پديد آورندگان :
كلاهدوز، مريم دانشگاه علوم پزشكي قم , كشاورز محمدي، نسترن دانشگاه علوم پزشكي نيشابور , حضوري، محمد دانشگاه علوم پزشكي شهيد بهشتي
كليدواژه :
آموزش تغذيه , دانش و عملكرد تغذيه اي , نگرش , ديابت نوع 2
چكيده فارسي :
سابقه و هدف: از آنجا كه آموزش رژيم غذايي و تغذيه به عنوان يك عامل كنترل ديابت شناخته شده است، در اين تحقيق تأثير آموزش تغذيه بيماران ديابتي به
همراه يكي از اعضاي خانواده آ نها بر روي دانش، نگرش و عملكرد اين افراد بررسي مي شود.
روش كار: در اين مطالعه تجربي، پس از هماهنگي لازم از بين مراجعان به مركز بهداشتي -درماني شماره 7 نيشابور، تعداد 60 نفر افراد ديابتيك ازداخل دفتر ثبت
نام مركزانتخاب شدند و پرسشنامه مربوط به آ گاهي نگرش و عملكرد ) ) KAP توسط محقق براي همه افراد تكميل شد. سپس به صورت تصادفي به دو گروه
مورد و شاهد تقسيم شدند. آموزش به صورت چهره به چهره و آموزش گروهي به مدت دو ماه و هر دو هفته ي كباربراي گروه مداخله و حداقل يكي از اعضاي
خانواده آن ها انجام شد. پس از پايان دو ماه، پرسشنامه دوباره تكميل شد. در گروه كنترل هيچ آموزش جديدي داده نشد. اطلاعات به نرم افزار SPSS 20 وارد شد
و در قسمت آمارتوصيفي از فراواني، درصد، ميانگين و انحراف استاندارد استفاده شد و در آمار استنباطي براي تحليل داده هاي پژوهش، از آزمو نهاي آماري كاي
دو، تي مستقل، تي زوجي ، رگرسيون لجستيك و آنكوا استفاده شد. نتايج ابتداي مطالعه و در پايان برنامه آموزشي دو ماهه مقايسه شد.
يافته ها: آموزش بيماران مبتلا به ديابت به همراه حداقل يك نفر از خانواده، در مقايسه با گروهي كه آموزشي دريافت نكرده بودند، بهبود معناداري در دانش،
نگرش و عملكرد تغذيه اي آنان داشت( p <0.001 ). گرچه آموزش بيماران مبتلا به ديابت با حداقل يك نفر در خانواده آن ها منجر به كاهش قابل توجه BMI شد
p=0/01( ( و ميزان قند خون ناشتا ) 08 / p=0 ( را نيزكاهش داد، ولي اين كاهش از نظر آماري معنادار نبود.
نتيجه گيري: با وجودي كه آموزش بيماران ديابتي در ارتقاي دانش، نگرش و عملكرد آنان موثر است، اما آموزش حداقل يك نفر در خانواده آن ها، نقش مهمي
در بهبود اين ارتقا دارد. از سوي ديگر، بين فقدان دانش در مورد گرو ههاي غذايي و خطر ابتلا به ديابت تاثير دارد.
چكيده لاتين :
Background:Since diet and nutrition education is known as a control agent for diabetes, in this research we
investigated the effect of nutrition education on diabetic patients together with one of their family members on
knowledge attitude and practice of these individuals.
Materials and methods: In the current experimental study, 60 diabetic patients were selected from the
Registry Office who refered to Neyshaboor Health Center. A questionnaire on Attitude and Practice (KAP)
was completed by the researcher for all participants, and then they were randolmy divided into two groups of
case and controls. The case and control groups were taught face to face training and group training for two
months and once every two weeks for the intervention group and at least one of their family members. At the
end of two months, the questionnaire was completed again. No new training was given in the control group.
Data were entered into SPSS, v. 20, and descriptive statistics of frequency, percentage, mean, and standard
deviation were used. Inferential statistics were used to analyze the data, using Chi-square, independent t-test,
paired t-test, logistic regression, and ANCOVA. Next, the results of the beginning of the study and the twomonth
training program were compared.
Results: Diabetic Patients Training with at least one person in their family had a significant improvement in
knowledge, attitude, and nutritional function (001/0>p). Diabetic Patients Training with at least one person
in their family led to a significant reduction in their BMI (p = 0.01) and it reduced the fasting blood glucose
levels (p = 0.08), but this decrease was not statistically significant.
Discussion: Although diabetic patients training has a significant role in promoting their knowledge, attitudes
and, practice, Diabetic Patients Training with at least one person in their family plays a more effective role
in this improvement.
On the other hand, there is a significant relationship between lack of knowledge about food groups and the
risk of diabetes, indicating that planned and trained training can be very effective in reducing the risk of
developing type 2 diabetes.
Key Words: Type 2 Diabetes, Nutritional attitude, Knowledge and Performance, Nutrition Education
materials and methods
This study is an experimental study. 60 diabetic patients were selected from the Registry Office between who refers to Neyshaboor Health Center, after coordination they divided into case and control groups in a completely randomized way
Face to face education and group training for 2 months for the case group and at least one of their family members and after the end of two months, the questionnaire was completed again. There was no new training in the control group.
Information was entered into the spss software and analyzed. The results of the beginning of the study and at the end of the two month were compared
Result: Diabetic Patients Training with at least one person in their family had a significant improvement in knowledge, attitude and nutritional function (001/0>p). Diabetic Patients Training with at least one person in their family led to a significant reduction in their BMI and it reduced the fasting blood glucose levels, but this decrease was not statistically significant.
Discussion: Although diabetic patients training have a significant role in promoting their knowledge, attitudes and, practice but Diabetic Patients Training with at least one person in their family, plays a more effective role in this improvement.
On the other hand, there is a significant relationship between lack of knowledge about food groups and the risk of diabetes, indicating that planned and trained training can be very effective in reducing the risk of developing type 2 diabetes
