Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Īlām (Mar 2020)
The Effect of Home Care Education to Parents based on Health Belief Model on Recurrent Urinary Tract Infection of Children
Abstract
Introduction: Regarding to the importance of educational interventions to increase the preventive behaviors of urinary tract infection in children, this study was conducted aimed to investigate the effect of home care education to parents according to the HBM, on recurrence of urinary tract infection in children. Materials & Methods: In this quasi-experimental study with a pre and post design, 120 children with UTI who were hospitalized in the pediatric department of Imam Khomeini Hospital in Boroujerd from 23/9/2017 to 23/12/2017 with their parents were selected by simple sampling method and assigned to control and case groups by random block method. The parents of the experimental group received the educational intervention.The data collection tool was questionnaire designed based on health belief model than distributed before and one month after educational intervention. Urin culture was also performed to determine the recurrence. Data were analyzed by SPSS 21 software, multivariate analysis, independent T-test, paired T-test, Chi-square and two-ratio comparison tests. Findings: education reduced the recurrence of UTI in children) P˂0.001). Also, the mean scores of the whole dimensions of the model increased after training in the two groups (P˂0.001). While the difference in mean scores after training in the two groups was significant only in the dimensions of perceived threat (in the case group 3.84±1.21, in the control group 3.03±1.07) (P=0.039), benefits (in the case group 18.78±3.14, in the control group 20.1±2.8) (P=0.019), behavior (in the case group 30.81±3.77, in the control group 30.16±3.47)(P<0.001), and self-efficacy (in the case group 29.53±3.49, in the control group 25.2±3.07)(P<0.001). Discussion & Conclusions: According to the effectiveness of home-based caring education based on the HBM to parents of children with UTI,on reducing the recurrence of UTI in children, it is better to before of children discharge with urinary tract infection from the hospital, Providing parenting education about the principles of child care, in order to prevent recurrence of UTI.
