آیا بین عملکرد خانواده و خود مراقبتی سلامت در زنان رابطه وجود دارد؟

گلشیری, پرستو; صدری, غلامحسین; فرج زادگان, زیبا; صحافی, معصومه سادات; نجیمی, آرش

آیا بین عملکرد خانواده و خود مراقبتی سلامت در زنان رابطه وجود دارد؟

نوع مقاله : مقاله های پژوهشی

نویسندگان

¹ استادیار، گروه پزشکی اجتماعی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

² دانشیار، گروه پزشکی اجتماعی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

³ دانشجوی پزشکی، کمیته‌ی تحقیقات دانشجویی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

⁴ کارشناس ارشد، گروه آموزش بهداشت، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: خود مراقبتی به معنی پیروی از یک شیوه‌‌ی زندگی سالم به منظور پیش‌گیری از بیماری‌ها و صدمات می‌باشد. در این میان کارکرد خانواده به عنوان یکی از اجزای مهم در خود مراقبتی محسوب می‌شود. این مطالعه با هدف بررسی ارتباط خود مراقبتی و عملکرد خانواده انجام شد.روش‌ها: در این مطالعه‌ی توصیفی- تحلیلی، 200 نفر از زنان مراجعه کننده به مراکز بهداشتی و درمانی شهر اصفهان مورد بررسی قرار گرفتند. نمونه‌گیری به صورت غیر احتمالی متوالی پذیرفت. ابزار جمع‌آوری اطلاعات شامل پرسش‌نامه ‌ی محقق ساخته‌ی خود مراقبتی و پرسش‌نامه ‌ی عملکرد خانواده‌ی Bloom بود. روایی و پایایی پرسش‌نامه ‌ی خود مراقبتی به وسیله‌ی روایی صوری، روایی محتوا و پایایی درونی (72/0 = a) بررسی گردید. به منظور تجزیه و تحلیل داده‌ها از آزمون‌های همبستگی Pearson و رگرسیون چند متغیره استفاده شد.یافته‌ها: آزمون همبستگی Pearson ارتباط معنی‌داری را بین میانگین نمره‌ی خود مراقبتی با سن (143/0- = r، 04/0 > P)، تعداد خانوار (169/0- = r، 01/0 > P) و نمره‌ی کلی عملکرد خانواده (449/0 = r، 001/0 > P) نشان داد. همچنین در آنالیز چند متغیره، خود مراقبتی با متغیر‌های جامعه پذیری و شیوه‌ی آزادمنشی خانواده ارتباط مستقیم و با گسستگی روابط ارتباط معکوس نشان داد.نتیجه‌گیری: مطالعه‌ی حاضر نشان داد عملکرد خانواده‌ها و به خصوص متغیر‌های گسستگی روابط زنان در خانواده، آزادمنشی در روابط خانواده و جامعه پذیری آنان نقش مهم و تأثیر گذاری بر خود مراقبتی زنان دارد.

کلیدواژه‌ها

عنوان مقاله [English]

Is There Any Association between Family Function Self Care in Women?

نویسندگان [English]

Parastoo Golshiri ¹
Gholamhossein Sadri ¹
Ziba Farajzadegan ²
Masoumeh Sahafi ³
Arash Najimi ⁴

¹ Assistant Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

² Associate Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

³ Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

⁴ Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

چکیده [English]

Background: Self-care means following a healthy lifestyle to help prevent illnesses and injuries. Understanding family function is an important aspect of self-care. The purpose of the present study was to determine the relationship between family function and self care.Methods: In this descriptive-analytical study, 200 woman who referred to health centers in Isfahan were selected. Data was collected by health care questionnaire and Bloom's family functioning questionnaire. The validity and reliability of the health care questionnaire was confirmed by using content validity, face validity and internal reliability (α = 0.72). The collected data was analyzed using Pearson's correlation and multivariate regression tests.Findings: Our findings showed significant association between mean scores of self care and age (r = 0.143; P = 0.04), number of family members (r = 0.169; P = 0.01) and family function scores (r = 0.449; P < 0.001). In the multivariate analysis, self care was directly correlated with family sociability and democratic family style. In addition, self care was inversely correlated with disengagement.Conclusion: This study showed that family function, and especially sociability and democratic family and disengagement, influence women's self care.

