Scientific Journal of Kurdistan University of Medical Sciences
مجله علمي دانشگاه علوم پزشكي كردستان
SJKU
General
http://sjku.muk.ac.ir
54
journal54
1560-652X
2345-4040
sjku
10.61186/sjku
en
jalali
1401
9
1
gregorian
2022
12
1
27
5
online
1
fulltext
fa
عوامل پیشگوییکننده اتخاذ رفتارهای تغذیهای پیشگیرانه از پوکی استخوان: کاربرد الگوی اعتقاد بهداشتی تلفیقی با سواد سلامت
The Factors of Predicting the Adoption of Preventive Nutritional Behaviors from Osteoporosis: Applying the Integrated Health Belief Model with Health Literacy
بهداشت عمومی
Public Health
پژوهشي اصیل
Original Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">زمینه و هدف: </span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">با توجه به تاثیر بالقوه سواد سلامت در تقویت الگوی اعتقاد بهداشتی و همچنین </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">نقش سواد سلامت در </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">اتخاذ رفتارهای پیشگیرانه و نظر به </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">نقش رابطین بهداشتی در </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">انتقال پیام</span></span><span dir="LTR" style="font-size:12.0pt">­</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">های بهداشتی به جامعه</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">، </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">این مطالعه با هدف</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">تعیین </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">عوامل پیشگویی</span></span><span dir="LTR" style="font-size:12.0pt">­</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">کننده اتخاذ رفتارهای تغذیه</span></span><span dir="LTR" style="font-size:12.0pt">­</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">ای پیشگیرانه از پوکی استخوان با استفاده از الگوی اعتقاد بهداشتی تلفیقی با سواد سلامت</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">در بین رابطین بهداشتی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">اجرا شد. </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">مواد و روش</span></span></b><b><span dir="LTR" style="font-size:12.0pt">­</span></b><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">ها:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">در یک پژوهش مقطعی از نوع </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">تحلیلی</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">، 290 نفر از </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">رابطین بهداشتی فعال </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">مراجعه</span></span><span dir="LTR" style="font-size:12.0pt">­</span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">کننده به مراکز بهداشتی درمانی شهر قزوین در سال 1399</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> از طریق نمونه ­گیری </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">چندمرحله ­ای تصادفی </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">برای شرکت در پژوهش انتخاب شدند. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">ابزار گردآوری اطلاعات، پرسشنامه استاندارد موجود براساس الگوی اعتقاد بهداشتی، ابزار سنجش سواد سلامت بزرگسالان ایرانی </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">و </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">پرسشنامه سنجش اتخاذ رفتارهای </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">تغذیه­ ای </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">پیشگیرانه از </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">پوکی استخوان</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> بود. داده</span></span><span dir="LTR" style="font-size:12.0pt">­</span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">های به­ دست آمده با استفاده از نرم</span></span><span dir="LTR" style="font-size:12.0pt">­</span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">افزار </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> نسخه 23 و با به ­کارگیری آمارهای توصیفی، ضریب همبستگی پیرسون و آزمون رگرسیون چندگانه، تحلیل شدند.<b> </b></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">یافته­ ها:</span></span></b><b> </b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">میانگین و انحراف معیار</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">نمره</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">سواد سلامت و </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">اتخاذ رفتارهای</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">تغذیه</span></span><span dir="LTR" style="font-size:12.0pt">­</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">ای </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">پیشگیرانه </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">به ترتیب </span></span>12/54<span dir="LTR" style="font-size:12.0pt"><span arial="" style="font-family:">±</span></span>65/47<span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> و 1/417</span></span><span dir="LTR" style="font-size:12.0pt"><span arial="" style="font-family:">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">6/104 </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">بود. