fa تبیین باور و تجارب ساکنین مناطق اندمیک اصفهان درباره ماهیت لیشمانیوز جلدی و کنترل آن: یک مطالعه کیفی آموزش بهداشت Health Education کیفی Qualitative Research <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:102%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><span lang="FA" style="line-height:102%"><span style="font-family:&quot;B Koodak&quot;"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:102%"><span style="font-family:&quot;B Koodak&quot;"><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="AR-SA" style="font-family:&quot;B Zar&quot;">لیشمانیوز جلدی یکی از اولویت</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">های سلامتی در بسیاری از مناطق گرمسیری جهان است. کشف باورها و تجربیات در مناطق اندمیک بیماری، ضروری می</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">باشد چرا که برای انجام هر گونه مداخله</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">ی پیشگیرانه، شناخت عمیق باورهای افراد کمک می</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">کند تا مداخلات آموزشی بر اساس شرایط موجود تدوین شود.</span><span lang="FA" style="font-family:&quot;B Zar&quot;"> لذا مطالعه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="FA" style="font-family:&quot;B Zar&quot;">ی کیفی حاضر با هدف </span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">تبیین باور و تجارب ساکنین مناطق اندمیک اصفهان درباره ماهیت لیشمانیوز جلدی و کنترل آن</span><span lang="FA" style="font-family:&quot;B Zar&quot;">، انجام پذیرفت.</span><span lang="FA" style="line-height:102%"><span style="font-family:&quot;B Zar&quot;"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:102%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><span lang="FA" style="line-height:102%"><span style="font-family:&quot;B Koodak&quot;">مواد و روش</span></span><span lang="FA" style="line-height:102%"><span style="font-family:&quot;B Zar&quot;"><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="FA" style="line-height:102%"><span style="font-family:&quot;B Koodak&quot;">ها:</span></span> <span lang="FA" style="font-family:&quot;B Zar&quot;">مطالعه کیفی حاضر، سال 1399 در مناطق اندمیک استان اصفهان انجام شد. </span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">مشارکت</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">کنندگان، افراد ساکن در منطقه از گروه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">های مختلف سنی، تحصیلاتی، شغلی و قومیتی بودند. برای</span> <span lang="AR-SA" style="font-family:&quot;B Zar&quot;">افزایش استحکام</span> <span lang="AR-SA" style="font-family:&quot;B Zar&quot;">داده‌ها، افرادی دیگری نیز که به نوعی با این موضوع ارتباط داشتند، شامل مسئولین منطقه، پرسنل مراکز بهداشتی، معلمین مدارس نیز وارد مطالعه شدند.</span> <span lang="AR-SA" style="font-family:&quot;B Zar&quot;">نمونه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">گیری به</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">صورت هدفمند تا رسیدن به اشباع اطلاعات ادامه یافت.</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;"> در مجموع 34 مصاحبه (3 مورد بحث گروهی و 31 مورد مصاحبه فردی) انجام شد. پس</span> <span lang="AR-SA" style="font-family:&quot;B Zar&quot;">از پیاده</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">سازی</span> <span lang="AR-SA" style="font-family:&quot;B Zar&quot;">مصاحبه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">ها،</span> <span lang="AR-SA" style="font-family:&quot;B Zar&quot;">طبقه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">ها و زیرطبقه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">ها ازطریق تحلیل</span> <span lang="AR-SA" style="font-family:&quot;B Zar&quot;">محتوا، مشخص گردید</span>.<span lang="FA" style="line-height:102%"><span style="font-family:&quot;B Zar&quot;"><span style="color:#0e101a"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:102%"><span style="tab-stops:284.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><span lang="AR-SA" style="line-height:102%"><span style="font-family:&quot;B Koodak&quot;"><span style="color:black">یافته</span></span></span><span lang="FA" style="line-height:102%"><span style="font-family:&quot;B Zar&quot;"><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:102%"><span style="font-family:&quot;B Koodak&quot;"><span style="color:black">ها:</span></span></span> <span lang="AR-SA" style="font-family:&quot;B Zar&quot;">تحلیل داده</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">ها منجر به شناسایی</span> <span lang="FA" style="font-family:&quot;B Zar&quot;">2 طبقه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="FA" style="font-family:&quot;B Zar&quot;">ی اصلی شد طبقه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="FA" style="font-family:&quot;B Zar&quot;">ی اول تصورات غلط مربوط به </span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">ماهیت بیماری</span><span lang="FA" style="font-family:&quot;B Zar&quot;"> لشمانیوز جلدی با 2 زیر طبقه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="FA" style="font-family:&quot;B Zar&quot;">ی،</span><b> </b><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">تصورات در مورد علت بیماری، تصورات در مورد ناقل بیماری و طبقه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">ی دوم </span><span lang="FA" style="font-family:&quot;B Zar&quot;">تصورات نادرست در مورد کنترل بیماری با 2 زیر طبقه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="FA" style="font-family:&quot;B Zar&quot;">ی، تصورات در مورد پیشگیری و تصورات درمورد درمان </span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">بودند.