The Effectiveness of Health Education Program Implemented by School Nurses on Primary School Students' Health Perception, Health Behaviors and Health Control
Year 2024,
Volume: 6 Issue: 2, 82 - 89, 30.08.2024
Asli Kalkım
,
Zuhal Emlek Sert
,
Hatice Gürgen Şimşek
,
Süheyla Altuğ Özsoy
Abstract
Objective: This study aimed to investigate the effectiveness of health education program implemented by school nurses on primary school students’ health perception, health behaviors and health control.
Methods: Single-group pre-test post-test quasi-experimental study was conducted in Türkiye between September 2016 and June 2019 at a primary school with 1433 students. Data were collected using Student Description Form, Scale of Health Perception and Health Behaviors in Children, Scale of Health Control Focus in Children. Health education program was composed of health responsibility, adequate and balanced nutrition, sleep, rest and exercise, protection from accidents and a safe classroom environment, and personal hygiene. Data were collected pretest, posttest after the end of the education program.
Results: There was a significant increase in the students’ mean scores on the control focus scale and the health perceptions and health behaviors scale (p <.05).
Conclusion: Health education program given by the nurse was effective in instilling positive health behaviors. In health education to be given in schools, the effective participation of students in activities relating to gaining positive health behaviors must be ensured, and more permanent learning and easier transfer of what has been learned into behavior must be ensured by interactive, participatory education of students.
Project Number
Project ID:818
References
- Ahmad, M., Hussain, M., Afzal, M., & Gilani, S. A. (2019). Effectiveness of health education to improve oral care of primary school children in a rural community of Pakistan. EC Dental Science, 1-9.
- Akçay, D., & Yıldırımlar, A. (2018). Investigation of children’s school accident and behavior of their parents safety measures. Dokuz Eylül University Faculty of Nursing Electronic Journal, 11 (1), 48-55.
- Akkaya, D. D., & Sezici, E. (2020). Teaching preschool children correct toothbrushing habits through playful learning interventions: A randomized controlled trial. Journal of Pediatric Nursing. 56, 70-76. https://doi.org/10.1016/j.pedn.2020.08.001.
- American Academy of Pediatrics (AAP). (2008). Role of the school nurse in providing school health services. Pediatrics, 121, 1052. https://doi.org/10.1542/peds.2008-0382.
- Awan G. A, & Azeem M. S. (2017). Gender differences and ıts ımpact on students' performance: A socio-linguistic analysıs. Global Journal of Management, Social Sciences and Humanities, 3(2), 352-372.
- Azizoğlu, S., Crewther, S.G., Şerefhan, F., Barutchu, A., Göker, S., & Junghans, B.M. (2017). Evidence for the need for vision screening of school children in Turkey. BMC Ophthalmology, 17(1), 230. https://doi.org/10.1186/s12886-017-0618-9.
- Centers for Disease Control and Prevention (CDC) (2012). Health Education Curriculum Analysis Tool. Atlanta. https://www.cdc.gov/healthyyouth/hecat/index.htm.
- Centers for Disease Control and Prevention (CDC) (2019). About CDC Healthy Schools. https://www.cdc.gov/healthyschools/about.htm.
- Childhood Obesity Surveillance Initiative-Turkey [COSI-TUR]. (2019). Turkey Childhood (Primary School 2 Grade Students) Obesity Surveillance Initiative (Cosi-Tur) 2016. Ministry of Health Publication. https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/dokumanlar/Ingilizce-Yayinlar/COSITUR_2016_/Turkey_Childhood_Obesity_Cosi_tur_2016.pdf.
- Çelebi E., Gündoğdu C., & Kızılkaya A. (2017). Determination of healthy lifestyle behaviors of high school students. Universal Journal of Educational Research, 5(8), 1279-1287. https://doi.org/10.13189/ujer.2017.050801.
