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The Effect of Hand-Washing and Nutrition Education Given to Women with Chronic Diseases Living in Rural Areas During the Covid-19 Pandemic-Randomized Controlled Study

Year 2022, Volume: 16 Issue: 4, 786 - 797, 23.12.2022
https://doi.org/10.21763/tjfmpc.1100837

Abstract

Objective: This study was conducted to evaluate the effectiveness of handwashing and nutrition education given to women with chronic diseases living in rural areas during the Covid-19 pandemic. Methods: The research is a randomized controlled study and its population consists of women over the age of 18 with at least one chronic disease registered in a Family Health Center of a District in Turkey. A total of 90 women were included in the study, 45 of which were drawn among the volunteers for each group. Hand washing and nutrition training were given to the intervention group, and the questionnaires were filled out again after 3 months. Only routine follow-ups were performed in the control group. For collecting the research data, the Descriptive Information Form, the Social Hand-Washing Knowledge Form, and the Nutritional Knowledge Level Scale for Adults prepared by the researchers by scanning the literature were used. Results: By the groups, the educational status, having children, smoking, alcohol use, monthly income, and working status of the cases do not show a statistically significant difference (p> 0.05) and it is seen that both groups are homogeneous. The mean age of women in the intervention group was 54.67±8.17 years, and the mean age of women in the control group was 57.18±9.88 years. The post-training scores of the intervention group in the Social Hand-Washing Knowledge Form and Food Choice were found to be significantly high compared to the cases of the control group (p=0.001; p<0.01). Conclusion: The training given to the women in rural areas created a significant benefit for them to have the appropriate food choices and hand-washing behaviours. More studies are needed to examine the effects of these interventions (ClinicalTrials.gov-Identifier Number: NCT04957017).

