دوره 19، شماره 77 - ( 4-1390 )                   جلد 19 شماره 77 صفحات 106-94 | برگشت به فهرست نسخه ها

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Besharati F, Hazavehei S M M, Moeini B, Moghimbeigi A. Effect of Educational Interventions Based on Theory of Planned Behavior (TPB) in Selecting Delivery Mode among Pregnant Women Referred to Rasht Health Centers. J Adv Med Biomed Res 2011; 19 (77) :94-106
URL: http://journal.zums.ac.ir/article-1-1661-fa.html
بشارتی فرشته، هزاده‌ای سید محمد مهدی، معینی بابک، مقیم بیگی عباس. بررسی تاثیر برنامه‌ی آموزشی مبتنی بر تئوری رفتار برنامه‌ریزی شده در انتخاب روش زایمانی زنان باردار مراجعه کننده به مراکز بهداشتی شهر رشت. Journal of Advances in Medical and Biomedical Research. 1390; 19 (77) :94-106

URL: http://journal.zums.ac.ir/article-1-1661-fa.html


1- ، babak_moeini@umsha.ac.ir
چکیده:   (178780 مشاهده)

Background and Objective: In recent years, most developed countries have aimed at reducing the cesarean rate through education and other interventions. In our country, however, despite all efforts, the cesarean rate remains very high. The aim of this study was to determine the effects of educational intervention based on the Theory of Planned Behavior (TPB) on choosing delivery mode in pregnant women, who were referred to the Rasht Health Centers.
Materials and Methods: This quasi-experimental study included 72 pregnant women referred to various Health Centers in Rasht in the spring and summer of 2010. After a pre-test by using a valid and reliable questionnaire for both groups, specific training was provided for the intervention group based on the Theory of Planned Behavior. At the end of the pregnancies, post-test were performed in both groups and the results were analyzed by SPSS-13 software.
Results: The results indicate that there were significant differences in the mean knowledge, evaluations of behavioral outcome, attitude (P =0.000), perceived behavioral control, subjective norms, and behavioral intention (P < 0.05) among pregnant women in the test group compared with the control. There was a significant difference in behavior between the two groups (P < 0.05).
Conclusion: The results show that maternal educations in the field for persuasion of normal delivery had been effective. Therefore, we recommend implementing training programs based on Theory of Planned Behavior, in order to persuade pregnant women for normal delivery and decreasing the rate of the cesarean section.

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نوع مطالعه: مقاله پژوهشی |
دریافت: 1390/8/26 | پذیرش: 1393/4/1 | انتشار: 1393/4/1