- Çelmeli, G., Çürek, Y., Küçükçetin, İ. Ö., Gülten, Z. A., Özdem, S., Akçurin, S., & Bircan, İ. (2020). The results of 16 years of iodization: Assessment of iodine deficiency among school-age children in Antalya, Turkey. Journal of Clinical Research in Pediatric Endocrinology, 12(3), 256-260. https://doi.org/10.4274/jcrpe.galenos.2020.2019.0168.
- Emlek Sert, Z., & Bayık Temel, A. (2017). Investigation of factors associated with weight management in primary school students. Dokuz Eylül University Faculty of Nursing Electronic Journal, 10(1), 13-21.
- Gül, A., Özer, S., Yılmaz, R., Sönmezgöz, E., Kasap, T., Takçı, Ş., Kazancı, N.Ö., Ünüvar, Ş., Önder, Y., Çıtıl, R., & Bütün, İ. (2017). Prevalence of proteinuria in school-aged Turkish children, and its association with obesity and hypertension. The Journal of Pediatric Research, 4(4), 195-199.
- Gürbüz, K. (2006). School health nursing interventions to acquire positive health behaviours. [Unpublished master’s dissertation]. University of Kocaeli.
- Hocaoğlu, F. S., & Devrim Sarıbal, O.O. (2019). Vitamin D deficiency and insufficiency according to the current criteria for children: Vitamin D status of elementary school children in Turkey. Journal of Clinical Research in Pediatric Endocrinology, 11(2), 181-188. https://doi.org/10.4274/jcrpe.galenos.2018.2018.0272.
- Ilgaz A. (2021). Effect of health screening and school nurse ınterventions on primary school students' knowledge, behavior, and status in Turkey: A quasi-experimental Omaha System study. Journal of Pediatric Nursing, 62(3), 115-124. Doi: 10.1016/j.pedn.2021.08.014.
- International Union for Health Promotion and Education (IUHPE) (2013). Promoting health in schools from evidence to action. https://dashbc.ca/wpcontent/uploads/2013/03/Promoting_Health_in_Schools_from_Evidence_to_Action.pdf.
- Kaplama, M. E., and Ak, S. (2020). The results of hearing screening in refugee school children living in Sanlıurfa/Turkey and the related risk factors. International Journal of Pediatric Otorhinolaryngology, 134, 110041. https://doi.org/10.1016/j.ijporl.2020.110041.
- Kesim, S., Çiçek, B., Aral, C. A., Öztürk, A., Mazıcıoğlu, M. M., & Kurtoğlu, S. (2016). Oral health, obesity status and nutritional habits in Turkish children and adolescents: An epidemiological study. Balkan Medical Journal, 33(2), 164–172. https://doi.org/10.5152/balkanmedj.2016.16699.
- Klein, J., Sendall, M.C., Fleming, M., Lidstone, J. & Domocol, M. (2012). School nursesandhealtheducation: The classroom experience. Health Education Journal, 72(6), 708-715. https://doi.org/10.1177/0017896912460931.
- Köksoy Vayısoğlu, S., Erdoğan, O., Öncü, E., & Mutlu, M. (2020). Prevalence and risk factors of otitis media with effusion in primary school children in Mersin. Journal of Health Sciences and Medicine, 3 (4), 448-453. https://doi.org/10.32322/jhsm.793439.
- Mert, K., & Aksayan, S. (2016). School nursing interventions that promote positive health behavior. Türkiye Klinikleri Journal of Public Health Nursing-Special Topics, 2(1),1-6.
- Moussi C., Tahan L., Habchy P., Kattan O., Njeim A., Habib L.O., Bitar W.E., Asmar B.E., Chahine M.N. (2024). School-based pre- and post-ıntervention tests assessing knowledge about healthy lifestyles: A national school health awareness campaign on children aged between 3 and 12 years old. Children (Basel). 11(2), 2-26. https://doi.org/10.3390/children11020213
- National Education Statistics (NES) (2023). National education statistics formal education (2022-2023). https://sgb.meb.gov.tr/meb_iys_dosyalar/2023_09/29151106_meb_istatistikleri_orgun_egitim_2022_2023.pdf.
