Intervention Study to Increase Knowledge and Awareness in Cutaneous Leishmaniasis Cases: The Case of Şanlıurfa

Year 2022, Volume: 15 Issue: 2, 188 - 195, 31.08.2022

Burcu Beyazgül İbrahim Koruk Rüstem Kuzan Şule Allahverdi

https://doi.org/10.26559/mersinsbd.985019

Cited By: 1

Abstract

Aim: In this study, it was aimed to determine whether there was a change in the level of knowledge about the disease without education during the treatment and the effect of health education on the level of knowledge of the patients about the disease in patients with cutaneous leishmaniasis. Method: The research was of intervention type and was carried out in Şanlıurfa Cutaneous Leishmanias Diagnosis and Treatment Center. The study was completed with a total of 102 people, 51 of whom were in the intervention group and 51 in the control group. Both groups were pretested at the time of the first application. The intervention group was then given training, and the level of knowledge and awareness was re-measured one month later. No training was given to the control group, and after one month of treatment, the level of knowledge and awareness was re-measured in order to determine whether the level of knowledge changed during the treatment. Results: The mean knowledge score of the control group was 3.88±1.78 before the treatment and 4.96±1.46 after the treatment. The mean knowledge score of the intervention group was 3.33±1.26 before the treatment and 6.25±1.29 after the treatment. Both the post-treatment knowledge level compared to the pre-treatment and the intervention group knowledge level were higher than the control group (p<0.05). Conclusion: Cutaneous leishmaniasis patients generally consist of less educated and low-income individuals. Along with the treatment, patients should be supported by providing qualified counseling.

Keywords

Cutaneous leishmaniasis, health education, awareness

Şark çıbanı vakalarında bilgi ve farkındalık düzeyini artırmaya yönelik müdahale çalışması: Şanlıurfa örneği

Abstract

Amaç: Bu çalışmada Şark çıbanı hastalarında; tedavi sırasında eğitim olmaksızın hastalıkla ilgili bilgi düzeyinde değişiklik olup olmadığını ve sağlık eğitiminin hastaların hastalıkla ilgili bilgi düzeyi üzerine etkisini belirlemek amaçlanmıştır. Yöntem: Araştırma müdahale tipindedir ve Şanlıurfa Şark Çıbanı Tanı ve Tedavi Merkezinde gerçekleştirilmiştir. Çalışma 51 kişi müdahale, 51 kişi kontrol grubu olmak üzere, toplamda 102 kişi ile tamamlanmıştır. Her iki gruba da ilk başvuru anında öntest yapılmıştır. Müdahale grubuna daha sonra eğitim verilmiş, bir ay sonra bilgi ve farkındalık düzeyi tekrar ölçülmüştür. Kontrol grubuna herhangi bir eğitim verilmemiş, tedavi süresince bilgi düzeyinin değişip değişmediği belirlenmek amacıyla bir ay süren tedavi sonrasında bilgi ve farkındalık düzeyi tekrar ölçülmüştür. Bulgular: Kontrol grubunun bilgi puanı tedavi öncesinde ortalama 3.88±1.78, tedavi sonrasında ortalama 4.96±1.46 olarak bulundu. Müdahale grubunun bilgi puanı tedavi öncesinde ortalama 3.33±1.26, tedavi sonrasında ortalama 6.25±1.29 olarak bulundu. Hem tedavi öncesine göre tedavi sonrası bilgi düzeyi, hem de kontrol grubuna göre müdahale grubu bilgi düzeyi yüksek bulundu (p<0.05). Sonuç: Şark çıbanı hastaları genellikle daha az eğitimli ve düşük gelirli bireylerden oluşmaktadır. Tedavi ile birlikte mutlaka nitelikli danışmanlık da verilerek hastalar desteklenmelidir.

