@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(2):127-134
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(2):127-134
Factors Associated with Mothers' Behaviors in Injury Prevention among Premature Neonatal in Hospital: Applying Health Belief Model
ARTICLE INFO
Article Type
Original ResearchAuthors
Daneshvar F. (1)Barati M. (2)
Tapak L. (3)
Rezapur-Shahkolai F. (*4)
(*4) Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
(1) Public Health Department, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
(2) "Social Determinants of Health Research Center" and "Public Health Department, School of Health", Hamadan University of Medical Sciences, Hamadan, Iran
(3) "Modeling of Noncommunicable Diseases Research Center" and " Biostatistics Department, School of Health", Hamadan University of Medical Sciences, Hamadan, Iran
Correspondence
Address: Public Health Department, School of Health, Hamadan University of Medical Sciences, Shahid Fahmideh Street, Hamadan, Iran. Postal code: 6517838736Phone: +98 (81) 38380025
Fax: +98 (81) 38380509
forouzan.rezapour@gmail.com
Article History
Received: February 13, 2020Accepted: March 18, 2020
ePublished: June 20, 2020
ABSTRACT
Aims
Injuries are one of the major health problems among children worldwide. The aim of this study was to determine the factors associated with mothers' behaviors, in injury prevention among premature neonatal, applying Health Belief Model.
Materials & Methods The present study is an analytical cross-sectional study that was performed on 358 mothers with preterm infants admitted to Intensive Care Units of a referral hospital of Hamadan city in 2019. Participants were selected through convenient sampling method. The data collection tools were a questionnaire and a behavior-observation checklist. The questionnaire consisted of the questions about demographic variables, awareness and Health Belief Model constructs. Data were analyzed using SPSS 23 software and AMOS 23 software.
Findings Mothers' injury prevention behaviors had the highest percentages (91.2%) and cues to action had the lowest percentage (58.6%) of the maximum score obtainable among the constructs of the model. The constructs of the perceived benefits (p=0.001), perceived severity (p=0.005), self-efficacy (p=0.010) and cues to action (p=0.040) had significant relation with the mothers' behaviors in preventing injury to premature neonatal. The constructs of Health Belief Model could explain 36% of the variations of mothers’ behavior regarding the care of their premature infant against injury (R2=0.36).
Conclusion The Health Belief Model has a good fit and is useful in investigating mothers' behaviors in caring for their premature neonatal against injuries.
Materials & Methods The present study is an analytical cross-sectional study that was performed on 358 mothers with preterm infants admitted to Intensive Care Units of a referral hospital of Hamadan city in 2019. Participants were selected through convenient sampling method. The data collection tools were a questionnaire and a behavior-observation checklist. The questionnaire consisted of the questions about demographic variables, awareness and Health Belief Model constructs. Data were analyzed using SPSS 23 software and AMOS 23 software.
Findings Mothers' injury prevention behaviors had the highest percentages (91.2%) and cues to action had the lowest percentage (58.6%) of the maximum score obtainable among the constructs of the model. The constructs of the perceived benefits (p=0.001), perceived severity (p=0.005), self-efficacy (p=0.010) and cues to action (p=0.040) had significant relation with the mothers' behaviors in preventing injury to premature neonatal. The constructs of Health Belief Model could explain 36% of the variations of mothers’ behavior regarding the care of their premature infant against injury (R2=0.36).
Conclusion The Health Belief Model has a good fit and is useful in investigating mothers' behaviors in caring for their premature neonatal against injuries.
CITATION LINKS
[1]Meimanatabadi S, Ghofranipour F, Yousefi F, Moradpour F. The effect of educational intervention based on health belief model on the damage caused by accidents among children less than 5 year old of women referred to health centers in Qorveh in 2013. Jorjani Biomed J. 2016;4(1):30-41. [Persian]
[2]Poorolajal J, Cheraghi P, Hazavehei SM. Rezapur Shahkolai F. Factors associated with mothers' beliefs and practices concerning injury prevention in under five-year children, based on health belief model . J Res Health Sci. 2013;13(1):63-8.