- Pangrazi, R. P., Beighle, A., Vehige, T., & Vack, C. (2003). Impact of promoting lifestyle activity for youth (PLAY) on children's physicalactivity. Journal of School Health, 73(8), 317-21. https://doi.org/10.1111/j.1746-1561.2003.tb06589.x.
- Parajuli, M., & Thapa, A. (2017). Gender differences in the academic performance of students. Journal of Development and Social Engineering, 3(1), 39-47. https://doi.org/10.3126/jdse.v3i1.27958.
- Pittman, A. F. (2020). Effect of a school-based activity tracker, companion social website, and text messaging intervention on exercise, fitness, and physical activity self-efficacy of middle school students. The Journal of School Nursing, 36(2), 112-120. https://doi.org/10.1177/1059840518791223.
- Republic of Turkey Ministry of Health-General Directorate of Public Health (RTMH-GDPH). (2017a). Nutrition. https://hsgm.saglik.gov.tr/tr/beslenme.
- Republic of Turkey Ministry of Health-General Directorate of Public Health (RTMH-GDPH) (2017b). Physicalactivity. https://hsgm.saglik.gov.tr/tr/fiziksel-aktivite.
- Republic of Turkey Ministry of Health.General Directorate of PublicHealth (RTMH-GDPH) (2017c). School Health. https://hsgm.saglik.gov.tr/tr/okul-sagligi.
- Republic of Turkey Ministry of National Education (RTMNE) (2017). Education information network. http://www.eba.gov.tr/arama?q=Eba%20ders.
- Senol, V., Ünalan, D., Akca, R.P., & Basturk, M. (2018). Prevalence of attention-deficit/hyperactivity and other disruptive behaviour disorder symptoms among primary school-age children in Kayseri, Turkey. Journal of International Medical Research, 46(1), 122-134. https://doi.org/10.1177/0300060517712865.
- Sharma, B., Kim, H. Y., & Nam, E. W. (2018). Effects of school-based health promotion intervention on health behaviors among school adolescents in North Lima and Callao, Peru. Journal of Lifestyle Medicine, 8(2), 60–71. https://doi.org/10.15280/jlm.2018.8.2.60.
- Tucker, S., & Lanningham, L. M. (2015). Nurse-ledschool-based child obesity prevention. The Journal of School Nursing, 31(6), 450-466. https://doi.org/10.1177/1059840515574002.
- Wang, M., Han, X., Fang, H., Xu, C., Lin, X., Xia, S., Yu, W., He, J., Jiang, S., & Tao, H. (2018). Impact of health education on knowledge and behaviors toward infectious diseases among students in Gansu Province, China. Bio Med Research International, 1-12. https://doi.org/10.1155/2018/6397340.
- Zareipour, M., Sadaghianifar, A., Valizadeh, R., Alinejad, M., Noorani, S., & Ghojogh, M. G. (2017). The effect of health promoting schools programs in improving the health status of schools in Urmia, North West of Iran. International Journal of Pediatrics, 5(2), 4319-4327. https://doi.org/10.22038/IJP.2016.8001.
Okul Hemşirelerinin Uyguladığı Sağlık Eğitimi Programının İlköğretim Öğrencilerinin Sağlık Algısı, Sağlık Davranışları ve Sağlık Kontrolü Üzerine Etkinliği
Year 2024,
Volume: 6 Issue: 2, 82 - 89, 30.08.2024
Asli Kalkım
,
Zuhal Emlek Sert
,
Hatice Gürgen Şimşek
,
Süheyla Altuğ Özsoy
Abstract
Amaç: Bu çalışmanın amacı, okul hemşireleri tarafından uygulanan sağlık eğitim programının ilkokul öğrencilerinin sağlık algısı, sağlık davranışları ve sağlık kontrolü üzerindeki etkililiğinin araştırılmasıdır.