References

  • 1. Muscogiuri G, Barrea L, Savastano S, Colao A. Nutritional recommendations for COVID-19 quarantine. Eur J Clin Nutr. 2020;14:1-5.
  • 2. Rismanbaf A. Potential treatments for COVID-19; a narrative literature review. Arch Acad Emerg Med. 2020;8(1):e29.
  • 3. Cintoni M, Rinninella E, Annetta MG, Mele MC. Nutritional management in hospital setting during SARSCoV-2 pandemic: a real-life experience. European Journal of Clinical Nutrition. 2020;74(5):846-847.
  • 4. Moynihan AB, Van Tilburg WAP, Igou ER, Wisman A, Donnelly AE, Mulcaire JB. Eaten up by boredom: consuming food to escape awareness of the bored self. Front Psychol. 2015;6:369.
  • 5. Eskici G. COVID-19 pandemia: Nutrition recommendations for quarantine. Anatolian Clinic Journal of Medical Sciences. 2020;25:124-129.
  • 6. Wax RS, Randy S, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Canadian Journal Of Anesthesia. 2020:1-9.
  • 7. Yan Y, Chen H, Chen L, Cheng B, Diao P, Dong L, et al. Consensus of Chinese experts on protection of skin and mucous membrane barrier for health‐care workers fighting against coronavirus disease 2019. Dermatologic Therapy. 2020;33(4):e13310.
  • 8. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 2020;395(10223):497-506.
  • 9. Geleta AT, Deriba SB, Beyane SR, Mohamme A, Birhanu T, Jemal K. COVID-19 pandemic preparedness and response of chronic disease patients in public health facilities. International Journal of General Medicine, 2020;13:1011–23.
  • 10. Mozaffarian D. Dietary and policy priorities for cardiovascular disease, diabetes, and obesity: a comprehensive review. Circulation. 2016;133(2),187-225. http://doi.org/10.1161/CIRCULATIONAHA.115.018585
  • 11. World Health Organization (WHO). Noncommuicable diseases. 2021. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases Erişim Tarihi: 06.09.2022
  • 12. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü 2018. Türkiye nüfus ve sağlık araştırması. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK, Ankara, Türkiye. 2019; 147-148. http://www.hips.hacettepe.edu.tr/tr/2018_tnsa_analiz_ve_rapor-56
  • 13. Uyanık M, Ghiasee, A. Covıd-19 Pandemisinin beslenme alışkanlıkları ve besine ulaşım üzerindeki etkisi. Anasay , 2022 ,0(20): 271-279 .
  • 14. Alzyood M, Jackson D, Aveyard H, Brooke J. COVID-19 reinforces the importance of handwashing. J Clin Nurs. 2020;29(15-16):2760-2761. doi:10.1111/jocn.15313
  • 15. Basch CH, Fera J, Pellicane A, Basch CE. Handwashing videos on TikTok during the COVID-19 pandemic: Potential for disease prevention and health promotion. Infect Dis Health. 2022;27(1):31-37.
  • 16. Öncü E, Vayısoğlu SK. Duration or technique to improve the effectiveness of children' hand hygiene: A randomized controlled trial. Am J Infect Control. 2021;49(11):1395-1401.
  • 17. Kilpatrick C, Tartari E, Gayet-Ageron A, Storr J, Tomczyk, Allegranzi B, et al. Global hand hygiene improvement progress: two surveys using the WHO Hand Hygiene Self-Assessment Framework. J Hosp Infect, 2018;100:202–6.
  • 18. Lynch C, Mahida N, Oppenheim B, Gray J. Washing our hands of the problem. J Hosp Infect, 2020;104(4):401-3.
  • 19. Wu KS, Lee SSJ, Chen JK, Tsai JC, Li CH, Chao HL, et al. Hand hygiene among patients: attitudes, perceptions, and willingness to participate. American Journal of Infection Control, 2013;41(4):327-331.
  • 20. Batmaz H. Development and validity and reliability study of nutrition knowledge level scale for adults. Advisor: Fatma Esra Günes. Marmara University Institute of Health Sciences, Istanbul, Master Thesis. 2018:28-42.
  • 21. Hisar F, Hisar KM. Women's hand washing practices: A qualitative study. TAF Preventive Medicine Bulletin. 2012;11(5):537-44.
  • 22. Heymann DL, Shindo N. COVID-19: what is next for public health? The Lancet, 2020;395(10224):542–5.
  • 23. Jordan V. Coronavirus (COVID-19): infection control and prevention measures. Journal of Primary Health Care. 2020;12(1):96–7.
  • 24. Kaya G, Trabzon Ş, Doğanay S, Guclu E, Karabay O, Altındiş S. Hand hygiene training activity given to university students receiving health education. Journal of BSHR, 2019;3(3):219-24.
  • 25. Varghese B, Shamil CB, Muskan S, Sumati S, Alka P, Kamini Y, et al. Effectiveness of hand washing education on knowledge among adolescence regarding hand washing and its ımportance. International Journal of Trend in Scientific Research and Development, 2020;4(3):594-8.
  • 26. Uğurlu YK, Durgun H, Nemutlu E, Kurd O. Assessment of Individuals' Knowledge and Attitude of Social Hand WashingDuring Covid-19 Pandemic: The Case of Turkey J Contemp Med. 2020;10(4):617-24.
  • 27. Gillebaart M, Ybema JF, de Ridder DTD. Make it a habit: how habit strength, goal importance and self-control predict hand washing behaviour over time during the COVID-19 pandemic. Psychol Health. 2022;1-19. doi:10.1080/08870446.2022.2036740
  • 28. Arı AG, Arslan K. General dietary habits of science teachers. Van Yüzüncü Yil University the Journal of Social Sciences Institute. 2020;47:393-415.
  • 29. Muslu M, Ersü DÖ. Nutritional therapy and its importance during the New Coronavirus (SARS-CoV-2 / COVID-19) pandemic. Journal of Nutrition and Dietetics. 2020:1-10.
  • 30. Dilber A, Dilber F. The Effect of epidemic on the nutritional habits of ındividuals: The case of Karaman province. Journal of Tourism and Gastronomy Studies. 2020;8(3):2144-2162.
  • 31. Davarani ER, Mohseni M, Khanjani N, Yazdanpanah F, Daneshi S, Hushmandi K, et al. The effect of an educational ıntervention performed by volunteers on knowledge, attitude and modification of dietary habits among women. The Open Public Health Journal, 2020;13:611-7.
  • 32. Sim KS, Lee KH. The effect of nutrition education on nutrition knowledge and health improvement in dyslipidemic industrial employees. J Korean Diet Association, 2012;18(1):43-58.
  • 33. Saltekin A. Pandemi sürecinde yetişkin bireylerin covıd-19 korkusu, sağlıklı yaşam davranışları ile beslenme bilgi düzeylerinin belirlenmesi. Yüksek Lisans Tezi, Ankara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Enstitüsü, 2022.
  • 34. Sabbağ Ç, Sürücüoğlu MS. Evaluation of the effect of nutrition education given to primary school students on nutrition attitudes and behaviors. Electronic Journal of Food Technologies, 2011;6(3):1-13.
  • 35. Akkartal Ş, Gezer C. Is nutrition knowledge related to diet quality and obesity?, Ecol Food Nutr., 2020; 59(2):119-29.