[3]Fathi Shekhi M, Shamsi M, Khorsandi M, Heidari M. Predictors accident structures in mothers with children under 5 years old in city of Khorramabad based on Health Belief Model. J Saf Promot Inj Prev. 2015;3(3):199-206. [Persian]
[4]Fraga AMA, Fraga GP, Stanley C, Costantini TW, Coimbra R. Children at danger: injury fatalities among children in San Diego County. Eur J Epidemiol 2010;25(3):211-7.
[5]Farhadi Z, Roshanaei G, Bashirian S, Rezapour Shah Kolaei F. The effect of an educational program on school injury prevention in junior high school students of Famenin based on the health belief model. J Educ Community Health. 2014;1(3):1-11. [Persian]
[6]Soori H, Rafiei E, Entezami, Hasani J, Hosseini SM. A comparison study on rate and causes of under 5 years old deaths in Iran, Eastern Mediterranean region and the world. J Saf Promot Inj Prev. 2016;4(1):1-8. [Persian]
[7]World Health Organization. World health organization injury [Internet]. Geneva: World Health Organization; 2017 [cited 2017 Dec 10]. Available from: https://www.who.int/topics/injuries/en/.
[8]O'Haver J, Moore IM, Insel KC, Reed PG, Melnyk BM, Lavoie M. Parental perceptions of risk and protective factors associated with the adaptation of siblings of children with cystic fibrosis. Pediatr Nurs. 2010;36(6):284-91.
[9]Heidari H, Hasanpour M, Fouladi M. Exploring parental stress relief factors in neonatal intensive care unit(s). Nurs Midwifery J. 2015;13(7):639-47. [Persian]
[10]Rasti M, Aliabadi F, Shafaroodi N, Rafiei F, Kalani M. Specification of the educational needs of parents with premature infants admitted to neonatal intensive care unit. J Mod Rehabil. 2014;8(4):21-9. [Persian]
[11]Valizadeh L, Mahallei M, Safaiyan A, Ghorbani F, Peyghami M. Comparison of the effect of plastic cover and blanket on body temperature of preterm infants hospitalized in NICU: randomized clinical trial. J Caring Sci. 2017;6(2):163-72.
[12]Aliabadi T, Bastani F, Haghani H. Effect of mothers’ participation in preterm infants’ care in NICU on readmission rates. J Hayat. 2011;17(2):71-7. [Persian]
[13]Taheri-Kharameh Z, Barati M, Malekpour F. Shanghai declaration: promoting health in the 2030 program of the sustainable development. J Educ Community Health. 2018;4(4):1-3. [Persian]
[14]World Health Organization. Health education: theoretical concepts, effective strategies and core competencies: a foundation document to guide capacity development of health educators [Internet]. Geneva: World Health Organization; 2012 [cited 2020 May 13]. Available from: https://apps.who.int/iris/handle/10665/119953.
[15]Baghiani Moghadam M, Shojaeizadeh D, Mohammadloo A, Fallahzadeh H, Ranjbari M. Evaluationof preventive behaviors of UTI based on health belief model (HBM) in mothers with girls younger than 6 years old. Toloo-e Behdasht. 2013;12(1):78-88. [Persian]
[16]Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education; theory, research, and practice. 4th Edition. San Francisco: Jossey-Bass; 2008.
[17]Wong LP, Wong Y, Low WY, Khoo EM, Shuib R. Cervical cancer screening attitudes and beliefs of Malaysian women who have never had a pap smear :a qualitative study. Int J Behav Med. 2008;15(4):289-92.