Yöntem: Tek gruplu ön test son test yarı deneysel çalışma, Eylül 2016 ile Haziran 2019 tarihleri arasında Türkiye'de 1433 öğrencinin bulunduğu bir ilkokulda gerçekleştirilmiştir. Veriler Öğrenci Tanımlama Formu, Çocuklarda Sağlık Algısı ve Sağlık Davranışları Ölçeği, Çocuklarda Sağlık Kontrol Odağı Ölçeği kullanılarak toplanmıştır. Sağlık eğitimi programı; sağlık sorumluluğu, yeterli ve dengeli beslenme, uyku, dinlenme ve egzersiz, kazalardan korunma ve güvenli sınıf ortamı, kişisel hijyen konularından oluşmuştur. Veriler ön test eğitim programından önce, son test eğitim programının bitiminden sonra toplanmıştır.
Bulgular: Öğrencilerin kontrol odağı ölçeği ve sağlık algısı ve sağlık davranışları ölçeği puan ortalamalarında anlamlı bir artış saptanmıştır (p <.05).
Sonuç: Hemşire tarafından verilen sağlık eğitim programı olumlu sağlık davranışlarının kazandırılmasında etkili olmuştur. Okullarda verilecek sağlık eğitiminde öğrencilerin olumlu sağlık davranışlarını kazandırmaya yönelik etkinliklere katılımı sağlanmalı. Öğrencilerin etkileşimli, katılımcı bir eğitimle daha kalıcı öğrenmeleri ve öğrendiklerinin davranışa daha kolay aktarılması sağlanmalıdır.
Ethical Statement
This study was approved by the ethics committee of University Nursing Faculty (Date: 13.04.2016 and No: 2016-140), written permission was obtained from the district National Education Directorate. Students and their parents were informed about the research and written permissions were obtained.
Supporting Institution
Ege University Scientific Research Projects Coordination Unit
Project Number
Project ID:818
Thanks
We wish to thank the Ege University Rectorate Scientific Research Projects Coordination Office, the Public Health Nursing intern students, and the students who voluntarily participated in the study and their parents, for supporting the research.
References
- Ahmad, M., Hussain, M., Afzal, M., & Gilani, S. A. (2019). Effectiveness of health education to improve oral care of primary school children in a rural community of Pakistan. EC Dental Science, 1-9.
- Akçay, D., & Yıldırımlar, A. (2018). Investigation of children’s school accident and behavior of their parents safety measures. Dokuz Eylül University Faculty of Nursing Electronic Journal, 11 (1), 48-55.
- Akkaya, D. D., & Sezici, E. (2020). Teaching preschool children correct toothbrushing habits through playful learning interventions: A randomized controlled trial. Journal of Pediatric Nursing. 56, 70-76. https://doi.org/10.1016/j.pedn.2020.08.001.
- American Academy of Pediatrics (AAP). (2008). Role of the school nurse in providing school health services. Pediatrics, 121, 1052. https://doi.org/10.1542/peds.2008-0382.
- Awan G. A, & Azeem M. S. (2017). Gender differences and ıts ımpact on students' performance: A socio-linguistic analysıs. Global Journal of Management, Social Sciences and Humanities, 3(2), 352-372.
- Azizoğlu, S., Crewther, S.G., Şerefhan, F., Barutchu, A., Göker, S., & Junghans, B.M. (2017). Evidence for the need for vision screening of school children in Turkey. BMC Ophthalmology, 17(1), 230. https://doi.org/10.1186/s12886-017-0618-9.
- Centers for Disease Control and Prevention (CDC) (2012). Health Education Curriculum Analysis Tool. Atlanta. https://www.cdc.gov/healthyyouth/hecat/index.htm.
- Centers for Disease Control and Prevention (CDC) (2019). About CDC Healthy Schools. https://www.cdc.gov/healthyschools/about.htm.