Keywords

Şark çıbanı, Sağlık eğitimi, Farkındalık

References

• WHO. What is leishmaniasis? 2020 [cited 2020 08.18.]. Available from: https://www.who.int/leishmaniasis/disease/en/.
• CDC. https://www.cdc.gov/parasites/leishmaniasis/gen_info/faqs.html 28.08.2019.
• Georgiadou SP, Makaritsis KP, Dalekos GN. Leishmaniasis revisited: Current aspects on epidemiology, diagnosis and treatment. J Transl Int Med. 2015;3(2):43-50.
• Okwor I, Uzonna J. Social and Economic Burden of Human Leishmaniasis. Am J Trop Med Hyg. 2016;94(3):489-93.
• Lenk EJ, Redekop WK, Luyendijk M et al. Socioeconomic benefit to individuals of achieving 2020 targets for four neglected tropical diseases controlled/eliminated by innovative and intensified disease management: Human African trypanosomiasis, leprosy, visceral leishmaniasis, Chagas disease. PLoS Negl Trop Dis. 2018;12(3):e0006250-e.
• Şark Çıbanı Türkiye İstatistik Düzeyleri TC Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü [cited 2020 08.19.]. Available from: https://hsgm.saglik.gov.tr/tr/zoonotikvektorel-sarkcibani/istatistik.
• Gürel MS, Yeşilova Y, Ölgen MK, Özbel Y. Türkiye’de Kutanöz Leishmaniasisin Durumu. Turkiye Parazitol Derg. 2012;36:121-9.
• Bennis I, Thys S,Filali H,Brouwere VD,Sahibi H,Boelaert M. Psychosocial impact of scars due to cutaneous leishmaniasis on high school students in Errachidia province, Morocco. Infect Dis Poverty. 2017;6:46.
• Meireles CB, Maia LC, Soares GC et all. Atypical presentations of cutaneous leishmaniasis: A systematic review. Acta Trop. 2017 Aug;172:240-254.
• Scorza BM, Carvalho EM, Wilson ME. Cutaneous Manifestations of Human and Murine Leishmaniasis. Int J Mol Sci. 2017 Jun 18;18(6).
• Beyazgül B, Koruk İ, Allahverdi Ş, Kuzan R. Psychosocıal And Socıodemographıc Factors That Affect Delays In Seekıng Treatment For Cutaneous Leıshmanıasıs In Sanlıurfa. Ponte. 2020.
• Koruk İ, Beyazgül B, Allahverdi Ş, Kuzan R, Gökçeoğlu S. The State of Disease-Related Awareness Regarding Cutaneous Leishmaniasis Cases in Sanliurfa, Delay Level in Treatment and Reasons for Delay. Saudi Journal of Medicine (SJM). 2020,P:292-9. DOI: 10.36348/sjm.2020.v05i09.002.
• Jeihooni AK, Harsini PA, Kashfi SM, Rakhshani T. Effect of educational intervention based on the PRECEDE-PROCEED model on preventive behaviors of cutaneous leishmaniasis among housewives. Cad Saude Publica. 2019 Jul 29;35(7):e00158818. doi: 10.1590/0102-311X00158818. PMID: 31365701.
• Świątoniowska N, Sarzyńska K, Szymańska-Chabowska A, Jankowska-Polańska B. The role of education in type 2 diabetes treatment. Diabetes Res Clin Pract. 2019 May;151:237-246. doi: 10.1016/j.diabres.2019.04.004. Epub 2019 May 4. PMID: 31063855.
• Gebretatyos H, Ghirmai L, Amanuel S, Gebreyohannes G, Tsighe Z, Tesfamariam EH. Effect of health education on knowledge and attitude of menopause among middle-age teachers. BMC Womens Health. 2020 Oct 12;20(1):232. doi: 10.1186/s12905-020-01095-2. PMID: 33046075; PMCID: PMC7552533.
• Maiz E, Urdaneta E, Allirot X. La importancia de involucrar a niños y niñas en la preparación de las comidas [The importance of involving boys and girls in food preparation]. Nutr Hos.. 2018 Jun 12;35(Spec No4):136-139. Spanish. doi: 10.20960/nh.2139. PMID: 30070136.
• Bilican GV, Ayan S. Sosyal Öğrenme Kuramı ve Aile İçi Şiddet. Journal of International Social Research. 2017;10(48).
• Akers R., Jensen GF. The Empirical Status of Social Learning Theory of Crime and Deviance: The Past, Present, and Future. In F. T. Cullen, J. P. Wright, & K. R. Blevins (Eds.), Advances in criminological theory: Vol. 15. Taking stock: The status of criminological theory. 2006; (p. 37–76). Transaction Publishers.