کلیدواژه‌ها [English]

Family function
Self care
Women

مراجع

International Sexual and Reproductive Rights Coalition. Trafficking and Girls Fact Sheet [Online] 2001. [cited Sep 2001]; Available from: URL: http://www.iwhc.org/storage/iwhc/docUploads/ISRRC_TraffickingGirlsfactsheet.pdf?documentID=73
MacKian SC. What the papers say: Reading therapeutic landscapes of women's health and empowerment in Uganda. Health Place 2008; 14(1): 106-15.
Park K, Park JE. Textbook of Preventive and Social Medicine. 15th ed. Jabalpur: Banarsidas Bhanot; 1997.
Wellness Councils of America. Self-Care Managing Your Healthcare and Living Well. CDC & NCHC; 2003.
Acton GJ. Health-promoting self-care in family caregivers. West J Nurs Res 2002; 24(1): 73-86.
Skinner TC, Hampson SE. Personal models of diabetes in relation to self-care, well-being, and glycemic control. A prospective study in adolescence. Diabetes Care 2001; 24(5): 828-33.
Repetti RL, Taylor SE, Seeman TE. Risky families: family social environments and the mental and physical health of offspring. Psychol Bull 2002; 128(2): 330-66.
Portes PR, Howell SC, Brown JH, Eichenberger S, Mas CA. Family functions and children's postdivorce adjustment. Am J Orthopsychiatry 1992; 62(4): 613-7.
Wood D, Valdez RB, Hayashi T, Shen A. Homeless and housed families in Los Angeles: a study comparing demographic, economic, and family function characteristics. Am J Public Health 1990; 80(9): 1049-52.
Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA 2002; 288(19): 2469-75.
Palmer S, Glass TA. Family function and stroke recovery: A review. Rehabil Psychol 2003; 48(4): 255-65.
Lima FE, de Araujo TL. Correlation of basic conditioning factors for selfcare of patients who underwent coronary bypass. Rev Bras Enferm 2005; 58(5): 519-23.
Seeman TE. Health promoting effects of friends and family on health outcomes in older adults. Am J Health Promot 2000; 14(6): 362-70.
Bloom BL. A factor analysis of self-report measures of family functioning. Fam Process 1985; 24(2): 225-39.
Stark KD, Humphrey LL, Crook K, Lewis K. Perceived family environments of depressed and anxious children: child's and maternal figure's perspectives. J Abnorm Child Psychol 1990; 18(5): 527-47.
Zajacova A. Education, gender, and mortality: does schooling have the same effect on mortality for men and women in the US? Soc Sci Med 2006; 63(8): 2176-90.
Ketabi M, Yazdkhasti B, Farohki Z. Empowering women to participate in the development. Women's Research 2003; 1(7): 5-30. [In Persian].
Fritzell S, Ringback WG, Fritzell J, Burstrom B. From macro to micro: the health of Swedish lone mothers during changing economic and social circumstances. Soc Sci Med 2007; 65(12): 2474-88.
Forssen AS, Carlstedt G. Health-promoting aspects of a paid job: findings in a qualitative interview study with elderly women in Sweden. Health Care Women Int 2007; 28(10): 909-29.
Shadi Talab Z, Garaee Nejad A. The poverty of Head family women. Women's Research 2004; 2(1): 49-70. [In Persian].
Musil CM, Warner CB, Zauszniewski JA, Jeanblanc AB, Kercher K. Grandmothers, caregiving, and family functioning. J Gerontol B Psychol Sci Soc Sci 2006; 61(2): S89-S98.
Kaugars AS, Klinnert MD, Bender BG. Family influences on pediatric asthma. J Pediatr Psychol 2004; 29(7): 475-91.
Northouse LL, Caffey M, Deichelbohrer L, Schmidt L, Guziatek-Trojniak L, West S, et al. The quality of life of African American women with breast cancer. Res Nurs Health 1999; 22(6): 449-60.
Vahida F, Arizi F, Parsamehr M. The effect of social support on women's participation in physical activity. movement sciences and exercise 2006; 4(7): 53-62. Movement Sciences and Exercise 2006; 4(7): 53-62. [In Persian].
Ganz PA, Desmond KA, Belin TR, Meyerowitz BE, Rowland JH. Predictors of sexual health in women after a breast cancer diagnosis. J Clin Oncol 1999; 17(8): 2371-80.
Murphy DA, Marelich WD, Dello Stritto ME, Swendeman D, Witkin A. Mothers living with HIV/AIDS: mental, physical, and family functioning. AIDS Care 2002; 14(5): 633-44.
Dunbar SB, Clark PC, Quinn C, Gary RA, Kaslow NJ. Family influences on heart failure self-care and outcomes. J Cardiovasc Nurs 2008; 23(3): 258-65.
Kang SH, Bloom JR. Social support and cancer screening among older black Americans. J Natl Cancer Inst 1993; 85(9): 737-42.
Skinner TC, John M, Hampson SE. Social support and personal models of diabetes as predictors of self-care and well-being: a longitudinal study of adolescents with diabetes. J Pediatr Psychol 2000; 25(4): 257-67.