- Childhood Obesity Surveillance Initiative-Turkey [COSI-TUR]. (2019). Turkey Childhood (Primary School 2 Grade Students) Obesity Surveillance Initiative (Cosi-Tur) 2016. Ministry of Health Publication. https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/dokumanlar/Ingilizce-Yayinlar/COSITUR_2016_/Turkey_Childhood_Obesity_Cosi_tur_2016.pdf.
- Çelebi E., Gündoğdu C., & Kızılkaya A. (2017). Determination of healthy lifestyle behaviors of high school students. Universal Journal of Educational Research, 5(8), 1279-1287. https://doi.org/10.13189/ujer.2017.050801.
- Çelmeli, G., Çürek, Y., Küçükçetin, İ. Ö., Gülten, Z. A., Özdem, S., Akçurin, S., & Bircan, İ. (2020). The results of 16 years of iodization: Assessment of iodine deficiency among school-age children in Antalya, Turkey. Journal of Clinical Research in Pediatric Endocrinology, 12(3), 256-260. https://doi.org/10.4274/jcrpe.galenos.2020.2019.0168.
- Emlek Sert, Z., & Bayık Temel, A. (2017). Investigation of factors associated with weight management in primary school students. Dokuz Eylül University Faculty of Nursing Electronic Journal, 10(1), 13-21.
- Gül, A., Özer, S., Yılmaz, R., Sönmezgöz, E., Kasap, T., Takçı, Ş., Kazancı, N.Ö., Ünüvar, Ş., Önder, Y., Çıtıl, R., & Bütün, İ. (2017). Prevalence of proteinuria in school-aged Turkish children, and its association with obesity and hypertension. The Journal of Pediatric Research, 4(4), 195-199.
- Gürbüz, K. (2006). School health nursing interventions to acquire positive health behaviours. [Unpublished master’s dissertation]. University of Kocaeli.
- Hocaoğlu, F. S., & Devrim Sarıbal, O.O. (2019). Vitamin D deficiency and insufficiency according to the current criteria for children: Vitamin D status of elementary school children in Turkey. Journal of Clinical Research in Pediatric Endocrinology, 11(2), 181-188. https://doi.org/10.4274/jcrpe.galenos.2018.2018.0272.
- Ilgaz A. (2021). Effect of health screening and school nurse ınterventions on primary school students' knowledge, behavior, and status in Turkey: A quasi-experimental Omaha System study. Journal of Pediatric Nursing, 62(3), 115-124. Doi: 10.1016/j.pedn.2021.08.014.
- International Union for Health Promotion and Education (IUHPE) (2013). Promoting health in schools from evidence to action. https://dashbc.ca/wpcontent/uploads/2013/03/Promoting_Health_in_Schools_from_Evidence_to_Action.pdf.
- Kaplama, M. E., and Ak, S. (2020). The results of hearing screening in refugee school children living in Sanlıurfa/Turkey and the related risk factors. International Journal of Pediatric Otorhinolaryngology, 134, 110041. https://doi.org/10.1016/j.ijporl.2020.110041.
- Kesim, S., Çiçek, B., Aral, C. A., Öztürk, A., Mazıcıoğlu, M. M., & Kurtoğlu, S. (2016). Oral health, obesity status and nutritional habits in Turkish children and adolescents: An epidemiological study. Balkan Medical Journal, 33(2), 164–172. https://doi.org/10.5152/balkanmedj.2016.16699.
- Klein, J., Sendall, M.C., Fleming, M., Lidstone, J. & Domocol, M. (2012). School nursesandhealtheducation: The classroom experience. Health Education Journal, 72(6), 708-715. https://doi.org/10.1177/0017896912460931.
- Köksoy Vayısoğlu, S., Erdoğan, O., Öncü, E., & Mutlu, M. (2020). Prevalence and risk factors of otitis media with effusion in primary school children in Mersin. Journal of Health Sciences and Medicine, 3 (4), 448-453. https://doi.org/10.32322/jhsm.793439.