Kronik Hastalığı Olan Kadınlarda Eğitimin El Yıkama ve Beslenmeye Etkisi

Year 2022, Volume: 16 Issue: 4, 786 - 797, 23.12.2022
https://doi.org/10.21763/tjfmpc.1100837

Abstract

Amaç: Bu çalışma, Covid- 19 pandemi döneminde kırsal kesimde yaşayan kronik hastalığı olan kadınlara verilen el yıkama ve beslenme eğitiminin etkinliğini değerlendirmek amacıyla yapılmıştır. Yöntem: Araştırma randomize kontrollü bir çalışma olup, evrenini Türkiye'de bir İlçenin Aile Sağlığı Merkezine kayıtlı en az bir kronik hastalığı olan 18 yaş üstü kadınlar oluşturmaktadır. Her grup için gönüllüler arasında kura çekerek 45 olmak üzere toplam 90 kadın çalışmaya dahil edildi. Müdahale grubuna el yıkama eğitimi ve beslenme eğitimi verildi, anketler 3 ay sonra tekrar dolduruldu. Kontrol grubuna sadece rutin takipler yapıldı. Araştırma verilerinin toplanmasında araştırmacılar tarafından literatür taranarak hazırlanan Tanımlayıcı Bilgi Formu, Sosyal El Yıkama Bilgi Formu ve Yetişkinler için Beslenme Bilgi Düzeyi Ölçeği kullanılmıştır. Bulgular: Gruplara göre olguların eğitim durumu, çocuk sahibi olma, sigara, alkol kullanımı, aylık geliri ve çalışma durumu istatistiksel olarak anlamlı farklılık göstermemekte (p> 0.05) ve her iki grubun homojen olduğu görülmektedir. Müdahale grubundaki kadınların yaş ortalaması 54,67±8,17, kontrol grubundaki kadınların yaş ortalaması 57,18±9,88’dir. Müdahale grubunun Sosyal El Yıkama Bilgi Formu ve Besin Seçimi'ndeki eğitim sonrası puanları kontrol grubuna göre anlamlı derecede yüksek bulunmuştur. (p=0.001; p<0.01). Sonuç: Kırsal kesimdeki kadınlara verilen eğitimler, kadınlara uygun besin seçimi ve el yıkama davranışlarında önemli faydalar sağlamıştır. Bu müdahalelerin etkilerini incelemek için daha fazla çalışmaya ihtiyaç vardır (ClinicalTrials.gov-Identifier Number: NCT04957017).