[18]Asgari M, Shirinabadi Farahani A, Zagheri Tafreshi M, Nasiri M, Salaj Mahmoudi S. The conformity of neonatal skin care with nursing standards in NICUs. J Health Care. 2017;19(2):140-51. [Persian]
[19]Hazavehei SMM, Shadzi S, Asgari T, Pourabdian S, Hassanzadeh A. The effect of safety education based on health belief model (HBM) on the workers practice of Borujen industrial town in using the personal protection respiratory equipment. Iran Occup Health. 2008:5(1&2):21-30. [Persian]
[20]Rezapour Shahkolai F, Bande Elahi K, Karimi Shahanjarini A, Farhadian M. The factors related to mothers' beliefs and behaviors concerning the prevention of poisoning among children under the age of five, using the health belief model. Turk J Pediatr. 2019;61(5):749-56.
[21]Rezapour-Shahkolai F, Afshari M, Moghimbeigi A, Hazavehei SMM. Home-related injuries among under-five-year children and mothers’ care regarding injury prevention in rural areas. Int J Inj Contr Saf Promot. 2017;24(3):354-62.
[22]Santagati G, Vezzosi L, Angelillo IF. Unintentional injuries in children up to six years of age and related parental knowledge, attitudes, and behaviors in Italy. J Pediatr. 2016;177:267-72.
[23]Ghasemi M, Dehdari T, Mohagheghi P, Gohari MR, Zargarzadeh Z. Mothers' performance on caring for their premature infants: a pilot study. Iran J Nurs. 2012;25(79):24-33. [Persian]
[24]Cheraghi P, Poorolajal J, Hazavehi SMM, Rezapour-Shahkolai F. Effect of educating mothers on injury prevention among children aged <5years using the Health Belief Model: a randomized controlled trial. Public Health. 2014;128(9):825-30.
[25]Razi T, Shamsi M, Khorsandi M, Roozbahani N, Ranjbaran M. Assessing health belief model construct in paying attention to danger signs in children less than five years old. J Mazandaran Univ Med Sci. 2015;25(124):218-23. [Persian]
[26]Grosveno J, O’ Hara M, Dowling M. Skin injury prevention in an Irish neonatal unit: an action research study. J Neonat Nurs. 2016;22(4):185-95.
[2]Poorolajal J, Cheraghi P, Hazavehei SM. Rezapur Shahkolai F. Factors associated with mothers' beliefs and practices concerning injury prevention in under five-year children, based on health belief model . J Res Health Sci. 2013;13(1):63-8.
[3]Fathi Shekhi M, Shamsi M, Khorsandi M, Heidari M. Predictors accident structures in mothers with children under 5 years old in city of Khorramabad based on Health Belief Model. J Saf Promot Inj Prev. 2015;3(3):199-206. [Persian]
[4]Fraga AMA, Fraga GP, Stanley C, Costantini TW, Coimbra R. Children at danger: injury fatalities among children in San Diego County. Eur J Epidemiol 2010;25(3):211-7.
[5]Farhadi Z, Roshanaei G, Bashirian S, Rezapour Shah Kolaei F. The effect of an educational program on school injury prevention in junior high school students of Famenin based on the health belief model. J Educ Community Health. 2014;1(3):1-11. [Persian]
[6]Soori H, Rafiei E, Entezami, Hasani J, Hosseini SM. A comparison study on rate and causes of under 5 years old deaths in Iran, Eastern Mediterranean region and the world. J Saf Promot Inj Prev. 2016;4(1):1-8. [Persian]
[7]World Health Organization. World health organization injury [Internet]. Geneva: World Health Organization; 2017 [cited 2017 Dec 10]. Available from: https://www.who.int/topics/injuries/en/.
[8]O'Haver J, Moore IM, Insel KC, Reed PG, Melnyk BM, Lavoie M. Parental perceptions of risk and protective factors associated with the adaptation of siblings of children with cystic fibrosis. Pediatr Nurs. 2010;36(6):284-91.
[9]Heidari H, Hasanpour M, Fouladi M. Exploring parental stress relief factors in neonatal intensive care unit(s). Nurs Midwifery J. 2015;13(7):639-47. [Persian]
[10]Rasti M, Aliabadi F, Shafaroodi N, Rafiei F, Kalani M. Specification of the educational needs of parents with premature infants admitted to neonatal intensive care unit. J Mod Rehabil. 2014;8(4):21-9. [Persian]
[11]Valizadeh L, Mahallei M, Safaiyan A, Ghorbani F, Peyghami M. Comparison of the effect of plastic cover and blanket on body temperature of preterm infants hospitalized in NICU: randomized clinical trial. J Caring Sci. 2017;6(2):163-72.
