The Effect of Health Belief Model (HBM) Based Health Education on Promotion of self care behaviors of patients with smear-positive pulmonary TB in Sistan regionin 2011

Tuberculosis (TB) is one of the most common infectious diseases in the world that leads to more than 2 million deaths annually. Because of insufficient control, tuberculosis was declared as urgency by World Health Organization. The main reservoirs of infection are patients with smear-positive pulmonary TB, so to control of disease, educate the patients about self-care behaviors is necessary. The average index of tuberculosis in Sistan is more than 11 times of global index. The aim of this study was to determine the efficacy of health belief model on promotion of self care behaviors of patients with smear-positive pulmonary tuberculosis in Sistan region in 2011. The framework of this quasi-experimental study is health belief model. The study group consisted of 160 patients that were divided equally into test and control groups. Data were collected by researcher made questionnaire. After that, the validity and reliability of the questionnaire were assessed. Pretest was conducted on two groups, to identify training requirements based on study objectives. Training materials were included manual and two pamphlets. The training plan was performed in the test group, during 3sessions. After one month, post test was taken among two groups. Data were analyzed by SPSS16 software and descriptive and analytical test in before and after of intervention. The mean age of people that were under observation was 55.20 years and mean treatment duration was 32 days. Majority of them were female (53.8%), 76.9% were illiterate, 76.9% were lived in rural areas, 21.2% had a family history of disease, most of them (41.8%) had monthly incomes between 100000-200000 tomans and 83.7% of them had received training about TB. In general, results indicated promotion of model construct, knowledge and self care behaviors in the test group after intervention, based on paired sample t-test significancy (P