References

  • 1. Muscogiuri G, Barrea L, Savastano S, Colao A. Nutritional recommendations for COVID-19 quarantine. Eur J Clin Nutr. 2020;14:1-5.
  • 2. Rismanbaf A. Potential treatments for COVID-19; a narrative literature review. Arch Acad Emerg Med. 2020;8(1):e29.
  • 3. Cintoni M, Rinninella E, Annetta MG, Mele MC. Nutritional management in hospital setting during SARSCoV-2 pandemic: a real-life experience. European Journal of Clinical Nutrition. 2020;74(5):846-847.
  • 4. Moynihan AB, Van Tilburg WAP, Igou ER, Wisman A, Donnelly AE, Mulcaire JB. Eaten up by boredom: consuming food to escape awareness of the bored self. Front Psychol. 2015;6:369.
  • 5. Eskici G. COVID-19 pandemia: Nutrition recommendations for quarantine. Anatolian Clinic Journal of Medical Sciences. 2020;25:124-129.
  • 6. Wax RS, Randy S, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Canadian Journal Of Anesthesia. 2020:1-9.
  • 7. Yan Y, Chen H, Chen L, Cheng B, Diao P, Dong L, et al. Consensus of Chinese experts on protection of skin and mucous membrane barrier for health‐care workers fighting against coronavirus disease 2019. Dermatologic Therapy. 2020;33(4):e13310.
  • 8. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 2020;395(10223):497-506.
  • 9. Geleta AT, Deriba SB, Beyane SR, Mohamme A, Birhanu T, Jemal K. COVID-19 pandemic preparedness and response of chronic disease patients in public health facilities. International Journal of General Medicine, 2020;13:1011–23.
  • 10. Mozaffarian D. Dietary and policy priorities for cardiovascular disease, diabetes, and obesity: a comprehensive review. Circulation. 2016;133(2),187-225. http://doi.org/10.1161/CIRCULATIONAHA.115.018585
  • 11. World Health Organization (WHO). Noncommuicable diseases. 2021. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases Erişim Tarihi: 06.09.2022
  • 12. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü 2018. Türkiye nüfus ve sağlık araştırması. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK, Ankara, Türkiye. 2019; 147-148. http://www.hips.hacettepe.edu.tr/tr/2018_tnsa_analiz_ve_rapor-56
  • 13. Uyanık M, Ghiasee, A. Covıd-19 Pandemisinin beslenme alışkanlıkları ve besine ulaşım üzerindeki etkisi. Anasay , 2022 ,0(20): 271-279 .
  • 14. Alzyood M, Jackson D, Aveyard H, Brooke J. COVID-19 reinforces the importance of handwashing. J Clin Nurs. 2020;29(15-16):2760-2761. doi:10.1111/jocn.15313
  • 15. Basch CH, Fera J, Pellicane A, Basch CE. Handwashing videos on TikTok during the COVID-19 pandemic: Potential for disease prevention and health promotion. Infect Dis Health. 2022;27(1):31-37.
  • 16. Öncü E, Vayısoğlu SK. Duration or technique to improve the effectiveness of children' hand hygiene: A randomized controlled trial. Am J Infect Control. 2021;49(11):1395-1401.
  • 17. Kilpatrick C, Tartari E, Gayet-Ageron A, Storr J, Tomczyk, Allegranzi B, et al. Global hand hygiene improvement progress: two surveys using the WHO Hand Hygiene Self-Assessment Framework. J Hosp Infect, 2018;100:202–6.
  • 18. Lynch C, Mahida N, Oppenheim B, Gray J. Washing our hands of the problem. J Hosp Infect, 2020;104(4):401-3.
  • 19. Wu KS, Lee SSJ, Chen JK, Tsai JC, Li CH, Chao HL, et al. Hand hygiene among patients: attitudes, perceptions, and willingness to participate. American Journal of Infection Control, 2013;41(4):327-331.
  • 20. Batmaz H. Development and validity and reliability study of nutrition knowledge level scale for adults. Advisor: Fatma Esra Günes. Marmara University Institute of Health Sciences, Istanbul, Master Thesis. 2018:28-42.
