دوره 33، شماره 321: هفته اول فروردین ماه 1394:1-13

اثربخشی آموزش تغذیه‌ی تئوری محور بر فیبر و ویتامین C دریافتی بیماران روستایی مبتلا به پرفشاری خون

عزیز کامران , لیلا آزادبخت , یوسف شفائی , غلامرضا شریفی‌راد

چکیده


مقدمه: تغذیه‌ی سالم اثرات مفیدی روی کاهش خطر فاکتورهای بیماری‌های قلبی عروقی دارد، اما پایبندی به توصیه‌های تغذیه‌ای کم و اغلب کوتاه مدت است. این مطالعه به هدف تعیین اثربخشی آموزش تغذیه بر فشارخون بیماران روستایی مبتلا به پرفشاری خون بر اساس سازه‌های مدل ارتقای سلامت Pender انجام گردید.

روش‌ها: این مطالعه از نوع مداخله‌ای نیمه تجربی بود و بر روی 138 نفر بیمار روستایی مبتلا به پرفشاری خون در مراکز بهداشتی درمانی روستایی تحت پوشش شهرستان اردبیل در سال 1392 انجام شد. توصیه‌های آموزشی بر مبنای راهنمای Dietary approaches to stop hypertension (DASH) بود و برای افزایش انگیزش و پایبندی بیماران به توصیه‌های ارائه شده از مدل ارتقای سلامت Pender (HPM یا Pender's health promotion model) استفاده شد. داده‌های مطالعه قبل، 2 و 6 ماه بعد از مداخله‌ی آموزشی جمع‌آوری گردید و با استفاده از نرم‌افزار SPSS و آزمون‌های Independent-t، Paired-t و اندازه‌های مکرر آنالیز شد.

یافته‌ها: در قبل از مداخله اختلاف معنی‌داری در میانگین فیبر غذایی و ویتامین C دریافتی در بین دو گروه آزمون و شاهد وجود نداشت. آزمون اندازه‌های مکرر نشان داد که مداخله‌ی آموزشی اثر معنی‌داری داشته و افزایش معنی‌داری در میانگین فیبر غذایی و ویتامین C دریافتی در گروه آزمون در 2 و 6 ماه بعد از مداخله دیده شده است.

نتیجه‌گیری: مداخله‌ی آموزشی ارائه شده بر اساس مدل ارتقای سلامت Pender اثر مفیدی روی بهبود میانیگن فیبر غذایی و ویتامین C دریافتی بیماران داشت.


واژگان کلیدی


فشارخون؛ تغذیه؛ مدل ارتقای سلامت؛ فیبر؛ ویتامین C

تمام متن:

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مراجع


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