Journal of Health System Research
مجله تحقیقات نظام سلامت
J Health Syst Res
Medical Sciences
http://hsr.mui.ac.ir
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2026
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بررسی عوامل مرتبط با فعالیت بدنی زنان شاغل در دانشگاه علوم پزشکی اصفهان: کاربرد الگوی رویکرد فرایند اقدام بهداشتی
Investigating the Factors Related to Physical Activity of Working Women in Isfahan University of Medical Sciences, Iran: Application of the Health Action Process Approach
آموزش بهداشت و ارتقاء سلامت
education health and promotion
پژوهشي
Research
<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 lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">مقدمه:</span></span></span></b><b> </b><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">با توجه به شیوع کمتحرکی در بین زنان به ویژه زنان شاغل و خطرات و عوارض فردی، خانوادگی و اجتماعی آن، پژوهش حاضر با هدف تعیین عوامل مرتبط با فعالیت بدنی در زنان شاغل در دانشگاه علوم پزشکی اصفهان با استفاده از الگوی فرایند اقدام بهداشتی (</span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Health Action Process Approach</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> یا </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">HAPA</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">) انجام شد</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">.</span></span></span><span dir="LTR" style="font-size:10.0pt"><span bold="" new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></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 lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">روشها</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">: </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">در این مطالعه توصیفی- تحلیلی- مقطعی، 350 نفراز زنان شاغل دانشگاه علوم پزشکی اصفهان به روش نمونهگیری سهمیهای انتخاب شدند و پرسشنامه اطلاعات دموگرافیک و الگوی </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">HAPA</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> و پرسشنامه بینالمللی فعالیت بدنی را تکمیل نمودند. دادهها با استفاده از آزمونهای همبستگی </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Pearson</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">/</span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Spearman</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> و </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">One-way ANOVA</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> در </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">نرمافزار </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> مورد تجزیه و تحلیل قرار گرفت</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">.</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></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 lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">یافتهها:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> حدود نیمی از مشارکتکنندگان در گروه کمتحرک قرار داشتند. بین همه سازههای الگوی </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">HAPA</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> با فعالیت بدنی زنان ارتباط معنیداری وجود داشت که بیشترین همبستگی با سازه برنامهریزی عمل بود. سه سازه برنامهریزی عمل (001/0 > </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">، 379/1 = </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">β</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">)</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">، درک خطر </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">(001/0 > </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">، 472/0 = </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">β</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">)</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> و خودکارامدی عمل </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">(001/0 > </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">، 544/0 = </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">β</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">)</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> پیشبینیکننده رفتار فعالیت بدنی بودند. </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">انتظار پیامد </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">زنان متأهل بیشتر از زنان مجرد و درک خطر و انتظار پیامد زنان هیأت علمی بیشتر از زنان کارمند بود</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">.</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></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 lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> به منظور ارتقای فعالیت بدنی زنان شاغل، استفاده از الگوی </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">HAPA</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> و تأکید بیشتر بر </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">سازههای برنامهریزی عمل، درک خطر و خودکارامدی</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> عمل در مداخلات توصیه میشود</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">.</span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black"></span></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Background</span></span></span></b><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Regarding the prevalence of inactivity among women, mainly working women (affected by a vast network of psychosocial causes) and its individual, family, and social risks and complications, the present study was conducted to determine the factors related to physical activity in working women in Isfahan University of Medical Sciences, Isfahan, Iran, using the Health Action Process Approach (HAPA).</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Methods:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">This cross-sectional, descriptive-analytical study was conducted on 350 women working in the university. The quota sampling method was used in this research. The data were measured with a questionnaire containing demographic information and structures of the motivational and volitional stages of the HAPA model and the International Physical Activity Questionnaire (shortened version), and analyzed using Pearson/Spearman correlation coefficients and one-way analysis of variance (ANOVA) in SPSS software</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Findings:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">About half of women participating in the study were in the sedentary group. There was a statistically significant correlation between all HAPA model constructs and women's physical activity; the highest correlation was with the action planning construct. Three constructs of action planning (β = 1.379, P < 0.001), risk perception (β = 0.472, P < 0.001), and action self-efficacy (β = 0.544, P < 0.001) were predictors of physical activity behavior. The expectation of the outcome of married women was more than that of single women, and perception of risk and expectation of the outcome of faculty women was more than that of female employees.</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">To improve the physical activity of working women, it is recommended that the HAPA model be used and more emphasis be placed on the structures of action planning, risk perception, and action self-efficacy in interventions</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span></span></span></span></span></span></div>
فعالیت بدنی, الگوی رویکرد فرایند اقدام بهداشتی, ایران, زنان
Physical activity, Health action process approach model, Iran, Women
185
191
http://hsr.mui.ac.ir/browse.php?a_code=A-10-283-2&slc_lang=fa&sid=1
Somayeh
Javaheri
سمیه
جواهری
javaheri_somayeh@yahoo.com