[12]Aliabadi T, Bastani F, Haghani H. Effect of mothers’ participation in preterm infants’ care in NICU on readmission rates. J Hayat. 2011;17(2):71-7. [Persian]
[13]Taheri-Kharameh Z, Barati M, Malekpour F. Shanghai declaration: promoting health in the 2030 program of the sustainable development. J Educ Community Health. 2018;4(4):1-3. [Persian]
[14]World Health Organization. Health education: theoretical concepts, effective strategies and core competencies: a foundation document to guide capacity development of health educators [Internet]. Geneva: World Health Organization; 2012 [cited 2020 May 13]. Available from: https://apps.who.int/iris/handle/10665/119953.
[15]Baghiani Moghadam M, Shojaeizadeh D, Mohammadloo A, Fallahzadeh H, Ranjbari M. Evaluationof preventive behaviors of UTI based on health belief model (HBM) in mothers with girls younger than 6 years old. Toloo-e Behdasht. 2013;12(1):78-88. [Persian]
[16]Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education; theory, research, and practice. 4th Edition. San Francisco: Jossey-Bass; 2008.
[17]Wong LP, Wong Y, Low WY, Khoo EM, Shuib R. Cervical cancer screening attitudes and beliefs of Malaysian women who have never had a pap smear :a qualitative study. Int J Behav Med. 2008;15(4):289-92.
[18]Asgari M, Shirinabadi Farahani A, Zagheri Tafreshi M, Nasiri M, Salaj Mahmoudi S. The conformity of neonatal skin care with nursing standards in NICUs. J Health Care. 2017;19(2):140-51. [Persian]
[19]Hazavehei SMM, Shadzi S, Asgari T, Pourabdian S, Hassanzadeh A. The effect of safety education based on health belief model (HBM) on the workers practice of Borujen industrial town in using the personal protection respiratory equipment. Iran Occup Health. 2008:5(1&2):21-30. [Persian]
[20]Rezapour Shahkolai F, Bande Elahi K, Karimi Shahanjarini A, Farhadian M. The factors related to mothers' beliefs and behaviors concerning the prevention of poisoning among children under the age of five, using the health belief model. Turk J Pediatr. 2019;61(5):749-56.
[21]Rezapour-Shahkolai F, Afshari M, Moghimbeigi A, Hazavehei SMM. Home-related injuries among under-five-year children and mothers’ care regarding injury prevention in rural areas. Int J Inj Contr Saf Promot. 2017;24(3):354-62.
[22]Santagati G, Vezzosi L, Angelillo IF. Unintentional injuries in children up to six years of age and related parental knowledge, attitudes, and behaviors in Italy. J Pediatr. 2016;177:267-72.
[23]Ghasemi M, Dehdari T, Mohagheghi P, Gohari MR, Zargarzadeh Z. Mothers' performance on caring for their premature infants: a pilot study. Iran J Nurs. 2012;25(79):24-33. [Persian]
[24]Cheraghi P, Poorolajal J, Hazavehi SMM, Rezapour-Shahkolai F. Effect of educating mothers on injury prevention among children aged <5years using the Health Belief Model: a randomized controlled trial. Public Health. 2014;128(9):825-30.
[25]Razi T, Shamsi M, Khorsandi M, Roozbahani N, Ranjbaran M. Assessing health belief model construct in paying attention to danger signs in children less than five years old. J Mazandaran Univ Med Sci. 2015;25(124):218-23. [Persian]
[26]Grosveno J, O’ Hara M, Dowling M. Skin injury prevention in an Irish neonatal unit: an action research study. J Neonat Nurs. 2016;22(4):185-95.