko G. Hepatitis B virus: advances in prevention, diagnosis, and therapy. Clinical microbiology reviews. 2020;33(2):e00046-19. doi: 10.1128/CMR.00046-19.
  7. Rapisarda V, Nunnari G, Senia P, Vella F, Vitale E, Murabito P, et al. Hepatitis B vaccination coverage among medical residents from Catania University Hospital, Italy. Future microbiology. 2019;14(9s):41-4. doi:  10.2217/fmb-2018-0240.
  8. Demsiss W, Seid A, Fiseha T. Hepatitis B and C: Seroprevalence, knowledge, practice and associated factors among medicine and health science students in Northeast Ethiopia. PLoS One. 2018;13(5):e0196539. doi: 10.1371/journal.pone.0196539.
  9. Gebremeskel T, Beshah T, Tesfaye M, Beletew B, Mengesha A, Getie A. Assessment of knowledge and practice on hepatitis B infection prevention and associated factors among health science students in Woldia University, Northeast Ethiopia. Advances in preventive medicine. 2020;2020.doi:10.1155/2020/9421964.
  10. Abdela A, Woldu B, Haile K, Mathewos B, Deressa T. Assessment of knowledge, attitudes and practices toward prevention of hepatitis B virus infection among students of medicine and health sciences in Northwest Ethiopia. BMC research notes. 2016;9(1):1-7. doi:10.1186/s13104-016-2216-y.
  11. Mohsen F, Shibani M, Ibrahim N, Alhourani G, Melhem S, Alzabibi MA, et al. Knowledge, Attitude, and Practice Regarding HIV, HBV, and HCV Among Medical Students of Syrian Private University, Damascus, Syria. Community health equity research & policy. 2023;43(2):161-70.doi:10.1177/0272684X211004923.
  12. Bazargani Z, Sarikhani F, Darenjani SK, Amirkhani M, Harsini PA, Khani Jeihooni A. Effect of Educational intervention based on Health Belief Model on promoting preventive behaviours of urinary tract infections in mothers with children under 6-Years of age. BMC Women's Health. 2022;22(1):1-8. doi:10.1186/s12905-022-01981-x.
  13. Liu H, Lai G, Shi G, Zhong X. The Influencing Factors of HIV-Preventive Behavior Based on Health Belief Model among HIV-Negative MSMs in Western China: A Structural Equation Modeling Analysis. International Journal of Environmental Research and Public Health. 2022;19(16):10185. doi:10.3390/ijerph191610185.
  14. Mahmoudi TB, Khorsandi M, Shamsi M, Ranjbaran M. Effect of education based on health belief model on preventive behaviors of hepatitis B disease in health volunteers. Journal of Education and Community Health. 2020;7(3):169-75. doi :10.29252/jech.7.3.169.
  15. Bakhshi M, Bashirian S, Barati M, Fathi Y, Mitra Zandieh M. Effect of an educational intervention based on health belief model on promoting preventive behaviors of needlestick injuries in operating room personnel. Hayat. 2020;26(3):280-94. doi:10.5812/jcrps-129153.
  16. Joorbonyan H, Ghaffari M, Rakhshanderou S. Peer-led theoretically Desinged HIV/AIDS prevention intervention among students: a case of health belief model. BMC Public Health. 2022;22(1):1-10. doi:  10.1186/s12889-021-12445-6.
  17. Gerayloo S, Karimian Kakolaki Z, Safdari F, Motaghi B, Sharifabad M, Sharifi E, et al. Effects of health education on the knowledge and attitude of health coordinators towards gestational diabetes in minoodasht, 2013. Journal of Diabetes Nursing. 2015;3(1):19-28. http://jdn.zbmu.ac.ir/article-1-104-fa.html.
  18. Ashoori F, Karimi M, Seif M. Comparison of the effect of mothers and students’ education on the promotion of oral health behaviours in female students, using the health belief model. International Journal of Dental Hygiene. 2022;20(4):601-8. doi:  10.1111/idh.12564.
  19. Ghaffari M, Rakhshanderou S, Ramezankhani A, Buunk‐Werkhoven Y, Noroozi M, Armoon B. Are educating and promoting interventions effective in oral health?: A systematic review. International Journal of Dental Hygiene. 2018;16(1):48-58. doi: 10.1111/idh.12305.
  20. Vaezipour Z, Gharlipour Z, Mohebi S, Sharifirad G. Effect of education on promoting preventive behaviors of oral and dental problems: applying health belief model. Health Education and Health Promotion. 2018;6(4):135-41. doi: 10.29252/HEHP.6.4.135.
  21. Delsouz S, Farrokh Eslamlou H-R, Didarloo A. The Impact Of Educational Intervention Based On Health Belief Model On Promoting Health Beliefs Among Male High School Students In Oshnavieh Toward Aids. Nursing And Midwifery Journal. 2021;19(1):67-76.  http://unmf.umsu.ac.ir/article-1-4315-en.html.
  22. Oveisi S, Zahedifar F, Atashgar E, Yadegary Z, Amole N, Taherkhanee S. Prediction of Dental Caries Preventive Behaviors using Health Belief Model (HBM). Health Education and Health Promotion. 2019;7(3):105-9. doi: 10.29252/HEHP.7.3.105.
  23. Koohsari M, Mohebbi B, Sadeghi R, Tol A, Rahimi Forooshani A. Assessing the effect of educational intervention based on health belief model in improving standard precautions adherence to prevent needlestick among clinical staff of hospitals. Journal of Hospital. 2017;15(4):49-57.  http://jhosp.tums.ac.ir/article-1-5675-en.html.