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">آزمون رگرسیون چندگانه نشان داد </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">سازه ­های موانع درک شده (</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">0/026=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> ،155/-0=</span></span><span lang="AR-SA" style="font-size:12.0pt"><span cambria="" style="font-family:">β</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">)، </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">خودکارآمدی (</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">0/009=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> ،0/317=</span></span><span lang="AR-SA" style="font-size:12.0pt"><span cambria="" style="font-family:">β</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">)</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> و سواد سلامت (</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">0/016=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">،0/259=</span></span><span lang="AR-SA" style="font-size:12.0pt"><span cambria="" style="font-family:">β</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">)، پیشگویی کننده اتخاذ رفتارهای </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">تغذیه­ ای </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">پیشگیرانه از </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">پوکی استخوان</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">بودند. این متغیرها در مجموع، قادر به پیش بینی 37/8 درصد تغییرات رفتار بودند. </span></span> <b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span></b></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نتیجه­ گیری</span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">: الگوی اعتقاد بهداشتی </span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">تلفیقی<b> </b></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">با سواد سلامت می­تواند به­ عنوان چارچوبی مناسب جهت طراحی مداخلات آموزشی به منظور ترغیب </span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">رابطین بهداشتی </span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">برای اتخاذ رفتارهای </span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">تغذیه ­ای</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> پیشگیرانه از پوکی استخوان به ­کار برده شود. </span></span></span>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background and Aim:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Considering the potential impact of health literacy on strengthening the health belief model and also the role of health literacy in adopting preventive behaviors and the role of health volunteers in transmitting health messages to the community, this study aimed to assess the structures of the health belief model combined with health literacy in predicting the adoption of osteoporosis preventive nutritional behaviors among health volunteers.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> In an analytical cross-sectional study, 290 active health volunteers referring to health centers in Qazvin in 1399 were selected through multi-stage random sampling to participate in the study. Data collection tools included a standard questionnaire based on the Health Belief Model, Iranian Adult Health Literacy Assessment Tool (HELIA), and a questionnaire to assess the adoption of osteoporosis preventive nutritional behaviors. Using SPSS software version 23, data were analyzed by descriptive statistics, Pearson correlation coefficient, and multiple regression tests.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The mean and standard deviation of health literacy and adoption of preventive eating behaviors scores were 65.47 ± 12.54 and 6.104 ± 1.417, respectively. Multiple regression test showed the constructs of perceived barriers (P = 0.026, β = -0.155), self-efficacy (P = 0.009, β = 0.317) and health literacy (P = 0.016, </span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">β</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> = 0.259) were predictors of osteoporosis-preventive nutritional behaviors. Together, these variables were able to predict 37.8% of behavioral changes.</span></span></span></span></span><br>
<b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> The integrated health belief model with health literacy can be used as a suitable framework for designing educational interventions to encourage health volunteers to adopt preventive nutritional behaviors from osteoporosis.</span></span></span>
پوکی استخوان, الگوی اعتقاد بهداشتی, سواد سلامت, اتخاذ رفتارهای تغذیهای, رابطین بهداشتی
Osteoporosis, Health belief model, Health literacy, Adopting Nutritional Behaviors, Health ,Volunteers
126
138
http://sjku.muk.ac.ir/browse.php?a_code=A-10-1975-4&slc_lang=fa&sid=1
Rahman
Panahi
رحمن
پناهی
peimanpanahi63@yahoo.com
5400319475328460052701
5400319475328460052701
No
PhD in Health Education and Health Promotion.Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
دکترای آموزش بهداشت و ارتقای سلامت، مرکز تحقیقات تعیینکنندههای اجتماعی سلامت، پژوهشکده علوم غدد، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران ،
Ali Mohammad
Sharifi
علی محمد
شریفی
ali.mohammad.sharifi.1390@gmail.com
5400319475328460052702
5400319475328460052702
No
M.Sc. in Biostatistics.Clinical Research Development Center Shahid Modares Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
کارشناسی ارشد آمار زیستی واحد توسعه پژوهش های بالینی مرکز پزشکی، آموزشی، درمانی شهید مدرس دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
Mohiadin
Amjadian
محی الدین
امجدیان
mohiadin72@yahoo.com
5400319475328460052703
5400319475328460052703
Yes
Assistant Professor.Department of English Language, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
استادیار، گروه زبان انگلیسی، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران