مجله دانشکده پزشکی اصفهان

مجله دانشکده پزشکی اصفهان

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

نوع مقاله : مقاله های پژوهشی

نویسندگان
عزیز کامران 1
لیلا آزادبخت 2
یوسف شفائی 3
غلامرضا شریفی‌راد 4
1 استادیار، گروه بهداشت عمومی، دانشکده‌ی علوم پزشکی خلخال، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران
2 دانشیار، مرکز تحقیقات امنیت غذایی، دانشکده‌ی تغذیه، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
3 استادیار، گروه جراحی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران
4 استاد، گروه بهداشت عمومی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی قم، قم، ایران
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.
کلیدواژه‌ها
فشارخون
تغذیه
مدل ارتقای سلامت
فیبر
ویتامین C

عنوان مقاله English

The Effect of Nutritional Education on Vitamin C and Dietary Fiber Intake among Patients with Rural Hypertension

نویسندگان English

Aziz Kamran 1
Leila Azadbakht 2
Yousef Shafaee 3
Gholamreza Sharifirad 4
1 Assistant Professor, Department of Public Health, School of Khalkhal Medical Sciences, Ardabil University of Medical Sciences, Ardabil, Iran
2 Associate Professor, Food Security Researches Center, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Department of Surgery, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
4 Professor, Department of Public Health, School of Health, Qom University of Medical Sciences, Qom, Iran
چکیده English

Background: A healthy diet has beneficial effects on reducing risk factors for cardiovascular diseases. This study aimed to determine the effectiveness of theoretical educational intervention on blood pressure in patients with rural hypertension.Methods: In this quasi-experimental study, 138 patients with hypertension (68 in intervention and 70 in control group) were randomly selected from those referred to Ardabil rural health centers, Iran, during 2013. The intervention group received nutritional education based on the Dietary Approaches to Stop Hypertension (DASH) recommendations for 6 sessions. The pre- and post-test had an interval of 2 and 6 months. Pender’s Health Promotion Model was applied to extend the motivation of the behavior. Descriptive analysis, repeated measures analysis of variances, independent-t and paired-t tests were used to analyze the data.Findings: After intervention, vitamin C and dietary fiber intake increased significantly in the intervention group (P < 0.001); but these changes were not significant in the control group over the time.Conclusion: Educational intervention provided based on Pender’s health promotion model had a beneficial effect on vitamin C and dietary fiber intake.

کلیدواژه‌ها English

Blood Pressure
Nutrition
Health promotion model
Fiber
Vitamin C
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مجله دانشکده پزشکی اصفهان
دوره 33، شماره 321 - شماره پیاپی 321
فروردین و اردیبهشت 1394
صفحه 1-13

  • تاریخ دریافت 29 خرداد 1393
  • تاریخ پذیرش 17 فروردین 1401