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Study aim
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Comparison the effect of traditional health education with health beliefe model education on Kegel exercises in middle age women
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Design
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The training intervention will take place in four sessions in the form of lectures, questions, group discussions, and practical presentation. At the first and second sessions, the educational content axis will be discussed with the participants about the benefits of Cogel exercise and the importance of the risk of urinary incontinence and its complications. Including depression and withdrawal from the community that was presented in the form of lectures, questions and answersIn the third session, the educational content will include a group discussion to overcome perceived barriers (the notion of paying for exorbitant costs for participation in educational classes, and the interruption of everyday life and cultural barriers, such as staying at home in the elderly). To compare barriers with interests and to reach collective decision-making, and in the fourth session to present a practical example of Self-efficacy, by slide, shows the anatomy of pelvic floor muscle that is reinforced during exercises, and how the exercises will be performed, its benefits, and the non-interference of these exercises with daily life. At the end of the fourth session, a training booklet on the sport of Kegl They will be provided with the items taught in these 4 sessions. The purpose of this training booklet is to provide practical guidance, increase perceived sensitivity, perceived severity, perceived benefits and self-efficacy and reduce perceived barriers. . Also, a checklist will be given to the recipients for the two months to be recorded. At the end of every two weeks, a call will be made with the clients, and they will talk about the problems with the intervention, and the researchers' contact numbers will be provided to the clients
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Settings and conduct
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The present study is a randomized controlled trial that will be performed on 84 middle-aged women in Alvand in 1396 Before the intervention, a researcher-made questionnaire was distributed among all the units under study and the primary performance checklist was complet.Individuals will be randomly divided into two groups of 50. Samples will be selected from sampled patients from the referrals to the clinic after the initial interview and according to the criteria for entering and leaving the study. Then, through a random table, numbers will be grouped into two groups, each with one code (from one to one hundred), and then selecting them one by one, for example, one in the test group And the number two will be in the control group. Finally, 50 people will receive health-based education and 50 routine care and traditional training in health centers. And a meeting Traditional education.
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Participants/Inclusion and exclusion criteria
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Middle aged women30 - 45 years old married, have a child or more, have a normal birth history that is more at risk for pelvic prolapse
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Intervention groups
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In the experimental group, midwifery women aged 30-45 years were trained based on the health belief model. The control group, who will be women between the ages 30-45 years , will benefit from the routine care of comprehensive health centers, and will be provided with a lecture (traditional training) training session and Kagel exercises.
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Main outcome variables
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Conduct exercise; awareness; perceived sensitivity; perceived severity; perceived benefits; perceived barriers; action guide; self-efficacy