دوره 29، شماره 155: هفته سوم آبان ماه 1390:1389-1400

تأثیر آموزش تغذیه بر اساس مدل BASNEF بر رفتارهای تغذیه‌ای و شاخص‌های کنترل قند خون بیماران سالمند مبتلا به دیابت نوع 2

آرش نجیمی, غلامرضا شریفی‌راد, اکبر حسن زاده, لیلا آزادبخت

چکیده


مقدمه: مطالعه‌ی حاضر با هدف بررسی اثربخشی مدل BASNEF (باور‌ها، نگرش‌ها، هنجار‌های انتزاعی و عوامل قادر کننده) در آموزش تغذیه به سالمندان (≥ 60 سال) مبتلا به دیابت نوع 2 انجام پذیرفت.

روش‌ها: در این مطالعه 100 نفر سالمند دیابتی به صورت تصادفی در دو گروه مداخله و شاهد تقسیم شدند. اطلاعات هر دو گروه به صورت مشابه و در دو زمان قبل و 3 ماه پس از مداخله‌ی آموزشی جمع‌آوری گردید. مداخله‌ی آموزش تغذیه در گروه مداخله بر اساس نیازسنجی اولیه و سازه‌های مدل BASNEF انجام شد و نتایج به وسیله‌ی آزمون‌های 2χ، Student-t و Paired-t مورد تجزیه و تحلیل قرار گرفت.

یافته‌ها: میانگین نمره‌ی آگاهی و متغیرهای اجزای مدل BASNEF در گروه مداخله بهبود معنی‌داری نشان ‌داد (001/0 > P). علاوه بر آن، مقایسه‌ی رفتارهای تغذیه‌ای 3 ماه پس از مداخله‌ی آموزشی نیز حاکی از بهبود معنی‌دار در گروه مداخله بود. میانگین سهم روزانه‌ی دریافت گروه غذایی میوه و سبزیجات در گروه مداخله‌ افزایش یافت (001/0 > P). مقایسه‌ی میزان قند خون ناشتا و هموگلوبین گلیکوزیله در گروه مداخله کاهش معنی‌داری را (به ترتیب 5/19 میلی‌گرم در دسی‌لیتر و 36/0 درصد) نشان داد.

نتیجه‌گیری: مداخله‌ی آموزش تغذیه بر اساس مدل BASNEF علاوه بر بهبود آگاهی و نگرش سالمندان مبتلا به دیابت نوع 2، سبب بهبود رفتار‌های تغذیه‌ای آنان نیز شد که ‌این امر در مدت 3 ماهه‌ی مداخله‌ی آموزشی موجب بهبود در شاخص‌های کنترل قند خون نیز گردید.


واژگان کلیدی


آموزش تغذیه؛ مدل BASNEF؛ شاخص کنترل قند خون؛ سالمندان؛ دیابت نوع 2

تمام متن:

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مراجع


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