Document Type : Original Article
Authors
- . Nima Pourgholamamiji
- . Hooman Shahsavari 1
- . Arpi Manookian 2
- . Tahereh Soori 3
- . Maryam Zandkarimkhani 4
- . Zahra Zare 5
1 Department of Medical‑Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Medical‑Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran, USERN CARE (TUMS) Office, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Infectious Disease, Razi Skin Hospital, Tehran University of Medical Sciences, Tehran, Iran
4 Research Center of Razi Skin Hospital, Tehran University of Medical Sciences, Tehran, Iran
5 Department of Operating Room, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
Abstract
BACKGROUND: Sexually transmitted diseases are a major health problem in all countries. Human
papillomavirus (HPV) infection is the most common viral sexually transmitted disease in both genders.
High‑risk sexual behaviors (HRSBs) are among the major risk factors for HPV infection. Lack of
knowledge can contribute to HRSBs and hence, education can potentially reduce HRSB risk. This
is a study using theory of reasoned action to reduce the high‑risk sexual behaviors among patients
with HPV.
MATERIALS AND METHODS: This study was a two‑grouped, randomized, controlled trial. The
educational program was developed based on the results of a survey into the most important
components of the theory of reasoned action contributing to HRSBs among 100 patients recruited
from Razi hospital, Tehran, Iran. Then, 110 patients from the same hospital were consecutively
recruited and randomly allocated to a control (n = 55) and an intervention (n = 55) group. Then,
each participant in the intervention group was provided with the developed educational program.
Their counterparts in the control group solely received routine care services. Three months after
the first educational session, HRSBs were reassessed in both groups. Data were analyzed via the
SPSS software (v. 21.0).
RESULTS: After the intervention, the mean score of HRSBs significantly decreased in the intervention
group (P < 0.001) but did not significantly change in the control group (P = 0.70). The post‑test mean
score of HRSBs in the intervention group was significantly less than the control group (P = 0.015).
CONCLUSION: Education based on the theory of reasoned action is effective in significantly reducing
HRSBs. Nurses can develop and use educational interventions based on this theory to reduce
HRSBs and HPV infection.
Keywords
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