  • 21. Hisar F, Hisar KM. Women's hand washing practices: A qualitative study. TAF Preventive Medicine Bulletin. 2012;11(5):537-44.
  • 22. Heymann DL, Shindo N. COVID-19: what is next for public health? The Lancet, 2020;395(10224):542–5.
  • 23. Jordan V. Coronavirus (COVID-19): infection control and prevention measures. Journal of Primary Health Care. 2020;12(1):96–7.
  • 24. Kaya G, Trabzon Ş, Doğanay S, Guclu E, Karabay O, Altındiş S. Hand hygiene training activity given to university students receiving health education. Journal of BSHR, 2019;3(3):219-24.
  • 25. Varghese B, Shamil CB, Muskan S, Sumati S, Alka P, Kamini Y, et al. Effectiveness of hand washing education on knowledge among adolescence regarding hand washing and its ımportance. International Journal of Trend in Scientific Research and Development, 2020;4(3):594-8.
  • 26. Uğurlu YK, Durgun H, Nemutlu E, Kurd O. Assessment of Individuals' Knowledge and Attitude of Social Hand WashingDuring Covid-19 Pandemic: The Case of Turkey J Contemp Med. 2020;10(4):617-24.
  • 27. Gillebaart M, Ybema JF, de Ridder DTD. Make it a habit: how habit strength, goal importance and self-control predict hand washing behaviour over time during the COVID-19 pandemic. Psychol Health. 2022;1-19. doi:10.1080/08870446.2022.2036740
  • 28. Arı AG, Arslan K. General dietary habits of science teachers. Van Yüzüncü Yil University the Journal of Social Sciences Institute. 2020;47:393-415.
  • 29. Muslu M, Ersü DÖ. Nutritional therapy and its importance during the New Coronavirus (SARS-CoV-2 / COVID-19) pandemic. Journal of Nutrition and Dietetics. 2020:1-10.
  • 30. Dilber A, Dilber F. The Effect of epidemic on the nutritional habits of ındividuals: The case of Karaman province. Journal of Tourism and Gastronomy Studies. 2020;8(3):2144-2162.
  • 31. Davarani ER, Mohseni M, Khanjani N, Yazdanpanah F, Daneshi S, Hushmandi K, et al. The effect of an educational ıntervention performed by volunteers on knowledge, attitude and modification of dietary habits among women. The Open Public Health Journal, 2020;13:611-7.
  • 32. Sim KS, Lee KH. The effect of nutrition education on nutrition knowledge and health improvement in dyslipidemic industrial employees. J Korean Diet Association, 2012;18(1):43-58.
  • 33. Saltekin A. Pandemi sürecinde yetişkin bireylerin covıd-19 korkusu, sağlıklı yaşam davranışları ile beslenme bilgi düzeylerinin belirlenmesi. Yüksek Lisans Tezi, Ankara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Enstitüsü, 2022.
  • 34. Sabbağ Ç, Sürücüoğlu MS. Evaluation of the effect of nutrition education given to primary school students on nutrition attitudes and behaviors. Electronic Journal of Food Technologies, 2011;6(3):1-13.
  • 35. Akkartal Ş, Gezer C. Is nutrition knowledge related to diet quality and obesity?, Ecol Food Nutr., 2020; 59(2):119-29.
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Orijinal Articles
Authors

Sabriye Uçan Yamaç 0000-0002-3932-8017

Nurten Terkeş 0000-0002-1644-8382

Publication Date December 23, 2022
Submission Date April 9, 2022
Published in Issue Year 2022 Volume: 16 Issue: 4

Cite

Vancouver Uçan Yamaç S, Terkeş N. The Effect of Hand-Washing and Nutrition Education Given to Women with Chronic Diseases Living in Rural Areas During the Covid-19 Pandemic-Randomized Controlled Study. TJFMPC. 2022;16(4):786-97.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.