- Mert, K., & Aksayan, S. (2016). School nursing interventions that promote positive health behavior. Türkiye Klinikleri Journal of Public Health Nursing-Special Topics, 2(1),1-6.
- Moussi C., Tahan L., Habchy P., Kattan O., Njeim A., Habib L.O., Bitar W.E., Asmar B.E., Chahine M.N. (2024). School-based pre- and post-ıntervention tests assessing knowledge about healthy lifestyles: A national school health awareness campaign on children aged between 3 and 12 years old. Children (Basel). 11(2), 2-26. https://doi.org/10.3390/children11020213
- National Education Statistics (NES) (2023). National education statistics formal education (2022-2023). https://sgb.meb.gov.tr/meb_iys_dosyalar/2023_09/29151106_meb_istatistikleri_orgun_egitim_2022_2023.pdf.
- Pangrazi, R. P., Beighle, A., Vehige, T., & Vack, C. (2003). Impact of promoting lifestyle activity for youth (PLAY) on children's physicalactivity. Journal of School Health, 73(8), 317-21. https://doi.org/10.1111/j.1746-1561.2003.tb06589.x.
- Parajuli, M., & Thapa, A. (2017). Gender differences in the academic performance of students. Journal of Development and Social Engineering, 3(1), 39-47. https://doi.org/10.3126/jdse.v3i1.27958.
- Pittman, A. F. (2020). Effect of a school-based activity tracker, companion social website, and text messaging intervention on exercise, fitness, and physical activity self-efficacy of middle school students. The Journal of School Nursing, 36(2), 112-120. https://doi.org/10.1177/1059840518791223.
- Republic of Turkey Ministry of Health-General Directorate of Public Health (RTMH-GDPH). (2017a). Nutrition. https://hsgm.saglik.gov.tr/tr/beslenme.
- Republic of Turkey Ministry of Health-General Directorate of Public Health (RTMH-GDPH) (2017b). Physicalactivity. https://hsgm.saglik.gov.tr/tr/fiziksel-aktivite.
- Republic of Turkey Ministry of Health.General Directorate of PublicHealth (RTMH-GDPH) (2017c). School Health. https://hsgm.saglik.gov.tr/tr/okul-sagligi.
- Republic of Turkey Ministry of National Education (RTMNE) (2017). Education information network. http://www.eba.gov.tr/arama?q=Eba%20ders.
- Senol, V., Ünalan, D., Akca, R.P., & Basturk, M. (2018). Prevalence of attention-deficit/hyperactivity and other disruptive behaviour disorder symptoms among primary school-age children in Kayseri, Turkey. Journal of International Medical Research, 46(1), 122-134. https://doi.org/10.1177/0300060517712865.
- Sharma, B., Kim, H. Y., & Nam, E. W. (2018). Effects of school-based health promotion intervention on health behaviors among school adolescents in North Lima and Callao, Peru. Journal of Lifestyle Medicine, 8(2), 60–71. https://doi.org/10.15280/jlm.2018.8.2.60.
- Tucker, S., & Lanningham, L. M. (2015). Nurse-ledschool-based child obesity prevention. The Journal of School Nursing, 31(6), 450-466. https://doi.org/10.1177/1059840515574002.
- Wang, M., Han, X., Fang, H., Xu, C., Lin, X., Xia, S., Yu, W., He, J., Jiang, S., & Tao, H. (2018). Impact of health education on knowledge and behaviors toward infectious diseases among students in Gansu Province, China. Bio Med Research International, 1-12. https://doi.org/10.1155/2018/6397340.
- Zareipour, M., Sadaghianifar, A., Valizadeh, R., Alinejad, M., Noorani, S., & Ghojogh, M. G. (2017). The effect of health promoting schools programs in improving the health status of schools in Urmia, North West of Iran. International Journal of Pediatrics, 5(2), 4319-4327. https://doi.org/10.22038/IJP.2016.8001.