• Stellefson M, Paige SR, Chaney BH, Chaney JD. Evolving Role of Social Media in Health Promotion: Updated Responsibilities for Health Education Specialists. Int J Environ Res Public Health. 2020 Feb 12;17(4):1153. doi: 10.3390/ijerph17041153. PMID: 32059561; PMCID: PMC7068576.
• Schiavone B, Vitale A, Gallo M, Russo G, Ponticelli D, Borrelli M. Overview of Facebook Use by Hospitals in Italy: A Nationwide Survey during the COVID-19 Emergency. Int J Environ Res Public Health. 2021 Jul 6;18(14):7225. doi: 10.3390/ijerph18147225. PMID: 34299676; PMCID: PMC8304234.
• Boratav K. İstanbul ve Anadolu’dan Sınıf Profilleri. Ankara: İmge Kitabevi Yayınları, 2004.
• Ghodsi M, Maheri M, Joveini H, Rakhshani MH, Mehri A. Designing and Evaluating Educational Intervention to Improve Preventive Behavior Against Cutaneous Leishmaniasis in Endemic Areas in Iran. Osong public health and research perspectives. 2019;10(4):253-62.
• Sarkari, B., A. Qasem, M.R. Shafaf. Knowledge, attitude, and practices related to cutaneous leishmaniasis in an endemic focus of cutaneous leishmaniasis, Southern Iran. AsianPac J Trop Biomed. 2014;4(7): p. 566-9.
• Nazari M, Taravatmanesh G, Kaveh MH, Soltani A, Ghaem H. The effect of education - al intervention on preventive behaviors to - wards cutaneous leishmaniasis at Kharameh city in 2014. Shiraz E-Medical Journal. 2016;17:e39957.
• Hosseini HS, Jajarmi H, Rajabzadeh R, Marzi Z, Arzamani K, Heshmati H. The effect of edu - cational program based on BASNEF model on Volunteer Health Workers(VHWs) on Preven - tive behaviors among families under support - ed of VHWs. Journal of North Khorasan Uni - versity of Medical Sciences. 2015;7:561-72.
• Jeihooni AK, Kashfi SM, Hatami M, Avand A, Bazrafshan MR. The Effect of Educational Program Based on PRECEDE Model in Promoting Prostate Cancer Screening in a Sample of Iranian Men. J Cancer Educ. 2019 Feb;34(1):161-172. doi: 10.1007/s13187-017-1282-8. PMID: 28913671.
• Khani Jeihooni A, Moradi M. The Effect of Educational Intervention Based on PRECEDE Model on Promoting Skin Cancer Preventive Behaviors in High School Students. J Cancer Educ. 2019 Aug;34(4):796-802. doi: 10.1007/s13187-018-1376-y. PMID: 29926433.
• Erkin Ö, Ardahan M, Temel AB. Effects of creating awareness through photographs and posters on skin self-examination in nursing students. J Cancer Educ. 2018; 33(1):52–58. https://doi.org/10.1007/s13187-16-1037-y
• Solakoglu O, Yuksek DA. Delinquency Among Turkish Adolescents: Testing Akers' Social Structure and Social Learning Theory. Int J Offender Ther Comp Criminol. 2020 Apr;64(5):539-563. doi: 10.1177/0306624X19897400. Epub 2019 Dec 31. PMID: 31889457.
• Klein JL, Cooper DT. Deviant Cyber-Sexual Activities in Young Adults: Exploring Prevalence and Predictions Using In-Person Sexual Activities and Social Learning Theory. Arch Sex Behav. 2019 Feb;48(2):619-630. doi: 10.1007/s10508-018-1251-2. Epub 2018 Jul 9. PMID: 29987544.
• Kabiri S, Cochran JK, Stewart BJ, Sharepour M, Rahmati MM, Shadmanfaat SM. Doping Among Professional Athletes in Iran: A Test of Akers's Social Learning Theory. Int J Offender Ther Comp Criminol. 2018 Apr;62(5):1384-410. doi: 10.1177/0306624X16680043. Epub 2017 May 22. PMID: 27913715.
• Ford JA, Ong J. Non-medical use of prescription stimulants for academic purposes among college students: a test of social learning theory. Drug Alcohol Depend. 2014 Nov 1;144:279-82. doi: 10.1016/j.drugalcdep.2014.09.011. Epub 2014 Sep 19. PMID: 25270541