بررسی نقش فواید و موانع درک شده در پیش‌بینی دریافت درشت مغذی‌ها در زنان مبتلا به سندرم متابولیک: کاربرد تحلیل مسیر در یک مطالعه‌ی مقطعی

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 مربی، گروه بهداشت عمومی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی قم، قم، ایران

2 دانشیار، مرکز تحقیقات امنیت غذایی و گروه تغذیه‌ی جامعه، دانشکده‌ی تغذیه و علوم غذایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 استادیار، گروه اپیدمیولوژی و آمار زیستی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 استادیار، گروه بهداشت عمومی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی قم، قم، ایران

5 استاد، گروه آموزش بهداشت و ارتقای سلامت، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: سندرم متابولیک تحت تأثیر عوامل متعددی پدید می‌آید و رفتارهای تغذیه‌ای، از عوامل مؤثر بر پیدایش آن می‌باشد. از این‌رو، هدف از این مطالعه آن بود که فواید و موانع درک شده را به عنوان دو سازه‌ی مؤثر بر ایجاد و حفظ رفتارهای تغذیه‌ای برای پیش‌بینی مصرف درشت مغذی‌ها در مبتلایان به سندرم متابولیک مورد ارزیابی قرار گیرد.روش‌ها: در این مطالعه‌ی مقطعی، 329 نفر به صورت سیستماتیک از بین مراجعین مبتلا به سندرم متابولیک مراکز پنج‌گانه‌ی درمان صنعت نفت اصفهان در سال 1391 انتخاب شدند. داده‌ها توسط پرسش‌نامه محقق ساخته بر اساس سازه‌های الگوی ارتقای سلامت که طی مرحله‌ای جداگانه، طراحی و روایی و پایایی آن مورد بررسی قرار گرفته بود، در 11 بخش گردآوری گردید. برای تحلیل داده‌ها، از دو نرم‌افزار SPSS نسخه 16 و AMOS نسخه 16 استفاده شد.یافته‌ها: در این مطالعه، به ترتیب همبستگی معکوس و مستقیم معنی‌داری بین فواید درک‌ شده و موانع درک ‌شده با دریافت درشت ‌مغذی‌ها مشاهده شد. مدل نهایی نشان داد که موانع درک ‌شده می‌تواند 72 درصد تغییرات انرژی دریافتی، 51 درصد تغییرات پروتئین، 42 درصد تغییرات کربوهیدرات و 88 درصد تغییرات چربی را پیش‌بینی کند و فواید درک ‌شده، می‌تواند 22 درصد تغییرات انرژی دریافتی، 18 درصد تغییرات پروتئین، 35 درصد تغییرات کربوهیدرات و 56 درصد تغییرات چربی را پیش‌بینی نماید.نتیجه‌گیری: در این مطالعه موانع درک‌ شده قدرت پیش‌گویی‌کننده‌ی بیشتری نسبت به فواید درک ‌شده برای تعیین دریافت درشت‌ مغذی‌ها داشتند. بنابراین، با توجه به موانع متعدد درک ‌شده، نمی‌توان از این بیماران انتظار خود- مراقبتی تغذیه‌ای مطلوب را داشت.

کلیدواژه‌ها

عنوان مقاله [English]

Structural Role of Perceived Benefits and Barriers in Receiving Macronutrients in Women with Metabolic Syndrome; A Path Analysis Study

نویسندگان [English]

  • Siamak Mohebi 1
  • Lelia Azadbakhat 2
  • Awat Feizi 3
  • Mohammad Hozoori 4
  • Gholamreza Sharifirad 5
1 Lecturer, Department of Public Health, School of Public Health, Qom University of Medical Sciences, Qom, Iran
2 Associate Professor, Food Security Research Center AND Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Department of Epidemiology and Biostatics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
4 Assistant Professor, Department of Public Health, School of Public Health, Qom University of Medical Sciences, Qom, Iran
5 Professor, Department of Health Education and Promotion, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Metabolic syndrome is affected by many factors and nutritional behavior is one the most important of these factors. In this study we intend to evaluate perceived benefits and barriers, as the two influential factors to establish and maintain effective nutritional behavior, on predicting macronutrient intake in people with metabolic syndrome.Methods: In this cross-sectional study, 329 female patients, with metabolic syndrome, from 5 health centers of the Isfahan Oil Industry were selected in a systematic manner. A self-designed questionnaire that was designed based on the health promotion model and its validity and reliability were assessed in different stages, was used for data collection in 11 parts. Finally, the data was analyzed with 95% confidence intervals by SPSS and AMOS.Findings: Our results show a direct correlation between perceived barriers and macronutrient intake, and an inverse correlation between perceived benefits and macronutrient intake. The final model showed that perceived barriers can predict a 72% change in energy, 51% protein, 42% carbohydrate, and 88% fat intake. Moreover, perceived benefits can predict 22% change in energy intake, 18% protein, 35% carbohydrates, and 56% fat intake.Conclusion: In this study, perceived barriers have a greater predictive ability to determine macronutrient intake than perceived benefits. Therefore, according to the various perceived barriers, we cannot expect suitable nutritional care in these patients. 

کلیدواژه‌ها [English]

  • Perceived benefits
  • Perceived barriers
  • Macronutrient
  • Metabolic Syndrome

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مجله دانشکده پزشکی اصفهان
دوره 31، شماره 248 - شماره پیاپی 248
مهر و آبان 1392
صفحه 1226-1238

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سابقه مقاله

  • تاریخ دریافت: 18 اسفند 1391
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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