fa کاربرد مدل BASNEF در بررسی وضعیت نگرش و رفتارهای تغذیه‌ای سالمندان مبتلا به دیابت در شهر بجنورد 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,"><span lang="FA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:"><strong>مقدمه:</strong> </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">از عوامل مؤثر بر حفظ سلامت جسمی و روحی سالمندان، پیروی از اصول تغذیه صحیح است. هدف از انجام پژوهش حاضر، تعیین وضعیت تغذیه سالمندان مبتلا به دیابت در شهر بجنورد بر اساس مدل </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">BASNEF</span></span><span lang="FA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:"> (</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Beliefs, attitudes, subjective norms and enabling factors</span></span><span lang="FA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">)</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">بود.</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Mitra""></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,"><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:"><strong>روش‌ها:</strong> در این مطالعه مقطعی، جهت جمع‌آوری داده‌ها از دو پرسش‌نامه طراحی ‌شده بر اساس مدل </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">BASNEF</span></span><span style="font-size:10.0pt"><span b="" mitra="" style="font-family:"> و پرسش‌نامه مختصر ارزیابی وضعیت تغذیه‌ای (</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Mini Nutritional Assessment</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:"> یا </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">MNA</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">) استفاده گردید. به منظور خلاصه‌سازی داده‌ها، از شاخص‌های توصیفی و جهت بررسی ارتباط متغیرها، از آزمون‌های ²</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol">c</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">، </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Independent t</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">، </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">One-way ANOVA</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">، </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Linear regression</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">و</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:"> همبستگی استفاده شد (05/0 = </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">)..</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Mitra""></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,"><span lang="FA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:"><strong>یافته‌ها:</strong> </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">177 نفر با میانگین سنی 65/6 </span></span><span lang="AR-SA" style="font-size:10.0pt"><span cambria="" style="font-family:">&plusmn;</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:"> 49/65 سال در تحقیق حاضر شرکت نمودند. میانگین نمرات‌ آگاهی، نگرش به عمل، نگرش به نتایج رفتار، عوامل قادرکننده و هنجارهای انتزاعی در سالمندان به ترتیب 89/50، 44/72، 68/58، 31/58 و 06/70 به دست آمد. با افزایش نمرات نگرش و هنجارهای انتزاعی، نمره رفتار تغذیه‌ای کاهش یافت. از نظر تغذیه، 10 نفر (6/5 درصد) از افراد دچار سوء تغذیه، 68 نفر (2/38 درصد) در معرض سوء تغذیه و 100 نفر (2/56 درصد) دارای تغذیه طبیعی بودند</span></span><span lang="FA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">.</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,"><span lang="FA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:"><strong>نتیجه‌گیری:</strong> </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">حدود نیمی از افراد مورد بررسی از نظر تغذیه در وضعیت مطلوبی نبودند و با استانداردهای قابل‌ قبول فاصله زیادی داشتند. ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻧﺘﺎیﺞ پژوﻫﺶ ﺣﺎﺿﺮ، از ﻋﻮاﻣﻞ ﻣﻬﻢ در ﺑﻬﺒﻮد ﺗﻐﺬیﻪ ﺳﺎﻟﻢ ﺳﺎﻟﻤﻨﺪان، اﻓﺰایﺶ ﻗﺼﺪ و نگرش ﻧﺴﺒﺖ ﺑﻪ رﻓﺘﺎر و ﻋﻮاﻣﻞ ﻗﺎدرکننده ﺑﻮد</span></span><span lang="FA" style="font-size:10.0pt"><span b="" mitra="" style="font-family:">.</span></span></span></span></span></span></span></div> <div><div id="ftn1"></div></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 new="" roman="" style="font-family:" times="">Background:</span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">One of the factors affecting the physical and mental health of the elderly is following the principles of proper nutrition. The aim of this study is to determine the nutritional status of the elderly with diabetes in Bojnurd City, Iran, based on the BASNEF (beliefs, attitudes, subjective norms and enabling factors) model.</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 new="" roman="" style="font-family:" times="">Methods:</span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> In this cross-sectional study, two questionnaires designed based on the BASNEF model and the Mini Nutritional Assessment (MNA) questionnaire were used to collect data. Descriptive indices were used to summarize the data, and chi-square test, independent t-test, one-way analysis of variance (ANOVA), correlation, and linear regression were used to examine the relationship between variables (significance level: P = 0.05).</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 new="" roman="" style="font-family:" times="">Findings:</span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> In this study, 177 people with a mean age of 65.49 &plusmn; 6.65 years participated. The average score of knowledge, attitude towards action, attitude towards the results of behavior, enabling factors, and abstract norms in the elderly were 50.89, 72.44, 58.68, 58.31 and 70.06, respectively. With the increase in the attitude and abstract norm scores, the nutritional behavior score decreased. In terms of nutrition, 10 (5.6%) people were malnourished, 68 (38.2%) were at risk of malnutrition, and 100 (56.2%) had normal nutrition.</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 new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> Nearly half of the participants did not have an optimal nutritional status and were far from acceptable standards. According to the findings, improving behavioral intention, attitude toward behavior, and enabling factors are crucial for promoting healthy nutrition among the elderly</span></span><span lang="EN-GB" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">.</span></span></span></span></span></div> علم تغذیه, سالمند, رژیم دیابت, مدل BASNEF Nutrition science, Elderly, Diabetes diet, BASNEF model 360 366 http://hsr.mui.ac.ir/browse.php?a_code=A-10-852-1&slc_lang=fa&sid=1 Seyed Hamid Hosseini سید حمید حسینی hosseini.ha60@gmail.com 100319475328460025728 100319475328460025728 No Assistant Professor, Department of Health Education and Promotion, School of Health, North Khorasan University of Medical Sciences, Bojnurd, Iran استادیار، گروه آموزش بهداشت و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی خراسان شمالی، بجنورد، ایران Rezvan Rajabzadeh رضوان رجب‌زاده rajabzade.61@gmail.com 100319475328460025729 100319475328460025729 No Assistant Professor, Non-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran استادیار، مرکز تحقیقات بیماری‌های غیر واگیر، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران Hamid Reza Mohaddes Hakkak حمیدرضا محدث حکاک mohaddes76@gmail.com 100319475328460025730 100319475328460025730 No Associate Professor, Department of Health Education and Promotion, School of Health, North Khorasan University of Medical Sciences, Bojnurd, Iran دانشیار، گروه آموزش بهداشت و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی خراسان شمالی، بجنورد، ایران Alireza Ghorbani علیرضا قربانی arg.phealth@gmail.com 100319475328460025731 100319475328460025731 No Assistant Professor, Department of Public Health, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran استادیار، گروه بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران Neda Ahmadzadeh-Tori ندا احمدزاده توری neda.ahmadzade.tori@gmail.com 100319475328460025732 100319475328460025732 Yes PhD, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran دکتری تخصصی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، پژوهشکده سلامت، دانشگاه علوم پزشکی بابل، بابل، ایران