فهرست منابع
1. Villar J. Caesarean delivery rates and pregnancy outcomes: The 2005 WHO global survey on maternal and prenatal health in Latin America. Lancet. 2006; 367: 1819-29. [DOI:10.1016/S0140-6736(06)68704-7]
2. Hankins GD, Clark SM, Munn MB. Semin Perinatal. 2006; 30: 276-87. [DOI:10.1053/j.semperi.2006.07.009] [PMID]
3. Cunningham FG, Leveno K, Bloom SL, Hauth JC, Gilstrap L, Wenstrom KD. Williams Obstetrics. New York: Mc Graw Hill: 2005.
4. Anthony BA. Is planned cesarean childbirth a safe alternative? CMAJ. 2007; 176: 475-6. [DOI:10.1503/cmaj.061724] [PMID] [PMCID]
5. Fathian Z, Sharifirad GR, Fathian Z, Pezeshkihebi F. Frequency of cesarean section and its related factors in Khomeinyshahr-Isfahan province 2005. Health System Research Journal. 2011; 6: 786-793.
6. The National Institutes of Health (NIH) Consensus Development Program, NIH State-of-the-Science Conference Statement on cesarean delivery on maternal request. NIH Consens State Sci Statements. 2006; 23: 1-29.
7. Moeini B, Besharati F, Hazavehi SMM, Moghimbeigi A.Women's Attitudes toward Elective Delivery Mode Based on the Theory of Planned Behavior. J Guilan Univ Med Sci. 2011. 20: 68-76.
8. Lin HC, Irasagar S. Institutional factorsin Cesarean delivery rates: Policy and research implications. Obs and Gyn. 2004; 103: 128-36. [DOI:10.1097/01.AOG.0000102935.91389.53] [PMID]
9. Lobel M, De Luca R. Psychosocial sequel of cesarean delivery: review and analysis of their causes and implications. Soc Sci Med. 2007; 64: 2272-84. [DOI:10.1016/j.socscimed.2007.02.028] [PMID]
10. Wilkinson C, Meilwaine G, Boution Jones C. Is arising cesarean section rate inevitable?Br J Obstet Gynecol. 1998; 105: 45-52. [DOI:10.1111/j.1471-0528.1998.tb09349.x] [PMID]
11. Rivlin ME, R Martin. Manual of clinical problems in obstetrics and gynecology. Philadelphia: Lippincott Williams & Wilkins, 2000.
12. Klein M. Obstetrician's fear of childbirth: How did it happen? Birth. 2005; 32: 207-209. [DOI:10.1111/j.0730-7659.2005.00371.x] [PMID]
13. Gamble J, Creedy D, McCourt C, Weaver J, Beake S. A critique of the literature on Women's request for a cesarean section. Birth. 2007; 34: 331-40. [DOI:10.1111/j.1523-536X.2007.00193.x] [PMID]
14. Stoll K, Fairbrother N, Carty E, JordanN, Miceli C, Vostrcil Y, Willihnganz L. It's All the Rage These Days: University students' attitudes toward vaginal and cesarean birth. Birth. 2009; 36: 133-140. [DOI:10.1111/j.1523-536X.2009.00310.x] [PMID]
15. Nilstun T, Habiba M, Lingman G, Saracci R, Da Fre M, Cuttini M. Cesarean delivery on maternal request: Can the ethical problem be solved by the principlist approach? BMC Med Ethics. 2008; 9: 1-8. [DOI:10.1186/1472-6939-9-11] [PMID] [PMCID]
16. Hazavehei SMM, Besharati F, Moeini B, Moghimbeigi A. View of women to select delivery mode based on theory of planned behavior in rasht. [Research Final Repotrt] Hamadan: Hamadan University of Medical Scinces; 2010.
17. Tavasoli M. The effects of education on elective cesarean reduce in pregnant women. [Dissertation] Tehran: The University Of Tarbiat Modarres; 2001.
18. Weaver JJ, Statham H, Richards M. Are there unnecessary cesarean sections? Perceptions of women and obstetricians about cesarean sections for nonclinical indications. Birth. 2007; 34: 32-41. [DOI:10.1111/j.1523-536X.2006.00144.x] [PMID]
19. Allahverdipoor H. Passing through traditional health education towards theory-oriented health education. Health Promotion Edu J. 2005; 1: 75-9.
20. Brown KM. Research/theories/models. Theory of reason action / planned behavior overview. University of South Florida. Retrieved February26, 2009, Available from: http://hsc.usf. edu/~kmbrown/Research.htm
21. Ajzen I. The theory of planned behavior. Organizational Behavior Human Decision Processes. 1991: 50, 179-211. [DOI:10.1016/0749-5978(91)90020-T]
22. Glanz K, Lewis M, Rimer BK. Health behavior and health education: Theory, research, and practice. San Francisco: Jossey-Bass; 2008.
23. Butler T. Principles of health education and health promotion. USA: Morton Publishing Company; 2001.
24. Alimohammadian M, Shriat M, Mahmoodi M, Ramezanzadeh F. Choice of delivery in Tehran and some related factors. J Family and Reproductive Health. 2007; 2: 81-5.
25. Mostafazadeh F, Mashofi M, Rostamnezad M. Attitude of pregnant women toward cesarean and vaginal deliveries in Ardabil. J Ardabil Med Sci Uni. 2007; 6: 403-8.
26. Althabe F, Belizan JF. Caesarean section: The paradox. The Lancet. 2006; 368: 1472-3. [DOI:10.1016/S0140-6736(06)69616-5]
27. Chong ESY, Mongelli M. Attitude of Singapore women toward cesarean and Vaginal deliveries. Int J Gynaecol Obstet. 2003; 80: 189-61 [DOI:10.1016/S0020-7292(02)00391-0]
28. Fathyian Z, Sharifirad GR, Hasanzadeh A, Fathyian Z. The effect of education on knowledge, attitude and function in pregnant women than normal vaginal delivery, according intention model in Khomainy-shahr. J Tabib Shargh. 2007; 9: 123-31.
29. Rahimi Kian F, Mirmohamad Aliei M, Mehran A, Abouzari Gazafroudi K, Salmani Barough N. Effect of education designed based on health belief model on choosing delivery mode. Hayat. 2008- 2009; 14: 25-32.
30. Tofighi Niaki M, Behmanesh F, Mashmouli F, Azimi H. The effect of prenatal group education on knowledge, attitude and selection of delivery type in primiparous women. Iranian J Medical Education. 2010; 10: 124-9.
31. Lashgari MH, Delavari S, Markazi Moghaddm N, Gorouhi F. Effects of training program women on their delivery type selection: A single blind, randomized control trial. J Army University of Medical Science of Iran. 2006; 3: 679-84.
32. Amidi M ,Akbarzadeh K. The effects of health education on pregnant woman's knowledge and attitude on cesarean section. J Ilam med sci uni. 2005; 13: 17-25.
33. Atqayy A. Evalution the amount of educating complication before delivery on the selection of type delivery in first pregnancy of healthy mothers. (Natural vaginal delivery-elective cesarean) [Dissertation]. Kerman: Kerman University of Medical Sciences; 2006.
34. Sharifirad GR, Baghiani Moghadam MH, Fathiyan F, Rezaeian M. The effect of health education using behavior intention model on cesarean in Khomainy-shahr, Iran. IJNMR. 2009; 14: 105-10.
35. Caron F, Godin G, Otise J, Lambert LD. Evalation of a theoretically based AIDS-STD peer education program on postponing sexual intercourse and on condom among adolescents attending high school. Health Educ Res. 2004; 19: 133-48. [DOI:10.1093/her/cyg017] [PMID]
36. Niknami Sh, Hatefnia E, Mahmoudi M, Lamieian M. The effects of theory of planned behavior based education on the promotion of mammography performance in employed women. J Birjand Med Sci Uni. 2010; 17: 50-8.
37. Peyman N. Modifying and evaluating of steps of behavior change (SBC) model integrated with self efficacy theory in order to decrease unwanted pregnancy. [Dissertation] Tehran: University of Tarbiat Modarres; 2007.
38. Kazemzadeh M, Pouralajal J, Ghazanfarzadeh B, Ghahramani M. Promotion of safe labor through training healthcare workers and pregnant women to reduce cesarean rate in Malayer(2004-2005). J Medical Council Of IRIN. 2007; 25: 149-53.

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