</span><span lang="AR-SA" style="line-height:102%"><span style="font-family:&quot;B Zar&quot;"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:102%"><span style="tab-stops:284.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><span lang="AR-SA" style="line-height:102%"><span style="font-family:&quot;B Koodak&quot;"><span style="color:black">استنتاج:</span></span></span> <span lang="AR-SA" style="font-family:&quot;B Zar&quot;">این مطالعه برداشت</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">های نادرست در مورد بیماری لیشمانیوز جلدی و کنترل آن را شناسایی کرد که می</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">تواند در تدوین برنامه</span><span lang="FA" style="font-family:&quot;B Zar&quot;">‌</span><span lang="AR-SA" style="font-family:&quot;B Zar&quot;">های آموزشی مورد توجه قرار گیرد تا قدمی موثر برای اصلاح باورها و نهایتا کنترل لیشمانیوز جلدی برداشته شود.</span><span lang="FA" style="line-height:102%"><span style="font-family:&quot;B Zar&quot;"></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:12pt"><span style="line-height:130%"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span style="font-size:10.0pt"><span style="line-height:130%"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"><span style="letter-spacing:-.1pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:130%">Cutaneous leishmaniasis is a major health priority in many tropical regions of the world. Understanding the beliefs and experiences of individuals in endemic areas is essential, as an in-depth understanding of these beliefs can inform the design of educational interventions tailored to the local context. Therefore, the present qualitative study aimed to explore the beliefs and experiences of residents in endemic areas of Isfahan regarding the nature of cutaneous leishmaniasis and its control.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:130%"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span style="font-size:10.0pt"><span style="line-height:130%"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Materials and methods:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:130%">This qualitative study was conducted in endemic areas of Isfahan province in 2020. The participants were individuals living in the region from various age, educational, occupational, and ethnic groups. To increase the strength of the data, additional individuals who were somehow related to this issue, including district officials, health center personnel, and school teachers, were also included in the study. Purposive sampling continued until data saturation was reached. A total of 34 interviews (3 group discussions and 31 individual interviews) were conducted. After conducting the interviews, categories and sub-categories were identified through content analysis.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:130%"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span style="font-size:10.0pt"><span style="line-height:130%"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Results:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:130%">Data analysis led to the identification of two main categories: The first category concerned misconceptions related to the nature of cutaneous leishmaniasis, with two subcategories: concepts about the cause of the disease and concepts about the carrier of the disease. The second category concerned misconceptions about the control of the disease, with two subcategories: concepts about prevention and concepts about treatment.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:130%"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span style="font-size:10.0pt"><span style="line-height:130%"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Conclusion</span></span></span></b><b><span style="font-size:10.0pt"><span style="line-height:130%">:</span></span></b> <span style="font-size:10.0pt"><span style="line-height:130%">This study identified misconceptions about cutaneous leishmaniasis and its control, which can be taken into consideration in developing educational programs aimed at effectively correcting beliefs and ultimately controlling cutaneous leishmaniasis.</span></span></span></span></span><br> &nbsp; باورها, رفتار, لیشمانیوزجلدی, مطالعه کیفی beliefs, behavior, cutaneous leishmaniasis, qualitative study 157 168 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-18199-1&slc_lang=fa&sid=1 Fereshteh Zamani-Alavijeh فرشته زمانی علویجه 1003194753284600177774 1003194753284600177774 No Professor, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran استاد، کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران Elahe Tavassoli الهه توسلی 1003194753284600177775 1003194753284600177775 No Associate Professor, Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran دانشیار، مرکز تحقیقات عوامل اجتماعی مؤثر سلامت، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران Masoumeh Alidosti معصومه علیدوستی malidosti94@gmail.com 1003194753284600177776 1003194753284600177776 Yes Assistant Professor, Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran استادیار، مرکز تحقیقات عوامل اجتماعی مؤثر سلامت، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران Javad Ramzanpour جواد رمضان پور 1003194753284600177777 1003194753284600177777 No MSc in Medical education, Isfahan Province Health Center, Isfahan University of Medical Sciences, Isfahan, Iran کارشناس ارشد آموزش پزشکی، مرکز بهداشت استان اصفهان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران