Journal of Health System Research
مجله تحقیقات نظام سلامت
J Health Syst Res
Medical Sciences
http://hsr.mui.ac.ir
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بررسی ارتباط سواد سلامت با تبعیت از درمان و شاخص توده بدنی در بیماران مبتلا به دیابت نوع 2 مراجعهکننده به مرکز دیابت شهر یزد در سال 1400
The Relationship of Health Literacy with Adherence to Treatment and Body Mass Index in Patients with Type 2 Diabetes Referred to Yazd Diabetes Center, Iran
آموزش بهداشت و ارتقاء سلامت
education health and promotion
كاربردي
Applicable
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span b="" lang="FA" mitra="" style="font-family:">مقدمه:</span></b><span b="" lang="FA" mitra="" style="font-family:"> یکی از اصول کنترل دیابت، حفظ شاخص توده بدنی (</span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Body mass index</span></span><span b="" lang="FA" mitra="" style="font-family:"> یا </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">BMI</span></span><span b="" lang="FA" mitra="" style="font-family:">) و تبعیت از درمان است. سواد سلامت میتواند عامل مؤثری در کنترل دیابت باشد. پژوهش حاضر با هدف تعیین ارتباط بین سواد سلامت با تبعیت از درمان و </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">BMI</span></span><span b="" lang="FA" mitra="" style="font-family:"> در بیماران مبتلا به دیابت نوع 2 انجام شد.</span><b><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span b="" lang="AR-SA" mitra="" style="font-family:">روشها</span></b><span b="" lang="AR-SA" mitra="" style="font-family:">: </span><span b="" lang="FA" mitra="" style="font-family:">این مطالعه از نوع توصیفی- مقطعی بود و بر روی ۱۴۵ بیمار مبتلا به دیابت نوع ۲ مراجعهکننده به مرکز دیابت شهر یزد که به شیوه در دسترس انتخاب شدند، انجام گردید. به منظور جمعآوری دادهها، از پرسشنامههای سواد سلامت ایرانیان و تبعیت از درمان استفاده شد. </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">BMI</span></span><span b="" lang="FA" mitra="" style="font-family:"> با استفاده از اندازه قد و وزن محاسبه گردید. دادهها با استفاده از آمار توصیفی و استنباطی در نرمافزار </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span><span b="" lang="FA" mitra="" style="font-family:"> مورد تجزیه و تحلیل قرار گرفت</span><span b="" lang="AR-SA" mitra="" style="font-family:">.</span><span lang="FA" style="font-family:"B Mitra""></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span b="" lang="FA" mitra="" style="font-family:">یافتهها:</span></b><span b="" lang="FA" mitra="" style="font-family:"> میانگین سواد سلامت، 75/18 </span><span cambria="" lang="FA" style="font-family:">±</span><span b="" lang="FA" mitra="" style="font-family:"> 17/145 و در بیشتر مشارکتکنندگان (4/63 درصد) در سطح عالی بود. میانگین تبعیت از درمان، 03/7 </span><span cambria="" lang="FA" style="font-family:">±</span><span b="" lang="FA" mitra="" style="font-family:"> 23/176 و 5/93 درصد دارای تبعیت از درمان در سطح بسیار خوبی بودند. همچنین، میانگین </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">BMI</span></span><span b="" lang="FA" mitra="" style="font-family:"> آنان 05/4 </span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" mitra="" style="font-family:"> 09</span><span b="" lang="FA" mitra="" style="font-family:">/27 کیلوگرم بر مترمربع و اغلب (0/45 درصد) اضافه وزن داشتند. آزمون همبستگی </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Pearson</span></span><span b="" lang="FA" mitra="" style="font-family:">، ارتباط مستقیم و معنیداری را بین سواد سلامت و تبعیت از درمان (001/0 = </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span b="" lang="FA" mitra="" style="font-family:">، 325/0 = </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">r</span></span><span b="" lang="FA" mitra="" style="font-family:">) و ارتباط معکوس و معنیداری بین سواد سلامت و </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">BMI</span></span><span b="" lang="FA" mitra="" style="font-family:"> (001/0 = </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span b="" lang="FA" mitra="" style="font-family:">، 518/0- = </span><b><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">r</span></span></b><span b="" lang="FA" mitra="" style="font-family:">) نشان داد.</span><span lang="FA" style="font-family:"B Mitra""></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span b="" lang="FA" mitra="" style="font-family:">نتیجهگیری:</span></b><span b="" lang="FA" mitra="" style="font-family:"> با ارتقای سواد سلامت، تبعیت از درمان افزایش و </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">BMI</span></span><span b="" lang="FA" mitra="" style="font-family:"> کاهش مییابد. مدیران خدمات بهداشتی میتوانند با تمرکز بر زیرساختها و برنامهریزیهای مدیریتی جهت ارتقای سواد سلامت، موجبات بهبود تبعیت از درمان و کاهش </span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">BMI</span></span><span b="" lang="FA" mitra="" style="font-family:"> را فراهم آورند.</span></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="font-family:" t="">Background: </span></span></b><span style="font-size:10.0pt"><span style="font-family:" t="">One of the principles of diabetes control is to maintain a healthy body mass index (BMI) and adhere to treatment. Health literacy can significantly impact the management of diabetes. This study aimed to determine the relationship between health literacy, treatment adherence, and BMI in patients with type 2 diabetes.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="font-family:" t="">Methods: </span></span></b><span style="font-size:10.0pt"><span style="font-family:" t="">This cross-sectional descriptive study was performed on 145 patients with type 2 diabetes who were referred to the Yazd Diabetes Center, Iran, and selected using a convenience sampling method. To gather data, questionnaires on Iranian health literacy and adherence to treatment were used. BMI was calculated using the measured height and weight. The data were analyzed using descriptive and inferential statistics with SPSS software.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="font-family:" t="">Findings: </span></span></b><span style="font-size:10.0pt"><span style="font-family:" t="">The average health literacy score was 145.17 ± 18.75, and the majority of participants (63.4%) demonstrated an excellent level of health literacy. The average adherence to treatment was 176.23 ± 7.03, and 93.5% exhibited a very high level of adherence to treatment. Moreover, the average BMI was 27.09 ± 4.05 kg/m<sup>2</sup>, and the majority (45%) were classified as overweight. Pearson's correlation test showed a positive and significant relationship between health literacy and adherence to treatment (r = 0.325, P = 0.001), as well as a negative and significant correlation between health literacy and BMI (r = -0.518, P = 0.001).</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="font-family:" t="">Conclusion: </span></span></b><span style="font-size:10.0pt"><span style="font-family:" t="">Improving health literacy leads to increased treatment adherence and decreased BMI. Therefore, health service managers can enhance treatment adherence and reduce BMI by prioritizing infrastructure and management planning to promote health literacy.</span></span></span></span></span></div>
سلامت, پایبندی به درمان, شاخص توده بدنی, دیابت نوع 2
Health literacy, Treatment adherence, Body mass index, Type 2 diabetes
17
23
http://hsr.mui.ac.ir/browse.php?a_code=A-10-364-1&slc_lang=fa&sid=1
Hossein
Shahriari
حسین
شهریاری
hosseinshahriari1995@yahoo.com